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Improving quality of care and outcomes in the public health system

Impact at a Glance

Jacaranda’s big ambition is to drive sustainable reductions in maternal morbidity and newborn mortality. Over seven years, our package of solutions has achieved measurable gains in increasing health seeking behaviors among moms and improving the quality of facility-based care in Kenya – as a pathway to improving outcomes in the long-term.
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Increase in mums attending the recommended 4+ prenatal care check-ups

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Increase in mums taking up postpartum family planning services

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of mums exclusively breastfeed for the first 6 months after delivery

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of program nurses with improved confidence and competence

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increase in neonatal resuscitation skills amongst mentees

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of the essential steps performed during delivery by mentored providers

Impact by Area

We drive impact by designing solutions with and for mothers, and the frontline nurses and governments that support them, and using data to improve quality of care.

Specifically our solutions drive impact in three areas:

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Health Seeking

A third of maternal deaths in Kenya are due to delays in care seeking. PROMPTS empowers mothers with information to make informed decisions during and after pregnancy, and seek the right care at the right time and place. Mothers are supported to take up key services linked with better outcomes, such as pre and postnatal care check-ups, infant immunization appointments, and family planning services. We share feedback from PROMPTS users with facilities and governments to make maternal health services more responsive to mothers’ needs and experiences.

Quality of Care

Over half of Kenya’s maternal deaths are caused by gaps in the quality of intrapartum care, and providers failing to act appropriately during emergencies. MENTORS builds the capacity of frontline government nurses and midwives to deliver timely, respectful emergency care through continuous, simulation-based training that takes place in facilities. We share data on provider performance with facility and health system managers, helping them track and address skills and knowledge gaps on a real-time basis.
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Sustainability of Services

Our vision of an “end game” at scale is our government partners leading and sustainably financing cost-effective innovations in the public health system. We achieve this by helping them better budget for high impact solutions that improve the quality of maternal health solutions, while generating data that helps them spend limited resources smarter.

Data-driven Impact

We combine real-time data from mothers and facilities with deep, participatory research to help governments find, monitor, and address gaps in maternal health services and systems.

Given the complexity of the systems we’re trying to change, we field data and insights from across a mother’s journey through the health system to monitor the connected, yet often-siloed, gaps impacting outcomes. The research we conduct and the data tools we co-design with our government partners help inform respectful care, improve its quality, and direct limited resources to where they are most needed, and we monitor our impact on outcomes through national health information systems, like KHIS2. 

What can we learn from our Dashboards?

We track what mothers ask us and self-report on PROMPTS to understand risks, optimize referral, and better understand quality of care from the client’s perspective and monitor how frontline nurses and midwives are performing through MENTORS to understand gaps in critical skills within facilities.


Which essential prenatal care steps were missed?

Which infant vaccines were missed by schedule?

How does respectful maternity care differ across facilities? 

What specific skills and knowledge gaps exist amongst providers?

Are facilities adequately equipped to handle emergencies?

Influencing Decision-making through Research

Research is the backbone of how we design solutions, and our findings are directing how government partners improve quality in maternal health services and systems

We rely on a mixture of participatory research approaches to understand contextual challenges impacting mothers and babies: Human Centered Design, in-depth interviews, and implementation research.

Impact Reports

You can find our quarterly and annual impact reports below, or sign up to receive these straight into your inbox.

Expanding to new Kenyan counties, completing a PROMPTS pilot in Eswatini, testing a community-led approach to PROMPTS enrolment,…
Expanding a data-driven approach to improve respectful care, defining ‘exemplars for quality’ in hospitals , and making user-centered research…
How we increased the scale and sustainability of our impact on mothers and babies in 2022. …
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