African Family Medicine | 18 August 2002
Methodological Evaluation of Maternal Care Facilities Systems in Uganda Using Difference-in-Differences Approach for Clinical Outcomes Measurement,
N, a, m, u, g, y, e, M, a, s, i, n, d, e, ,, K, i, z, z, a, M, u, g, e, r, u
Abstract
Uganda has implemented maternal care facilities to improve health outcomes in rural areas. However, there is a need for methodological evaluation of these systems to ensure effectiveness. The study utilised data from Ugandan health records spanning two years. A difference-in-differences model was employed to measure changes in clinical outcomes, accounting for potential confounders such as regional differences and pre-existing conditions. A significant improvement in neonatal survival rates (20% increase) was observed post-intervention, suggesting enhanced maternal care practices led to better health outcomes. The difference-in-differences model effectively highlighted the impact of improved maternal care facilities on clinical outcomes. Future research should consider scalability and cost-effectiveness. Further studies could explore long-term effects and implement standardised protocols for maternal care facilities across different regions in Uganda. maternal care, health systems evaluation, difference-in-differences model, neonatal survival Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.