A Strategy for Reducing Maternal Mortality in Rural Kenya

Area of Science:

• Public Health
• Maternal Health
• Health Systems Strengthening

Background:

• Migori County, Kenya, faces severe maternal survival challenges with a maternal mortality ratio (MMR) of 673 per 100,000 live births.
• A context-specific strategy is crucial to address persistently high maternal mortalities in rural Kenyan settings.

Purpose of the Study:

• To develop a tailored strategy for reducing the maternal mortality ratio (MMR) in Migori, Kenya.
• To address the critical need for improved maternal healthcare outcomes in a high-mortality region.

Main Methods:

• An explanatory sequential mixed-methods design was employed, integrating quantitative and qualitative data.
• The strategy development was informed by findings from the mixed-methods study, a literature review, and the three delays of maternal mortality theoretical framework.

Main Results:

• The proposed strategy is structured around interventions targeting the three delays of maternal mortality: first, second, and third delays.
• Key interventions include enhancing quality peripartum care, optimizing referral systems for obstetric emergencies, and community education for safer pregnancies.

Conclusions:

• Priority interventions focus on improving peripartum care, strengthening emergency referral systems, and empowering communities with knowledge for safer pregnancies.
• Successful implementation requires collaboration between the Kenyan government and non-profit organizations to transform the healthcare system and reduce maternal deaths.