Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda

Plain English Summary Maternal and child health has become a priority area of focus among health policy makers and planners. Several interventions are being tried in an effort to increase deliveries in health facilities in order to realise better health outcomes. This study focused on how incentives...

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Main Authors: Kharim Mwebaza Muluya, John Francis Mugisha, Peter Kithuka, Kenneth Rucha Kibaara, David Gangu Muwanguzi, Otieno George Ochieng, Andre Yitambe, Irene Wananda
Format: Article
Language:English
Published: BMC 2022-01-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-022-01334-9
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author Kharim Mwebaza Muluya
John Francis Mugisha
Peter Kithuka
Kenneth Rucha Kibaara
David Gangu Muwanguzi
Otieno George Ochieng
Andre Yitambe
Irene Wananda
author_facet Kharim Mwebaza Muluya
John Francis Mugisha
Peter Kithuka
Kenneth Rucha Kibaara
David Gangu Muwanguzi
Otieno George Ochieng
Andre Yitambe
Irene Wananda
author_sort Kharim Mwebaza Muluya
collection DOAJ
description Plain English Summary Maternal and child health has become a priority area of focus among health policy makers and planners. Several interventions are being tried in an effort to increase deliveries in health facilities in order to realise better health outcomes. This study focused on how incentives for mothers, health workers and boda–boda riders can improve the community-based referral process and deliveries in the rural community of Busoga region in Uganda. Two groups of boda–boda riders, mothers and health workers were followed up. One group was given incentives while the other was not. The incentives included training and training allowances, refreshments during training, payment of transport fares by mothers to boda–boda riders, free telephone calls and provision of bonus airtime to all registered CUG participants and rewards to best performers. The results of this study showed that incentives help to boost deliveries from health facilities hence improving maternal outcomes. In intervention group, 70.5% of mothers who deliveries from health facilities were transported by boda–boda riders whereas this was only 51.2% in the control group. The response time of boda–boda risers to calls for transport by expecting mothers improved tremendously in the intervention group when compared to the control group. All the targeted parties—boda–boda riders, mothers, midwives and Village Health Teams were more active and motivated to work towards improving maternal health of the mothers.
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spelling doaj.art-c053b5cf092b4f49a05283f305a906812022-12-21T17:48:22ZengBMCReproductive Health1742-47552022-01-011911910.1186/s12978-022-01334-9Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in UgandaKharim Mwebaza Muluya0John Francis Mugisha1Peter Kithuka2Kenneth Rucha Kibaara3David Gangu Muwanguzi4Otieno George Ochieng5Andre Yitambe6Irene Wananda7School of Public Health, Department of Health Management and Informatics, Kenyatta UniversityCavendish University UgandaSchool of Public Health, Department of Health Management and Informatics, Kenyatta UniversitySchool of Public Health, Department of Health Management and Informatics, Kenyatta UniversitySchool of Public Health, Department of Health Management and Informatics, Kenyatta UniversitySchool of Public Health, Department of Health Management and Informatics, Kenyatta UniversitySchool of Public Health, Department of Health Management and Informatics, Kenyatta UniversityKamuli District Local GovernmentPlain English Summary Maternal and child health has become a priority area of focus among health policy makers and planners. Several interventions are being tried in an effort to increase deliveries in health facilities in order to realise better health outcomes. This study focused on how incentives for mothers, health workers and boda–boda riders can improve the community-based referral process and deliveries in the rural community of Busoga region in Uganda. Two groups of boda–boda riders, mothers and health workers were followed up. One group was given incentives while the other was not. The incentives included training and training allowances, refreshments during training, payment of transport fares by mothers to boda–boda riders, free telephone calls and provision of bonus airtime to all registered CUG participants and rewards to best performers. The results of this study showed that incentives help to boost deliveries from health facilities hence improving maternal outcomes. In intervention group, 70.5% of mothers who deliveries from health facilities were transported by boda–boda riders whereas this was only 51.2% in the control group. The response time of boda–boda risers to calls for transport by expecting mothers improved tremendously in the intervention group when compared to the control group. All the targeted parties—boda–boda riders, mothers, midwives and Village Health Teams were more active and motivated to work towards improving maternal health of the mothers.https://doi.org/10.1186/s12978-022-01334-9IncentivesHealth workersBoda–boda ridersCommunity-based referralsHealth facility-based deliveries
spellingShingle Kharim Mwebaza Muluya
John Francis Mugisha
Peter Kithuka
Kenneth Rucha Kibaara
David Gangu Muwanguzi
Otieno George Ochieng
Andre Yitambe
Irene Wananda
Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda
Reproductive Health
Incentives
Health workers
Boda–boda riders
Community-based referrals
Health facility-based deliveries
title Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda
title_full Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda
title_fullStr Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda
title_full_unstemmed Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda
title_short Incentives for mothers, health workers and “boda–boda” riders to improve community-based referral process and deliveries in the rural community: a case of Busoga Region in Uganda
title_sort incentives for mothers health workers and boda boda riders to improve community based referral process and deliveries in the rural community a case of busoga region in uganda
topic Incentives
Health workers
Boda–boda riders
Community-based referrals
Health facility-based deliveries
url https://doi.org/10.1186/s12978-022-01334-9
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