This wheel contains the medical eligibility criteria for starting use of contraceptive methods. It is based on Medical Eligibility Criteria for Contraceptive Use, 3rd edition (2004) and its 2008 Update, one of WHO’s evidence-based guidelines. It tells family planning providers if a woman presenting with a known medical or physical condition is able to usevarious contraceptive methods safely and effectively.
The review comprises the most recent information on the ways in which mental health concerns intersect with women’s reproductive health. It includes a discussion of the bio-psycho-social factors that increase vulnerability to poor mental health, those that might be protective and the types of programmes that could mitigate adverse effects and promote mental health.
The facts and figures on maternal health contained in this report highlight the challenges that our country still faces in improving the lives of women, especially during pregnancy and at childbirth.
The government will continue to put in place the necessary programs and measures to ensure that maternal health services and reproductive health performance in general progressively improve.
The report shows that although Uganda has made progress since the last reporting period there is still a long way to go if we are to achieve all the goals by 2015 especially the health related goals on child mortality and maternal health.
This report is about improving maternal and newborn care in Northern Uganda.
The Global Programme to Enhance Reproductive Health Commodity Security (GPRHCS) is a unique and effective mechanism for delivering results in developing countries.
This UNFPA thematic fund has a focused mission to ensure a secure, steady and reliable supply of quality reproductive health commodities and improve access and use by strengthening national health systems and services.
GPRHCS supports national action to reach poor and marginalized women and girls in countries with high unmet need for family planning and high rates of maternal death. GPRHCS is the only United Nations programme that specifically addresses reproductive health commodity security (RHCS).
Female genital mutilation/cutting (FGM/C) is “the partial or total removal of the female external genitalia or other injury to the female genital organs for cultural or other non-therapeutic reasons.”1 It is estimated that more than 130 million girls and women alive today have undergone FGM/C, primarily in Africa and, to a lesser extent, in some countries in the Middle East.
This report contains the findings of the study on ‘Factors that Influence Decisions to Seek Medical Male Circumcision (MMC) Services’ commissioned by the Johns Hopkins Bloomberg University – Health Communication Partnership (HCP) with funding from the United States Agency for International Development (USAID). The fieldwork for the study was conducted in December 2009. The purpose of this study was to establish the factors that influence the decisions of young men to seek medical male circumcision.
In 2009, Uganda received support from the Global Program for Reproductive Health Commodity Security (GPRHCS) to assist the Ministry of Health in developing a national strategy. The strategy focused on logistics management to improve the functionality of the national and district Reproductive Health commodities Security (RHCS) coordination mechanisms.
Uganda is among the 46 countries under the GPRHCS that has conducted these annual surveys to track RHCS indicators. The survey was designed to go beyond the availability of RH commodities to cover significant aspects of service delivery facilities that shore up good RH programmes.
In addition to assessing the availability and stock-out of RH commodities, the survey looked at supply chain
We conducted a survey to determine availability of emergency obstetric care (EmOC) to provide baseline data for monitoring provision of obstetric care services in Uganda. Methods: The survey, covering 54 districts and 553 health facilities, assessed availability of EmOC signal functions.
Following this, performance improvement process was implemented in 20 district hospitals to scale-up EmOC services. Findings: A maternal mortality ratio (MMR) of 671/100,000 live births was recorded. Hemorrhage, 42.2%, was the leading direct cause of maternal deaths, and malaria accounted for 65.5% of the indirect causes. Among the obstetric complications, abortion accounted for 38.9% of direct and malaria 87.4% of indirect causes.
Removal of retained products (OR 3.3, P<0.002), assisted vaginal delivery (OR 3.3, P<0.001) and blood transfusion (OR 13.7, P<0.001) were the missing signal functions contributing to maternal deaths. Most health facilities expected to offer basic EmOC, 349 (97.2%) were not offering them. Using the performance improvement process, availability of EmOC in the 20 hospitals improved significantly.
In 1997, the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) and the United Nations Population Fund (UNFPA) issued a Joint Statement on Female Genital Mutilation (WHO, UNICEF, UNFPA, 1997) which described the implications of the practice for public health and human rights and declared support for its abandonment
Globally, reduction of maternal and new born mortality remains a high priority in the Sustainable Development targets as unfinished MDG agenda. In 2013, about 0.3 million women died as result of pregnancy related causes. Sub-Saharan Africa alone contributed more than half of these deaths.
Uganda is among those countries struggling with high maternal mortality rates at 336/100,000 live births. Globally 2.7 million neonatal deaths and a similar number of still births occur. Neonatal mortality in Uganda is estimated to be 27 deaths per 1000 live births and accounts for 45% of the under-five mortality.
Maternal and perinatal death reviews (MPDR) help to understand the circumstances around the death of a mother or newborn in order to identify factors contributing to death and then
develop strategies to address them
