Understanding maternal mortality ratio reduction bottlenecks in Uganda. A system dynamics approach for policy development
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- Department of Geography 
Understanding Maternal Mortality ratio reduction bottlenecks in Uganda: A System Dynamics Approach for Policy Development. Nuwagira Cranmer Abstract. Despite all efforts initiated by government and its partners , maternal deaths has remained obstinate in Uganda. Even though the incidence shows adown ward trend in the last two decades since 1990 , women still finds it very risky to conceive and deliver a baby. Various approaches have been employed to thoroughly comprehend the root cause of this problematic dynamic pattern but still with registered and acknowledged deficiencies. The system dynamics approach has been used in this study with an ultimate aim of understanding this public health problem for policy development. An explanatory model and policy model explaining the relationships between variables and feedback loops involved in maternal health care system have been developed. The model developed provides a policy tool that can be used by policy makers and health managers in Uganda for improved decision-making. The model replicates reasonably the problematic dynamic behavior and recommends recruitment of Midwives and control of fertility as a crux for maternal mortality ratio reduction. However the study recognizes that this problem would be dealt with comprehensively if a synergy of different strategies are employed because causes that brings about this problem are many layered. Keywords: Maternal mortality ratio, model, maternal deaths, simulation, policy, Uganda.