UGANDA

Our Progress

%

0

Decrease in Institutional Maternal Mortality Ratio

%

0

Increase in Caesarean Rate

%

0

Increase in Newborns who Received HIV Preventive Medications

In Uganda, Saving Mothers, Giving Life is putting in place key interventions to improve maternal and newborn health across 10 districts. Working hand-in-hand with the Ugandan government, the initiative has set out to make high-quality, safe childbirth services available and accessible to women and their newborns, focusing on the critical period of labor, delivery and the first 48 hours postpartum.

The Situation

Every year, there are an estimated 1.6 million births, 5,700 maternal deaths and 30,000 newborn deaths in Uganda. While the country has made significant strides in improving maternal health since 1990, a Ugandan woman's lifetime risk of maternal death — the probability that a 15-year-old girl will eventually die from a maternal cause — is 1 in 47, dozens of times greater than that of a high-income country like Norway or the United States.

Our Target Districts

PHASE 1

1

Kabarole

2

Kibaale

3

Kamwenge

4

Kyenjojo

PHASE 2

5

Nwoya

6

Gulu

7

Pader

8

Lira

9

Apac

10

Dokolo

Our Approach

Our Results

Since the launch of Saving Mothers, Giving Life, the initiative has achieved remarkable results in its target districts of Uganda: maternal mortality has declined by 45% in facilities and an impressive 41% in the communities. The initiative has also strengthened its interventions specifically designed to save newborns’ lives in all 10 learning and scale-up districts.

Key results include:

Indicator Uganda
  Baseline Endline % Change
Institutional maternal mortality ratio 534 295 ↓ 45%
Community-level maternal mortality ratio 452 264 ↓ 41%
Institutional delivery rate 28% 37% ↑ 30%
Direct obstetric case fatality rate 2.9% 1.6% ↓ 47%
Cesarean section rate 5.3% 6.9% ↑ 31%
Perinatal mortality rate 39.3 37.3 ↓ 5%
Total stillbirth rate 31.2 29.7 ↓ 5%
Institutional neonatal mortality rate 8.4 7.9 ↓ 6%
Women who received ARVs for PMTCT 85% 87% ↑ 2%

  1. Countdown to 2015: Maternal, Newborn & Child Survival, UNICEF and WHO. “Fulfilling the Health Agenda for Women and Children: The 2014 Report”
  2. Ibid.