Having knowledge of obstetric danger signs and embracing good birth preparedness practices could enhance maternal and newborn health outcomes. Through the use of communications and media advocacy, the intervention study is tackling social and cultural issues that affect maternal and newborn health negatively. We are using village-level dialogues (once every three months) and radio talk shows (monthly) as well as spot messages (daily).
During the dialogues, women and men shared sad memories of maternal and newborn illness and death, underlining the grim reality of the situation. They also discussed good and bad practices and made commitments to abandon negative practices and therefore improve maternal and newborn health. “I resolve to stop putting cow dung and other dangerous things on the cord of newborns. After today’s talk I realise why my baby’s cord took that long to heal. I urge fellow women to join a new me,” said Ms Nabirye at a dialogue in Kamuli to thunderous applause from fellow women. Monitoring data shows that, while only 17 per cent of sampled women who had just given birth treated cords with nothing but the appropriate saline water in mid-2013, that percentage had shot to 56% in mid-2014.
Many will already be familiar with the term ‘complex adaptive systems’ (CAS). It’s certainly something we’ve talked about a lot within the Future Health Systems consortium. But it’s a term, and concept and a practice that has taken me some time to fully comprehend and to utilize in my own work. We are implementing a number of implementation research projects in Eastern Uganda, and most of my attention has been focused on the day-to-day operations of these large projects. However, I’ve found CAS tools to help me step back and get a broader picture of our research intervention. Here’s why.
The 2nd Global Symposium on Health Systems Research officially kicks off today here in Beijing, but I’ve already been here for nearly two weeks participating in the Emerging Voices program. Emerging Voices is a joint venture by the Institute of Tropical Medicine in Antwerp and Peking University School of Public Health designed to build presentation skills and strengthen voices of younger health systems researchers. The program was incredibly diverse, featuring courses on issues related to health systems research and skills-building workshops on scientific presentation and scientific writing in English in addition to cultural activities in China. I was selected to participate in the venture as a young researcher from Makerere University School of Public Health in Uganda. I am a part of the wider FHS team in Uganda, where I focus on maternal and neonatal health in low-income settings like Uganda. Now that the venture is over, there are three main reflections I have on the two-week session.