N

Our mission ‌is‌ ‌to‌ ‌end‌ ‌preventable‌

‌maternal‌ ‌and‌ ‌newborn‌ ‌deaths‌ ‌by‌
‌deploying‌ ‌ low-cost,‌ ‌sustainable‌
‌solutions‌ ‌that‌ ‌improve‌ ‌the‌ ‌quality‌
‌of‌ ‌care‌ ‌in‌ ‌government‌ ‌health‌
‌systems.‌
 www.jacarandahealth.org

THE CHALLENGE ABOUT US

Jacaranda Health is a non-profit organization
started in 2017 that works to improve quality of care

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In Kenya, the maternal mortality ratio is notably
in public hospitals, where the vast majority of low-
high at 39 deaths per 1000 live births, of the 47
income women deliver their babies. We partner with
counties in the country, fifteen contribute to 98 government health systems to improve quality of
percent of maternal mortality in the country care through high-impact interventions that are
(Kenya Demographic and Health Survey (KHDS) evidenced-based, tech-enabled and sustainable, to
drive improvements in maternal and newborn health
outcomes.

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Only 8% of poor women in Kenya are able to
access quality maternal health services, and
many don’t have the right information at their
fingertips to make informed choices about where
to seek care, and when.

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Almost 90% of facility-based maternal and
newborn deaths are preventable by applying
skilled care at the right time.

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Simply expanding health care coverage is not
enough. If we focused on improving the quality of
maternal care and women’s access to it, we could
prevent 1 million newborn deaths and half of all
maternal deaths each year Nurses at Jacaranda Maternity Hospital

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 www.jacarandahealth.org

OUR CORE PROGRAMS

We partner with the government to address

the drivers of poor maternal and neonatal
health (MNH) by...
Empowering Mums with Information:

55%
Ensuring new and expectant mothers get
care at the right time and place via our
digital health solution PROMPTS.
of maternal deaths
are caused by Building Provider Capacity:
delays in action or Equipping frontline nurses with life-saving
inadequate care by skills to serve mothers and babies and
providers sustainably improve quality of care in
public facilities through EmONC Mentorship.

Partnering with Governments:

Co-designing solutions with national
and county governments to ensure that
solutions are context-specific and can be

33% owned by government.

Leveraging Data & Insights:

of maternal deaths
are caused by Using dashboards and insights to provide
delays in seeking ‘finger on the pulse’ health system insights
care and track the impact of our work.

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 www.jacarandahealth.org

PROMPTS (PROMOTING MOTHERS DURING PREGNANCY

THROUGH SMS)
This is an AI-enabled digital health platform empowering their concerns. If a mother needs additional assistance,
women with FREE information with the aim of positively helpdesk agents will call them and coordinate further
influencing health seeking behavior and connecting care.
women and babies to life-saving care. Mothers receive
We work with the Ministry of Health and 20 counties to
tips and reminders by SMS, and they have the option of
deploy sustainable, scalable solutions across 800+
sending in their questions to a clinically-trained helpdesk
government hospitals and health centres, where the
team who connects them to facilities depending on
majority of underserved mothers and babies receive care

HOW PROMPTS WORKS

SMS “Nudge” messages A Clinical Helpdesk Artificial Intelligence Data & Dashboards

Influencing key behaviors Responding to mothers’ Triaging and Capturing data on

linked with better outcomes, questions about categorizing mothers’ mums’ experience and
including antenatal visits, pregnancy and the questions and flagging clinical quality of care in
postnatal care, postpartum postpartum period, and clinically urgent facilities to help health
family planning, and referring urgent cases to questions to the management teams make
breastfeeding. life saving care. helpdesk for follow-up targeted improvements to
and referral. service delivery.

