Implementation pathways of a health services delivery redesign model to improve maternal and newborn outcomes in Kenya.

ABSTRACT: Persistent high maternal and neonatal mortality rates in low- and middle-income countries (LMICs) call for system-level improvements in healthcare services. However, implementing such health system strengthening interventions presents challenges due to the complex, context-specific interactions inherent in these settings.This paper presents implementation pathways of a service delivery redesign (SDR) model in Kakamega County, Kenya, offering insights into how complex health systems strengthening interventions can improve maternal and neonatal health (MNH) outcomes at scale in an LMIC setting. Drawing on a theory-of-change approach, key factors influencing the supply and demand of MNH services were identified and organised into a conceptual framework. Causal relationships were mapped throug

SUBMITTER: Chen M 

PROVIDER: S-EPMC12815182 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature