Skip to main content

Table 4 Projected/expected Levels of project outcome/improvement

From: A system approach to improving maternal and child health care delivery in Kenya: innovations at the community and primary care facilities (a protocol)

Starting point (baseline) Low outcome level Moderate outcome level High outcome level
Average figures from KDHS which will be confirmed at baseline)
Antenatal care attendance by pregnant women in the health facilities (currently about 46%) 50 60 85
%of pregnant women completing 4 ANC visits (45%) 50 70 90
Reduce the rate of low birth weight and premature babies born in the study population (LBW currently is about 4.1%) 4.1 3.8 1.8
Reduce the rates of poor pregnancy among pregnant women in the study population from
 birth asphyxia from 25%, 23.5 17.5 10
 neonatal sepsis - 25%, 23.5 17.5 10
 neonatal mortality −35%, 32.5 24.5 15
 maternal mortality – 488/100,000, 400 350 250
Proportion of skilled health workers trained to provide quality health care (%) 8 10 15
Proportion of women satisfied with quality of services provided at primary care facilities (%) 35 55 80
Increase the number of health personnel with competencies participating in health systems research and using evidence to make decisions
 • certificate 5 10 30
 • masters 3 6 10
 • doctoral 1 2 3
Improve efficiency of the referral system between the community (tier 1), primary care facilities (tier 2) and County referral facilities (tier 3) for pregnant women in the intervention area (currently unknown) Qualitative
Accountability, transparent, participation in decision making, client satisfaction
Sustained engagement of motivated CHWs, CMws making timely referrals of pregnant women and mothers with under 5 years (%) 30 50 80
Proportion of timely referrals between tier 1 & 2
 Proportion of established IGUs/CBOs are functional
Nature of governance structures and processes, leadership and management practices as well as viability/sustainability of the established IGUs/CBOs post URCP programme
30 60 80