Falling through the net: An adaptive assessment of the ‘Three Delays’ encountered by patients seeking emergency maternal and neonatal care within a remote health system on Lake Victoria, Kenya

Author:

Salmen Charles Reinisch1,Ndunyu Louisa2,Ssenkusu John M.3,Marshall David4,DesLauriers Nicholas5,Anebarassou Ananda Vigneswari4,Ogola Evance6,Benard Ouma Gor6,Mattah Brian6,Okeyo Robinson6,Otieno Scholarstica6,Friberg Nyika7,Muldoon Lily7,Hines Kelsi7,Salmen Marcus7,Prasad Shailendra8

Affiliation:

1. Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA

2. Department of Public Health, Maseno University, Kisumu, Kenya

3. School of Public Health, Makerere University, Kampala, Uganda

4. School of Public Health, University of Minnesota, Minneapolis, USA

5. Department of Internal Medicine, University of Washington, Seattle, USA

6. Ekialo Kiona Center Research Department, Mfangano Island, Kenya

7. Organic Health Response, San Francisco, USA

8. Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, USA

Funder

University of Minnesota, Center for Global Health and Social Responsibility

Publisher

Informa UK Limited

Subject

Public Health, Environmental and Occupational Health

Reference34 articles.

1. Division of Community Health Services. (2013). Community Health Volunteers (CHVs): Basic modules handbook. Ministry of Health, Republic of Kenya. http://guidelines.health.go.ke:8000/media/CHV_handbook_PDF-F.pdf.

2. National Council for Population and Development. (2015). Reducing maternal deaths in Kenya (Policy Brief No. 46). Ministry of Health Kenya. https://www.ncpd.go.ke/wp-content/uploads/2016/11/Policy-Brief-46-Maternal-Deaths-in-Kenya-1.pdf.

3. World Health Organization, Department of Reproductive Health and Research. (2019). Trends in maternal mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. https://apps.who.int/iris/bitstream/handle/10665/327596/WHO-RHR-19.23-eng.pdf?sequence=13&isAllowed=y.

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