Effects of an expanded Uber-like transport system on access to and use of maternal and newborn health services: findings of a prospective cohort study in Homa Bay, Kenya

Focus Areas: Care-seeking behavior
Content Type: Published articles
Author(s): Maricianah Atieno Onono, Samuel Wahome, Pauline Wekesa, Catherine Kidiga Adhu, Lawrence Wandei Waguma, Titus Serem, Mildred Anyango Owenga, Patricia Ong'wen
Published: April 2019
Kenya’s progress towards reducing maternal and neonatal deaths is at present ‘insufficient’. These deaths could be prevented if the three delays, that is, in deciding to seek healthcare (delay 1), in accessing formal healthcare (delay 2) and in receiving quality healthcare (delay 3), are comprehensively addressed. We designed a mobile phone enhanced 24 hours Uber-like transport navigation system coupled with personalised and interactive gestation-based text messages to address these delays. Our main objective was to evaluate the impact of this intervention on women’s adherence to recommended antenatal (ANC) and postnatal care (PNC) regimes and facility birth.

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