Uganda
African Region
Maternal and Perinatal Health Profile
Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO)
Demographics and Information System Health status indicators - Maternal and Perinatal mortality
Total population (2013) [1] Maternal mortality ratio (2013) [3]
Total women aged 15-49 years (2013) [1] Annual number of maternal deaths (2013) [3]
Annual number of births (2013) [1] Perinatal moratlity rate (2011)[4]
Sex ratio at births (2005-10) [1] Stillbirth rate (2009)[3]
Birth registration coverage [2] Neonatal mortality rate per 1000 live births (2013) [5]
Total fertility rate (2013) [1] Annual number of neonatal deaths (2013) [5]
Adolescent fertility rate [per 1000 woman] (2005-2010) [1]
Under five population (2013) [1]
Coverage of vital registration of deaths [2]
Maternal nutrition Pregnancy involving risks
Prevalence of anaemia among pregnant women Birth interval <24 months and birth order >3 Night blindness (adjusted) Total age <18 and birth interval <24 months Iron tablets taken during pregnancy (any tablets)
Source: Demographic Health Survey (2011)
Maternal mortality
Maternal mortality ratio (MMR): maternal mortality per 100 000 live births
% change in MMR between 1990-2013 Average annual % change in MMR 1990-2013
No Data Available
MDG 5 target by 2015
Sources: [1] Population Division, Department of Economic and Social Affairs, United Nations, World Population Prospects: The 2012 Revision.
[2] WHO, World Health Statistics 2014 . [3] WHO, UNICEF, UNFPA and The World Bank estimates. Trends in maternal mortality: 1990 to 2013.
[4] Demographic Health Survey.
[5] UNICEF/WHO/The World Bank/UN Pop Div. Levels and Trends in Child Mortality. Report 2014 .
0.7 9.9
75.8 - 30.6
34,602 7,114,974
5.9
- 150
22 25 5,900 360 40 29.9
1.03 1,177,431 8,277,778 37,578,876
One of the eight Millennium Development Goals (MDGs) that has made some progress, albeit slow, is MDG 5: Improve maternal health. The two targets for assessing MDG 5 are reducing the maternal mortality ratio (MMR) by three quarters between 1990 and 2015, and achieving universal access to reproductive health by 2015.
Note: Consultations with countries were carried out following the development of the MMR estimates. The purposes of the consultations were primarily:
Progress towards improving maternal health
-3.6 -3.2
195 making progress
-2.9 -53
Range of uncertainly on annual % change in MMR (lower estimate)
Range of uncertainly on annual % change in MMR (upper estimate)
780 740 650
510 360
MDG5 Target, 195
0
200 400 600 800 1000
1990 1995 2000 2005 2010 2015
Per 100 000 LB
Perinatal mortality
Perinatal mortality rate (PMR): Trend Perinatal mortality by background characteristics
No Data Available No Data Available
Source: Demographic Health Survey Source: Demographic Health Survey (2011)
Perinatal mortality by region
No Data Available
Source: Demographic Health Survey (2011)
The perinatal mortality rate expressed per 1000 pregnancies of seven or more months' duration, is used as an indicator of the quality of antenatal and perinatal care. Perinatal deaths include pregnancy losses of at least seven months’ gestation (stillbirths) and deaths to live births within the first seven days of life (early neonatal deaths).
Note: information on stillbirths and deaths to infants within the first week of life are highly susceptible to omission and misreporting.
16.2 16.6
20.0 23.0
19.7
19.9 39.0
36.0
40.0
0 5 10 15 20 25 30 35 40 45
2000-01 2006 2011
Per 1000 births
Stillbirth rate Early neonatal deaths rate PMR
40 51 59
43 35 41 44
34 31 37
0 20 40 60 80
Total First pregnancy <15 39+ Urban Rural No education ≥ Secondary lowest highest
Previous pregnancy interval in months
Place of residence
Mother's education
Wealth quintile
Per 1000 births
40
47 44
33
28 32
22
39
54
48
0 10 20 30 40 50 60
Total Central 1 Central 2 Kampala East Central
Eastern North West Nile Western South West
Per 1000 births
Early and late neonatal deaths (proportion of death by timing)
No Data Available
Source: Demographic and Health Survey
Source: Demographic Health Survey (2011)
No Data Available
Trend of intervention coverage across continuum of care for maternal and perinatal health
A neonatal death is defined as a death during the first 28 days of life (0-27 days). Early neonatal death refers to a death between 0-6 days after birth. Late neonatal death refer to a death between 7-27 days after birth.
Late neonatal
deaths 24%
within 24 hours
35%
24-48 hours 20%
48-72hours Day 3 11%
Day 4 8%
1%
Day 5 0%
Day 6 1%
Other 76%
0 20 40 60 80 100
% of women currently using
modern contraceptives
% of women received ANC (at
least once)
% women who received ANC 4 times
or more
IPT during ANC visit Place of delivery - Any health facility
% of births delivered by C-section
% of women who had PNC within 2
days
Place of birth and type of provider
Place of Births - Where are babies born? Type of postnatal care provider - who provides the postnatal care?
