| dc.description.abstract | This study assessed the effectiveness of the Three-Delay Model in improving maternal health
outcomes and promoting community development in peri-urban settlements of Masaka
District, Uganda. The model addresses three critical delays in accessing emergency obstetric
care: the decision to seek care, reaching a healthcare facility, and receiving adequate
treatment—factors that significantly influence maternal and neonatal survival. A mixed-
methods design was employed, integrating quantitative surveys with qualitative in-depth
interviews and focus group discussions among women of reproductive age, healthcare
providers, and community leaders.
The findings showed that implementation of the Three-Delay Model was associated with a
20% increase in antenatal care attendance, a 15% rise in skilled birth attendance, and
improved knowledge of reproductive health in over 70% of respondents. Community
engagement initiatives also strengthened local support systems for maternal health. However,
persistent barriers—including socio-cultural norms discouraging facility births, limited
transport infrastructure, and inadequate staffing—continued to impede optimal outcomes.
The study concludes that while the Three-Delay Model significantly improves maternal
healthcare utilization and community participation, its long-term success requires targeted
investments in transport, health workforce capacity, and culturally sensitive health education.
These findings provide actionable insights for policymakers, healthcare practitioners, and
development partners seeking to enhance maternal health in similar peri-urban contexts. | en_US |
