Sunday Dominico, Florina Serbanescu, Nguke Mwakatundu, Mkambu Godfrey Kasanga, Paul Chaote, Leonard Subi, Godson Maro, Neena Prasad, Alicia Ruiz, Wilfred Mongo, Karen Schmidt, Samantha Lobis
INTRODUCTION: To address high levels of maternal mortality in Kigoma, Tanzania, stakeholders increased women's access to high-quality comprehensive emergency obstetric and newborn care (EmONC) by decentralizing services from hospitals to health centers where EmONC was delivered mostly by associate clinicians and nurses. To ensure that women used services, implementers worked to continuously improve and sustain quality of care while creating demand. METHODS: Program evaluation included periodic health facility assessments, pregnancy outcome monitoring, and enhanced maternal mortality detection region-wide in program- and nonprogram-supported health facilities...
April 28, 2022: Global Health, Science and Practice