Methodological Evaluation of Maternal Care Facilities Systems in Kenya: A Randomized Field Trial for Clinical Outcomes Assessment

Maternal care facilities in Kenya often face challenges related to quality of care, leading to suboptimal clinical outcomes for mothers and infants. A randomized controlled trial was conducted with 400 participants across five randomly selected hospitals. Data collection included pre- and post-trial assessments using validated scales for clinical outcomes. Maternal mortality rates showed a significant reduction of 25% in the intervention group compared to the control group (p < 0. 01, CI: -30%, -20%). The randomized field trial demonstrated substantial improvements in maternal health outcomes across participating facilities. Immediate implementation of evidence-based care protocols and continuous monitoring are recommended for further improvement. Maternal Care, Clinical Outcomes, Randomized Field Trial, Kenya Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.