Each year more than 300.000 women and almost 2.7 million newborn babies die from preventable causes related to pregnancy and childbirth, 99% of them in developing countries and among women and their newborns living in rural areas and poorer communities, and their babies face a higher risk of complications, often resulting in lifelong disease or handicap, and death as a result of pregnancy and childbirth. Most of these mortality and morbidity needless and unnecessary deaths could be prevented with increased access to and utilization of affordable and quality maternal child health services

Ugandan population is around 44.27 million, of which 83% of the population live in rural areas and more than 60% of these are women but in rural areas of Uganda over 5km from the nearest health facility, women of reproductive age do not get preconception care before pregnancy ( 98%), pregnant women rarely receive the recommended 8 antenatal visits to see a midwife (more than 56%), many women are unable to deliver in a health facility(about 68%), and 91% of new mothers rarely receive postnatal checkups and young babies are rarely taken to get early life checkups and vaccines yet the services are available for free at government health facilities but this is majorly due to ignorance and inaccessible health facilities (difficulty and expense in transportation).

This has contributed to unacceptably high infant mortality and mother morbidity whereby every day, 16 women die in Uganda from pregnancy and child birth related causes, 94 babies are stillborn and 81 newborn babies die. This equates to 69,570 deaths each year due to preventable complications during pregnancy, childbirth and in the first month. And hence inadequate progress towards achieving Sustainable Development Goal 3, target 1 and 2 of reducing the global maternal mortality ratio to less than 70 per 100,000 live births and ending preventable deaths of newborns and under 5 children respectively by reducing neonatal mortality to 12/1 000 live births and under-5 mortality to 25/1 000 live births by 2030.

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