HOW IT IS GOING

Our model strengthens the public health system by expanding community-based health education and awareness, equipping frontline health workers through continuous mentorship and skills development, resolving critical supply chain gaps for essential blood, medicines, and equipment, and maintaining a unified health information system that enables real-time,
evidence-based decision-making.

This integrated approach has proven effective. Between 2016 and 2023, we achieved a 64% reduction in institutional maternal mortality and a 33% decline in perinatal deaths across two districts. A key driver of this impact has been increased utilization of skilled birth services, with facility-based deliveries rising from 35% to 80.4%.

Within communities reached through our Birth Preparedness Advocates (formerly Mama Kiganjani), 94.4% of women now deliver with skilled health personnel—one of the most critical factors in preventing maternal and newborn deaths.

We have also significantly improved the quality of care across 48 government-supported health facilities. Case Fatality Rates (CFRs)—the likelihood of a mother dying from complications—dropped by 82%, from 1.7% in 2016 to just 0.3% in 2023.

In addition, our community-linked emergency transport system connects women in labor with local motorcycle and vehicle drivers through a PHBC-designed mobile platform. Over the past two years alone, more than 27,000 women have been safely transported from their communities to health centers. This system has also reduced emergency referral time for women with life-threatening complications from 3.5 hours to just 34 minutes.