ArticleGlobal health, science and practice2021
Health System Redesign to Shift to Hospital Delivery for Maternal and Newborn Survival: Feasibility Assessment in Kakamega County, Kenya.
Article in Global health, science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- The relationship between prolonged travel and mortality among women with complicated deliveries in rural Kenya.Journal of global health · 2026Article
- Assessing basic Emergency Obstetric and Neonatal Care (BEmONC) service provision in community health centers: a mixed-methods study from Jember, Indonesia.BMC health services research · 2026Article
- Power, interests, and maternal health care: a political economy analysis of service delivery redesign in Kenya.Health policy and planning · 2026Article
- Integrating systems and implementation science in modeling and evaluating complex health interventions: methodological reflections from service delivery redesign in Kakamega, Kenya.Health policy and planning · 2026Article
- Implementation pathways of a health services delivery redesign model to improve maternal and newborn outcomes in Kenya.BMJ global health · 2026Article
- Barriers to improving preterm newborn outcomes through effective antenatal corticosteroid use in Ethiopia.BMJ global health · 2025Article
- Risk stratification during antenatal care failed to identify most mothers who experienced adverse pregnancy outcomes: A prospective study from Kakamega County, Kenya.Tropical medicine & international health : TM & IH · 2025Observational
- Levels and determinants of person-centred maternity care among women living in urban informal settlements: evidence from client exit surveys in Nairobi, Lusaka and Ouagadougou.BMJ global health · 2025Article
- Improving complex health systems and lived environments for maternal and perinatal well-being in urban sub-Saharan Africa: the UrbanBirth Collective.Journal of global health · 2025Article
- Care seeking during pregnancy: testing the assumptions behind service delivery redesign for maternal and newborn health in rural Kenya.Health policy and planning · 2024Article
- The QuEST LAC network uses data to promote evidence-based policies for health in Latin America.Nature medicine · 2024Article
- Article
- Prepared health systems provide quality care at all times.BMJ (Clinical research ed.) · 2023Article
- Service delivery redesign is a process, not a model of care.BMJ (Clinical research ed.) · 2023Article
- Commentary: Developing technical support and strategic dialogue at the country level to achieve primary health care-based health systems beyond the COVID-19 era.Frontiers in public health · 2023Article
- Service delivery reform for maternal and newborn health in Kakamega County, Kenya: study protocol for a prospective impact evaluation and implementation science study.BMC public health · 2022Article
- Context Matters: Strategies to Improve Maternal and Newborn Health Services in Sub-Saharan Africa.Global health, science and practice · 2022Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Maternal and newborn health (MNH) service delivery redesign aims to improve maternal and newborn survival by shifting deliveries from poorly equipped primary care facilities to adequately prepared designated delivery hospitals. We assess the feasibility of such a model in Kakamega County, Kenya, by determining the capacity of hospitals to provide services under the redesigned model and the acceptability of the concept to providers and users. We find many existing system assets to implement redesign, including political will to improve MNH outcomes, a strong base of support among providers and users, and a good geographic spread of facilities to support implementation. There are nonetheless health workforce gaps, infrastructure deficits, and transportation challenges that would need to be addressed ahead of policy rollout. Implementing MNH redesign would require careful planning to limit unintended consequences and rigorous evaluation to assess impact and inform scale-up.
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