TY - JOUR
T1 - Health System Redesign to Shift to Hospital Delivery for Maternal and Newborn Survival
T2 - Feasibility Assessment in Kakamega County, Kenya
AU - Nimako, Kojo
AU - Gage, Anna
AU - Benski, Caroline
AU - Roder-DeWan, Sanam
AU - Ali, Khatra
AU - Kandie, Charles
AU - Mohamed, Aisha
AU - Odeny, Hellen
AU - Oloo, Micky
AU - Otieno, John Tolo Boston
AU - Wanzala, Maximilla
AU - Okumu, Rachel
AU - Kruk, Margaret E.
N1 - Publisher Copyright:
© Nimako et al. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/85122589638
U2 - 10.9745/GHSP-D-20-00684
DO - 10.9745/GHSP-D-20-00684
M3 - Article
C2 - 34933993
AN - SCOPUS:85122589638
SN - 2169-575X
VL - 9
SP - 1000
EP - 1010
JO - Global Health Science and Practice
JF - Global Health Science and Practice
IS - 4
ER -