@article{ref1,
title="Effects of improved access to transportation on emergency obstetric care outcomes in Uganda",
journal="African journal of reproductive health",
year="2014",
author="Mucunguzi, Stephen and Wamani, Henry and Lochoro, Peter and Tylleskar, Thorkild",
volume="18",
number="3",
pages="87-94",
abstract="Reduction in maternal mortality has not been appreciable in most low-income countries. Improved access to transport for mothers is one way to improve maternal health. This study evaluated a free-of-charge 24-hour ambulance and communication services intervention in Oyam district using 'Caesarean section rate' (CSR) and compared with the neighbouring non-intervention district. Ecological data were collected retrospectively from maternity/theatre registers in October 2010 for 3 years pre and 3 years intervention period. The average CSR in the intervention district increased from 0.57% before the intervention to 1.21% (p = 0.022) during the intervention, while there was no change in the neighbouring district (0.51% to 0.58%, p = 0.512). Hospital deliveries increased by over 50% per year with a slight reduction in the average hospital stillbirths per 1000 hospital births in the intervention district (46.6 to 37.5, p = 0.253). Reliable communication and transport services increased access to and utilization of maternal health services, particularly caesarean delivery services.<p /><p>Language: en</p>",
language="en",
issn="1118-4841",
doi="",
url="http://dx.doi.org/"
}