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Open Access 01-12-2022 | Care | Study protocol

Service delivery reform for maternal and newborn health in Kakamega County, Kenya: study protocol for a prospective impact evaluation and implementation science study

Authors: Kevin Croke, Anna Gage, Isabel Fulcher, Kennedy Opondo, Jacinta Nzinga, Benjamin Tsofa, Sebastien Haneuse, Margaret Kruk

Published in: BMC Public Health | Issue 1/2022

Abstract

Background

Maternal and neonatal mortality remain elevated in low and middle income countries, and progress is slower than needed to achieve the Sustainable Development Goals. Existing strategies appear to be insufficient. One proposed alternative strategy, Service Delivery Redesign for Maternal and Neonatal Health (SDR), centers on strengthening higher level health facilities to provide rapid, definitive care in case of delivery and post-natal complications, and then promoting delivery in these hospitals, rather than in primary care facilities. However to date, SDR has not been piloted or evaluated.

Methods

We will use a prospective, non-randomized stepped-wedge design to evaluate the effectiveness and implementation of Service Delivery Redesign for Maternal and Neonatal Health in Kakamega County, Kenya.

Discussion

This protocol describes a hybrid effectiveness/implementation evaluation study with an adaptive design. The impact evaluation (“effectiveness”) study focuses on maternal and newborn health outcomes, and will be accompanied by an implementation evaluation focused on program reach, adoption, and fidelity.

Available only for authorised users

The length of the baseline period may vary based, as it will depends on speed of phase 1 implementation.

During the baseline period, pregnant women will be enrolled on any ANC visit, provided that they have not been previously enrolled. Once the study has been running for the baseline period of 6 months or more, the majority of remaining unenrolled women attending study ANC clinics will be on their first ANC visit.

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Title: Service delivery reform for maternal and newborn health in Kakamega County, Kenya: study protocol for a prospective impact evaluation and implementation science study
Authors: Kevin Croke
Anna Gage
Isabel Fulcher
Kennedy Opondo
Jacinta Nzinga
Benjamin Tsofa
Sebastien Haneuse
Margaret Kruk
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Care
Published in: BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-022-13578-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Service delivery reform for maternal and newborn health in Kakamega County, Kenya: study protocol for a prospective impact evaluation and implementation science study

Abstract

Background

Methods

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

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