Edit Content

Improving quality across the continuum of care

The Challenge
~50% of maternal deaths in Kenya are due to failure by providers to act appropriately during emergencies.

Nurses manage nearly all deliveries in Kenya’s public health system, yet many lack the lifesaving skills and knowledge to recognize or administer vital support for widely-preventable complications. Despite numerous efforts at classroom-based training programs in Kenya over the last ten years, frontline providers consistently score ~60% on emergency and obstetric skills. Knowledge gaps and disrespectful care continues to be a major driver of poor outcomes among mothers and infants.

0 %

of women in Kenya do not achieve 4+ prenatal care visits

0 %

don’t receive a postpartum checkup

0 %

of emergency cases are referrals from other facilities

How we make an impact on

quality of care

Quality of providers

Quality of providers

Jacaranda’s MENTORS program supports respectful, best practice care by offering continuous training within the maternal care wards. Government nurse ‘champions’ are empowered to routinely mentor their peers in facilities with lifesaving emergency care skills, with demonstrated impact on knowledge retention, performance, respectful care and outcomes.

Quality of facilities

Jacaranda is working with select Kenyan counties and other implementing partners to determine broader quality standards in facilities, from the standard of hospital infrastructure, to the availability of commodities and equipment that support mothers during emergencies. Data is aggregated into real-time dashboards, helping governments monitor and support poor-performing facilities across a broad spectrum of quality metrics.
Quality of facilities 1
Perceptions of clinical quality

Perceptions of clinical quality

After every prenatal care visit, PROMPTS asks mothers whether the appropriate clinical steps were taken. This feedback helps health system managers track and standardize the clinical quality of prenatal care across the facilities they manage, including clinical, informational, and systemic gaps like medicine stock-outs or equipment shortages.

Perceptions of respectful care

After each pre/postnatal visit and after childbirth, women are asked whether or not they were treated with respect. Jacaranda routinely shares this feedback with healthcare facilities and their managers, to incentivize improvements in the type of care that mums receive.
Perceptions of respectful care

Snapshot of Scale and Impact

0 %

improved nurses’ skills in handling emergencies

0

PROMPTS mothers have reported on the clinical quality of their prenatal check-up

0

PROMPTS mothers have shared feedback on respectful care in facilities

Stories from the Field

Adapting a simple blood tracking tool to help health providers and managers understand not only whether a facility is short of blood stock, but also why....
Three things we’ve learnt, and continue to learn, about making client-reported data actionable from PROMPTS and other tools that Jacaranda has developed....
The first day of IMNCH 2023 presented three country case studies for SDR in Kenya, Tanzania and South Africa, led by panelists Sathy Rajasekharan, Caitlin Dolkart, Sunday Dominico, and Keith...
1 2 3 4 5 6 7 8 9 10 11 12 13