OBJECTIVE:To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPAs) increased the use of intrapartum and postnatal essential interventions (EIs) in two hospitals in Uganda. METHODS:A non-controlled before-and-after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EIs among providers. Coverage of the EIs was measured in a 3-month pre-implementation period and a 3-month post-implementation period in 2014. Data were obtained for women older than 18 years who delivered vaginally or by cesarean. RESULTS:Overall, 4816 women were included. Level of use remained high for EIs used widely at baseline. Some EIs that had low use at baseline did not show improvement after the implementation. Promotion of breastfeeding showed a significant improvement in the Kampala hospital, from 8.5% (8/94) to 25.6% (30/117; P=0.001), whereas promotion of hygiene in cord care improved at the Mbarara hospital, from 0.1% (2/1592) to 46.0% (622/1351; P<0.001). CONCLUSION:These exploratory results show that a package delivered through the joint work of the three HCPAs was feasible to implement along with rigorous data collection. Although the data show disparities, trends suggest that improvement could be achieved.

译文

目的:评估通过三个国际卫生保健专业人员协会(HCPA)的联合行动实施一揽子活动是否增加了乌干达两所医院的产前和产后基本干预措施(EI)的使用。
方法:进行了一项非对照的前后研究,以评估旨在改变提供者之间与9个EI相关的实践的一揽子活动的效果。在2014年的实施前3个月和实施后3个月期间测量了EI的覆盖范围。获得了18岁以上通过阴道或剖宫产分娩的女性的数据。
结果:总共包括4816名女性。在基线广泛使用的EI的使用水平仍然很高。某些在基线使用量很少的EI在实施后并未显示出改善。促进母乳喂养在坎帕拉医院显示出显着改善,从8.5%(8/94)提高到25.6%(30/117; P = 0.001),而在姆巴拉拉医院改善了脐带护理的卫生,从0.1%( 2/1592)至46.0%(622/1351; P <0.001)。
结论:这些探索性结果表明,通过三个HCPA的联合工作提供的一揽子计划与严格的数据收集一起是可行的。尽管数据显示出差异,但趋势表明可以实现改善。

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