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 PROMPTS IN ACTION
www.jacarandahealth.org

PROMPTS IN ACTION

83% of mothers that Facilities with PROMPTS

our PROMPTS Help Desk have a 20% increase in
flag for danger signs mothers completing 4
to seek care at the ANC visits compared
hospital to equivalent non-
participating facilities

A randomized Our AI-powered Help

controlled trial (RCT) Desk agents respond
conducted with 900 to urgent messages
women demonstrated within 2 hours,
that PROMPTS users are spurring mothers to
2.3x more likely to take act quickly when they
up family planning recognize infant and
compared to control maternal danger
group signs

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 www.jacarandahealth.org

EMONIC MENTORSHIP
Our EmONC Mentorship program is cost-effective training
for providers that can be deployed within a facility, to
improve life-saving skills. This program is a combination 400+
of; nurses and midwives have been trained by
Jacaranda skilled mentors
COACHING LECTURES SKILLS Mentored providers facilities’ consistently
perform 90+% of essential clinical steps during
a delivery

80+%
Neonatal Resuscitation Skills test score
achieved

DRILLS All delivered in the facility by a peer.

50%
The aim is to empower government
midwives to provide standardized
peer coaching and mentorship. Our cost-share with County Governments
experienced team of Jacaranda
Health EmONC Mentors work
alongside government nurses in
public hospitals to build a culture of
quality and sustained improvements
40%
in obstetric skills - these government cost reduction compared to alternative
nurses in turn become EmONC in- training options with better and more
facility mentors in their hospitals sustained outcomes.

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 www.jacarandahealth.org

SUPPORTING PROVIDERS VIRTUALLY THROUGH QUALITY

LEARNING CONTENT - AT THEIR FINGERTIPS
In addition, in-facility mentors and healthcare providers
can also improve their skills and engage with learning
content through our self-guided learning platform
DELTA (Digital EmONC Learning Trainer and Assistant).
Jacaranda adapted its Mentorship curriculum onto a
digital platform to enable health care providers to build
and refresh their skills in emergency care remotely.
Providers across Kenya now enroll through Whatsapp,
to access a series of self-paced learning modules, with
their progress virtually marked and validated by program
mentors.

Impact: 1,200+ health providers learnt critical

emergency care skills through DELTA, with
modules covering subjects like neonatal
resuscitation, postpartum hemorrhage
(excessive bleeding after pregnancy),
respectful maternity care, infection prevention,
and post-abortion care.

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 www.jacarandahealth.org

SERVICE DELIVERY REDESIGN (SDR)

Due to the unpredictable nature of birth complications, This is a shift from the current approach for delivery care
hospitals or birthing centers with access to surgical and in which about 1 in 3 deliveries in Kenya and peer countries
sick newborn care within 30 minutes are the best option are in non-hospital facilities. It is based on evidence that
for all deliveries. providing delivery care in primary care facilities, even with
the best efforts at risk stratification and referral, cannot
SDR looks at the different components of the MNH system
guarantee survival for mothers and their newborns.
and offers a cross-sectional strategy that helps to rethink
MNH service delivery, using innovation and insights, to
ensure mothers access the best quality of care, at the
right time to improve maternal and newborn survival. SDR Improving Access to Care
project has received approval from the County Health Introducing low-cost transport options to get
Management Team to be piloted in Kakamega County mums to care faster.
as one of the counties reporting high maternal and
newborn mortalities and morbidities in Kenya. Project Expanding Hospital Capacity
implementation targets the entire county in phases
starting with Malava, Lugari and Butere Sub-counties in building better infrastructure, equipment and
phase one. therapies to ensure mums deliver in well-
functioning hospitals.
The project’s success will require restructuring health
systems so that all women deliver in hospitals (level 4s
Increasing Human Resources
and above) which provide the full scope of obstetric and
neonatal care for complications including caesarean Ensuring there are enough specialized, well-
section, blood transfusion and care for sick mothers trained clinicians to deliver timely, advanced,
and newborns while level 2 & 3 facilities provide quality and dignified care to mothers.
antenatal, postnatal, and newborn care.For redesign to
save lives, investments are needed to ensure quality of Ensuring Community Acceptance
care, access, equity and financial protection, in line with Taking a participatory approach where
Kenya’s UHC agenda. communities inform and play a role in making
the health system fit for purpose.

