Five-year Distribution and Patterns of Maternal Child Health Indicators after Institution of PEPFAR and Global HIV/AIDS Initiatives in Uganda

Abstract

As the HIV/AIDS epidemic escalated worldwide, the global community responded by a large increase in international aid to countries with high HIV/AIDS prevalence such as Uganda. This funding mainly came from PEPFAR and other Global Health Initiatives. Of interest is the impact of such large funding on non-HIV health services and the associated health outcomes. This thesis project focuses on the analysis of a subset of maternal child health data collected from multiple health centres and hospitals from 112 districts in Uganda during 2006-2010. After the institution of PEPFAR and other Global Health Initiatives in Uganda, non-HIV child health and family planning services have seen annual improvement during 2006-2010. However, non-HIV maternal health services as measured in this study, are declining. There is a decreasing trend in pregnant women attending all four antenatal care visits. An associated increase in maternal deaths in the same time period is also observed. Continued resources should be allocated towards non-HIV child and family planning services. However, additional allocation of resources should be targeted towards non-HIV maternal health services.