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Manifestations and drivers of mistreatment of women during childbirth in Kenya: implications for measurement and developing interventions

This paper builds on the expanding literature on mistreatment during labor and childbirth–outlining drivers from an individual, family, community, facility and policy level. New frameworks to group the manifestations into themes or components makes it increasingly more focused on specific interventions to promote respectful maternity care. The Kenya findings resonate with budding literature–demonstrating that this is indeed a global issue that needs a global solution.

Task Sharing Effort Brief

This brief entitled “Task Shifting & Sharing: Training Associate Clinicians to Provide Emergency Obstetric Care” provides an overview of four implementation research studies that have been conducted in four African countries, each with a different context and approach to implementing its task sharing program.

Community Based Approach to Improve Deliveries at Health Facilities: a Case Study of the BOMA Model

This presentation was prepared by AMREF Kenya. It is a summary of their findings from the TRAction-funded projects related to Equitable Healthcare Access.  The purpose of the research was to determine the factors that influence the utilisation of facility delivery among women in Entasopia community of Magadi District, Kajiado County in Kenya.

Study Summary Performance-Based Incentives Research in Kenya and Globally

This document summarizes a TRAction-funded study that developed and applied a diagnostic tool to measure quality of care using Service Provision Assessment (SPA) survey data. The tool was applied to data from Kenya's 2010 SPA survey. 

Developing and Applying a Quality of Care Diagnostic


Effective targeting of performance-based incentives (PBI) and other quality improvement approaches require an initial assessment of areas where quality of care (QoC) currently falls short and interventions could yield high returns.  The conceptual underpinnings, approach and implementation of such diagnostic tools are similar across countries.

Exploring the Prevalence of Disrespect and Abuse during Childbirth in Kenya

Poor quality of care including fear of disrespect and abuse (D&A) perpetuated by health workers influences women’s decisions to seek maternity care. This paper describes manifestations of D&A experienced in Kenya and measures their prevalence. This paper is based on baseline data collected during a before-and-after study designed to measure the effect of a package of interventions to reduce the prevalence of D&A experienced by women during labor and delivery in thirteen Kenyan health facilities.


The Arid and Semi-Arid Lands (ASALs) in Kenya have been classified as disadvantaged areas with inequitable distribution of national resources, infrastructure and access to essential social services including healthcare. The maternal mortality rate (MMR) is estimated at over 600 per 100,000 live births compared to the national average of 488 per 100,000 live births. The under-five mortality rate is as high as 220 deaths per 1,000 live births compared to the national average of 77 per 1,000 live births.

Community Based Approaches to Improve Equity in Nomadic Populations

Research Overview

Health inequities occur when certain groups of people, due to their gender, socio-economic status, ethnicity, geographic residence, or other characteristic, cannot access or use health services. For example, in the disadvantaged rural, semi-nomadic Kenyan population of Turkana, only 22.8% of deliveries were conducted by a skilled attendant, compared to the 62% national average. In order to improve equity and reduce maternal, newborn, and child mortality, disadvantaged groups must be targeted for services and interventions.



December 02, 2021

Landmark Beach Hotel and Conference Centre, Dar es Salaam, Tanzania 30 November - 1 December 2021


November 27, 2021

The  International Day for the Elimination of Violence Against Women kicked off the 1st International...


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