• MMR ~700/100,000 • Access to quality health services is the major hurdle • Delivery in facilities > 80% but quality low • Cost, transport, respect, decision- making still barriers to care.
Pays 3,000 in rent Casual labor Saves for medical expenses Delivered last child in health facility No bank account but uses mpesa on her Believes quality of mobile medical services in her area is poor
In a rapidly urbanizing world, how do you deliver high-quality, affordable care at scale?
Clinical Excellence Patient-Centered Care Sustainability
Jacaranda’s areas of focus and innovation Quality improvement Patient centered design Human resources Technology Business innovation Measuring impact
Our goals Scale and direct impac t Influence • 7-10 maternity hospitals • Other private players • 10-15,000 births/year • Facility management / advising • Different settings: smaller cities • Quality collaborates • Other counties: Jacaranda Uganda, • “Private sector maternity assn” Nigeria • Ministry / public sector • A package of systems to delivery higher • Quality partnerships with district quality, more cost effective maternity hospitals care: • Nurse/midwife in-service rotations • Protocols and SOPs • Professional associations • Enabling technology • Accredited coursework in • Tools for training and empowering midwifery/QI/management midwives • Curricula embedded in national • QI methodologies training standards • Toolkit for patient-centered design • Maternal health community / bilaterals • ANC:$1 for 4 visits Delivery for <$60 • Implementation research lab
What’s the end game?
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