Scaling proven mobile maternal health e-vouchers in Western Kenya

Organization: 
Changamka Microhealth
Organization Location: 
Nairobi, Kenya

Our plan is to scale up a proven e-voucher program covering the costs of maternity care and SMS reminders in order to reduce financial and informational barriers to care and to dramatically increase skilled facility-based deliveries. Specifically, we plan to (1) double the rates of institutional and skilled deliveries; (2) increase the rates of antenatal and postnatal care, particularly the number of women who receive four or more antenatal visits; (3) improve the quality of care delivered by incentivizing CHWs; and integrate our vouchers with a Government health financing plan. We hope to generate generalizable knowledge on: (1) the effectiveness of maternity vouchers; (2) the impact of SMS messages on the demand for care, (3) ways to reduce gender and cultural barriers by integrating husbands; and (4) the effectiveness of CHW incentives in improving the quality of care. Our development and delivery of a mobile phone based solution that is integrated to a mobile money solution is truly innovative. We have gone further and used our platform to test (1) the effectiveness of maternity vouchers (2) the impact of SMS messages on the demand for care, (3) ways to reduce gender and cultural barriers by integrating husbands; and (4) the effectiveness of CHW incentives in improving the quality of care. While the potential of m-health interventions and vouchers to improve maternal health is much touted, very few interventions have previously been rigorously evaluated. We have achieved proof of concept, paving the way for scale up.

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