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 www.jacarandahealth.org

KUBORESHA AFYA MITAANI (KAM)

The Kuboresha Afya Mitaani (KAM) aims to

contribute to better maternal, newborn, and
child health (MNCH) outcomes for almost
60,000 of Nairobi’s most vulnerable women
and children living in target areas of the
informal settlements Kawangware and
Mathare. The KAM project aims to integrate
typically siloed actors in the quality of care
space – individuals, communities, facilities
and their providers, health regulators and
actors beyond the health sector - into a
‘Quality Ecosystem’.
The Ecosystem ensures these solutions
are integrated within a cycle with ‘positive
feedback’, i.e., mutually reinforcing incentives
or features, to improve maternal and child
health outcomes.

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 www.jacarandahealth.org

SAVING TIME, AND SAVING LIVES THROUGH SIMPLE

AUTOMATION- JACARANDA’S BLOOD TRACKER TOOL
Postpartum hemorrhage (excessive bleeding after enough units of the right blood type and product for
delivery) is the most common cause of maternal death. their emergency. Realizing low-cost technology could
Last year, Jacaranda noticed maternity nurses in Kenya streamline the process, we launched a simple blood
were struggling to identify blood supplies, which was tracker tool connecting providers needing blood to the
costing lives. Nurses were losing precious minutes as closest facilities who could provide it.
they manually called neighboring facilities, hoping for

USING THE BLOOD TRACKER TOOL IN A MEDICAL EMERGENCY

1 SEARCH
FOR BLOOD 3 MAKE A
REQUEST
Health provider can call
5 BLOOD IS
SENT OUT
Donor facilities fill in a dispatch

3x
Health provider inputs
needed blood by type, or notify the right facility form and immediately send out
product and units. through the tool’s dashboard. the needed blood.

Maternity Nurses
are updating
the tracker an
average of three
times daily.

2 FIND A
FACILITY
A map shows the nearest
4 LAB GETS
NOTIFIED
A lab manager receives
6 ASAVED
LIFE IS

The patient receives

facilities that have the the notification of the right blood, at
appropriate blood stocks. the request. the right time.

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 www.jacarandahealth.org

BUILDING PARTNERSHIPS WITH NATIONAL AND COUNTY

GOVERNMENTS
Our programs are designed with government ownership
in mind. Our PROMPTS platform is built on open source
tools to give our government partners comfort over its
sustainability and integration with existing national data
systems. Learnings from our EmONC mentorship program
are also informing a National EmONC Mentorship
Package, aimed at upskilling nurses across the country.
We also ensure their cost-effectiveness.

We leverage our expertise in maternal and newborn health

and the data collected through our platforms to help
Kenya’s national and county governments make targeted
health system improvements, and inform policies that
advance equity in care delivery. Our programs are driving In 2021 our county partners embraced the
progress towards two national priorities; zero preventable opportunity to cost share PROMPTS as a high
maternal deaths (ICPD-25 Commitment), and increased impact innovation at less than USD 0.80 per
access to quality maternal healthcare services through mum. X counties are contributing 50% of EmONC
the Universal Health Coverage (UHC). mentorship program costs - a solution proven to
be 40% cheaper per health provider than a five day
classroom training.

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LOOKING FORWARD
Our impact to date would not be possible without our
partners. By working hand-in-hand with county and
Driving a Better national governments, alongside implementing, research,
Future for Mums & and financial partners, Jacaranda Health has been able
to bridge gaps in health access and quality care for over
Babies in Kenya, and 700,000 women across Kenya. Over the next two years,
Beyond… we aim to scale up to a critical mass of public hospitals,
setting the stage to make sustained improvements in
maternal and newborn outcomes, strengthen Kenya’s
health system, and expand our model to serve mums
in new countries. By the end of 2023, we will be directly
improving the quality of care for over 1.5 million mothers
and babies by rolling out PROMPTS at a national level
in Kenya, and deploying our mentorship solutions in
over 200 high-volume public hospitals to 8,000 frontline
nurses as a national standard of care

Contact us
[email protected]
www.jacarandahealth.org
Prime office suites,
Kindaruma road kilimani
Nairobi, kenya