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Updated: Jul 9, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Improving Effective Prenatal Care for New Obstetric Patients Using a Standardized Intake Template and Pregnancy Risk

Morgan De Kleine¹, Sharanna S Johnson², Kaya S Belknap³

¹Maternal and Child Health Department, Africa Inland Church Kijabe Hospital, Kijabe, Kenya.

Global Journal on Quality and Safety in Healthcare

|July 8, 2026

Summary

Improving prenatal care in Kenya significantly reduced maternal and infant mortality. A quality improvement initiative increased effective prenatal care from 21% to 77% in just 8 weeks, utilizing standardized templates and risk assessment tools.

Keywords:

Kenya high-risk pregnancy infant mortality maternal mortality maternal-child health prenatal care quality improvement

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Last Updated: Jul 9, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Area of Science:

Global Health
Maternal Health
Quality Improvement

Background:

Kenya faces high maternal and infant mortality rates, largely due to inadequate prenatal care.
A chart audit identified critical gaps in prenatal care during initial visits at Africa Inland Church Kijabe Hospital.

Purpose of the Study:

To enhance effective prenatal care for new obstetric patients at the Maternal and Child Health Clinic to 75% within 8 weeks.

Main Methods:

Implemented a quality improvement initiative using four Plan-Do-Study-Act cycles over 8 weeks.
Introduced a standardized obstetric intake template based on World Health Organization and Kenya Ministry of Health guidelines.
Utilized the Alberta Antenatal Risk Assessment to classify pregnancies as low, moderate, or high risk.

Main Results:

Effective prenatal care increased from 21% to 77% within the 8-week project period.
The standardized intake template improved the mean standard-of-care score from 42% to 83%.
Identified 33% of pregnancies as high or moderate risk, enabling timely referrals.

Conclusions:

The implemented tools offer a low-cost strategy to improve prenatal care quality.
The standardized intake template is adaptable to various international contexts.
This initiative represents the first reported use of a pregnancy risk calculator in Kenya for identifying high-risk pregnancies, warranting further research on its effectiveness and validation for sub-Saharan Africa.