No Data Available No Data Available
Source: Demographic Health Survey (2011) Source: Demographic Health Survey (2011)
Intervention coverage across continuum of care by geographical areas
No Data Available
Source: Demographic Health Survey (2011) Public hospital
44.0%
Home 41.6%
Private hospital 13.4%
Others 1.0%
Not known 0.0%
No checkup
66.9%
Doctor/Nu rse/Midwif
e's 30.3%
Non- trained providers
2.4%
Health/
Communit y-health workers 0.4%
0%
20%
40%
60%
80%
100%
Central 1 Central 2 Kampala East Central Eastern North West Nile Western South West
% of births assisted by skilled birth attendant % of births received post-natal care within 48 h
% of births delivered by C-section % of births in health facilities
Equity across continuum of care
No Data Available
Note:
If more than one source of ANC was mentioned, only the provider with highest qualification is conserved in this tabulation.
Source: Demographic Health Survey (2011)
Utilization of services by wealth quintile
% of births in health facility % of births assisted by skilled personnel
No Data Available No Data Available
Source: Demographic Health Survey (2011) Source: Demographic Health Survey (2011) 12.7
93.9
43.3
2.2
42.2
22 39.1
97.1
87.5
12.6
87.7
53.1
39.2
97.4
88.6
9.2
89.6
55.8
23.4
94.4
52.3
0
52.1
29.2 26
94.8
57.4
5.3
57.4
33
0 20 40 60 80 100
% of women currently using
modern contraceptive
% women who received any ANC by skilled provider
% births assisted by skilled personnel
% of births by C- section
% births in health facilities
% of births received postnatal
care
Percent
Poorest Richest Urban Rural Total
0 10 20 30 40 50 60 70 80 90 100
Lowest Second Middle Fourth Highest
% of birth in health facility
Wealth quintile Equity gap
0 10 20 30 40 50 60 70 80 90 100
Lowest Second Middle Fourth Highest
% of births assisted by skilled personnel
Wealth quintile
Equity gap% of births delivered by C-section % of mothers with postnatal checkup in <2 days of delivery
No Data Available No Data Available
Source: Demographic Health Survey (2011) Source: Demographic Health Survey (2011)
Quality of care indicators Reasons for not seeking medical care
No Data Available No Data Available
Source: Demographic Health Survey (2011) Source: Demographic Health Survey (2011)
Contents of ANC can be an important indicator for
accessing the quality of ANC services that pregnant women receive in order to be prepared for
complications and any danger signs associated with pregnancy and childbirth.
Many barriers can prevent women from seeking medical care in general when needed. Understanding these factors is critical to improve the accessibility and
utilization of medical care during pregnancy and childbirth.
0 10 20 30 40 50 60 70 80 90 100
Lowest Second Middle Fourth Highest
% of births delivered by C-section
Wealth quintile Equity gap
0 10 20 30 40 50 60 70 80 90 100
Lowest Second Middle Fourth Highest
% of birthts received post-natal care
Wealth quintile
Equity gap0 20 40 60 80 100
Signs of pregnancy complicatio
ns
Weight measured
Blood pressure measured
Urine sample
taken Blood
sample taken
Richest Poorest Total
0 20 40 60 80 100
Getting permission to go for treatment
Getting money for treatment
Distance to health facility Not wanting to go
alone Any of the specified
problems
Total
Workforce availability
Number of nurses/ midwives/ auxilliary nurse-midwives 1 Number of physicians, generalists
Number of obstetricians and gynaecologists
If yes, how many visits
Is there a national policy on discharge of mother and the baby after normal cildbirth at facility?
What year was the policy adopted?
Does the national policy require all maternal deaths to be reviewed?
If yes, what year was the policy adopted?
Is there a facility maternal death review (audit) process in place?
Is there a community maternal death review (audit) process in place?
Is there a national panel (committee) to review maternal deaths in place?
How often does the panel meet?
Is there a subnational panel (committee) to review maternal deaths in place?
Stillbirths
Is there a policy that requires all stillbirths (fresh or macerated) to be reviewed?
What year was the policy adopted?
Is there a facility stillbirth review (audit) process in place?
Is there a policy that requires all neonatal deaths (0-28 days) to be reviewed?
What year was the policy adopted?
Is there a facility neonatal deaths review (audit) process in place?
Is there a community neonatal death review (audit) process in place?
Magnesium Sulphate Oxytocin 32
495 727
Health system and policy indicators
2010 Yes Is there a national policy or policy statement on the right of every woman to have access to skilled care at
childbirth?
Health system and policy indicators
Does the national policy/policy statement indicate the minimum ANC visits during the normal pregnancy?
Yes 4
Yes Yes Is there a policy recommending postnatal follow up visit/review by a trained provider for mother and newborn?
Neonatal deaths
Source: UNFPA, State of the World's Midwifery 2014 report (http://www.unfpa.org/sites/default/files/pub-pdf/EN_SoWMy2014_complete.pdf) .
1 These figures do not necessarily reflect the number of practicing midwives or the ICM definition of a midwife.
Does national policy require all maternal deaths to be notified within 24h to a central authority?
No - No 2010
Yes
Yes Quarterly
Yes No Yes Yes
Maternal deaths review
No Does national Essential Drugs List include the following drugs indicated for use during pregnancy, childbirth?
Yes - No
Source: WHO: Global maternal newborn, child and adolescent health policy indicator database (2014) based on key informant surveys in 2009-10, 2011
& 2013-14
Yes Yes
