ArticleBMC public health2022
Service delivery reform for maternal and newborn health in Kakamega County, Kenya: study protocol for a prospective impact evaluation and implementation science study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- The relationship between prolonged travel and mortality among women with complicated deliveries in rural Kenya.Journal of global health · 2026Article
- Barriers and insights for maternal and newborn health service delivery redesign in Pakistan: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Power, interests, and maternal health care: a political economy analysis of service delivery redesign in Kenya.Health policy and planning · 2026Article
- "If they were telling us to go, we will go": factors associated with effective postnatal care coverage before and after discharge - a mixed-methods study in rural western Kenya.BMJ global health · 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
- Newborn technology use in low-resource settings: the role of health professionals' communication in implementation.Health policy and planning · 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
- 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
- The maternal and newborn health eCohort to track longitudinal care quality: study protocol and survey development.Global health action · 2024Article
- Women's autonomy and maternal health decision making in Kenya: implications for service delivery reform - a qualitative study.BMC women's health · 2024Article
- Maternal Mortality in Africa: Regional Trends (2000-2017).International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundMaternal 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.
methodsWe 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.
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