NEED/GAP:Women in Uganda face serious health risks related to complications of pregnancy and childbirth as reflected in a high maternal ratio estimated at 430 maternal deaths per 100,000 live births, (UNPF 2010). 6000 women in Uganda die annually during childbirth or due to complications of pregnancy. Delivery outside the health facilities has largely contributed to the high maternal mortality rates. When a mother dies, this has very critical implications to the child and quite often this child will die as well. Although 95% of mothers in Uganda attend at least one ANC, 59% are delivered by a skilled birth attendant, 57% are delivered in a health facility (UDHS 2011). In Uganda the average healthcare seeking behavior is 39.5% and eastern regions were more likely not to seek healthcare, and more likely to cite high expense due to poverty as a reason (Okwero, Tandon, Sparkes, McLaughlin, & Hoogeveen, March 2010).
GOAL: Strengthening maternal and newborn community health services by increasing demand and access to obstetric and Newborn care by means: To strengthen the institutional capacity of a community health clinic-REHEMA MEDICAL CENTER & MATERNITY HOME to provide quality healthcare services to pregnant women and children and to establish an effective community linkage through outreaches and setting up microcredit financing for women groups.
1. To increase access to antenatal care and childbirth services in the community.
2. To improve the quality of childbirth healthcare provided by REHEMA MEDICAL CENTER & MATERNITY HOME by equipping a fully functional labor suite.
3. To increase the utilization and uptake of general healthcare services by the community.
4. To set up/ support/augment community outreaches to enhance community engagement as a tool to increase health seeking behavior.
5. Providing loan-able capital and micro-finance training to two women groups.
The Rotarians have been involved in the needs assessment and will act as trainers and mentors to the women saving groups.
The timeline for the project is December 2016 to December 2017