Effect of WASH/MNCH Integrated interventions on skilled birth attendance and incidence of neonatal Sepsis in Amuru District, Uganda; A quasi-experimental study

This quasi-experimental study assessed the impact of integrated WASH (Water, Sanitation, and Hygiene) and MNCH (Maternal, Newborn, and Child Health) interventions on skilled birth attendance and neonatal sepsis in Uganda’s Amuru district. Interventions included health worker training, outreach services, WASH facility construction, and community education. Results showed a significant increase in skilled birth attendance from 41.4% to 63.0% and a non-significant reduction in neonatal sepsis from 0.6% to 0.2%. There were also notable improvements in household sanitation, hygiene practices, and reductions in waterborne diseases like dysentery, cholera, and typhoid. The study concludes that integrating WASH and MNCH interventions can enhance maternal health service utilization and reduce childhood infections, recommending this approach for similar resource-constrained settings.

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