Effect of Tekeleza Project on Maternal, Newborn and Child Health Outcomes in Kajiado, Kisii and Migori Counties, Kenya

Background:

The Tekeleza project was established to enhance maternal, newborn, and child health (MNCH) services in the counties of Kisii, Kajiado, and Migori, regions characterized by significant challenges in accessing quality healthcare. The project aimed to address the disparities in maternal health outcomes, focusing on improving service delivery through the integration of digital tools, capacity building among healthcare providers, and financial support mechanisms. The overarching goal was to improve maternal health indicators and ensure that all expectant mothers received the necessary care during pregnancy, childbirth, and the postpartum period.

Objectives: 

The primary aim of the study was to evaluate the extent to which the Tekeleza project achieved its targeted outcomes in the selected intervention pilot sites within Kisii, Kajiado, and Migori counties in Kenya. To accomplish this, the study focused on specific objectives, including assessing the impact of the Tekeleza project on the uptake and outcomes of maternal, newborn, and child health (MNCH) services in these counties. Additionally, it aimed to establish the effectiveness of the sustainable financial mechanisms formulated by Tekeleza in influencing MNCH service uptake and outcomes. Lastly, the study sought to investigate the project's impact on the referral system for MNCH cases within the intervention sites across Kisii, Kajiado, and Migori counties.

Study design:

The study employed a mixed-methods design, integrating both quantitative and qualitative approaches to comprehensively assess the impact of the Tekeleza project on maternal, newborn, and child health (MNCH) outcomes in Kisii, Kajiado, and Migori counties. The quantitative component involved a cross-sectional survey administered to a representative sample of mothers who had participated in the Tekeleza project. Data collection focused on key indicators, including rates of skilled birth attendance, institutional deliveries, and access to antenatal and postnatal care services. The survey was structured to gather demographic information, healthcare utilization patterns, and perceptions of the services received. Additionally, secondary data were extracted from health facility records to provide a broader context of service delivery trends before and after the project implementation. The qualitative component consisted of in-depth interviews and focus group discussions with mothers, community health workers, and healthcare providers to capture nuanced perspectives on the project’s effectiveness. This qualitative data explored barriers to accessing MNCH services, the role of community health workers in promoting healthcare, and experiences with digital health tools like the LUCY app. The integration of both methodologies allowed for triangulation of findings, providing a robust understanding of the Tekeleza project's impact on health outcomes and identifying areas for improvement. Data analysis involved statistical techniques for quantitative data and thematic analysis for qualitative data, ensuring that the study comprehensively addressed the research questions and contributed valuable insights to enhance MNCH services in the target counties.

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