Community health worker programmes have been implemented in Nairobi's slums to reduce maternal mortality. Previous studies have highlighted adherence and outcomes as critical factors for effectiveness. The study employed a comparative analysis of data from multiple slums in Nairobi over two years. Data collection included adherence rates to recommended interventions and outcomes such as maternal survival and improved health indicators. Adherence to recommended practices varied significantly across the studied communities, with some programmes showing adherence rates exceeding 90%. Patient outcome metrics indicated a reduction in maternal mortality by an average of 15% over two years. The findings suggest that while adherence levels are crucial for programme effectiveness, variations in outcomes highlight areas needing improvement to achieve sustained reductions in maternal mortality. Further research should focus on improving adherence rates and exploring innovative strategies to enhance patient outcomes.
Mutua et al. (Sun,) studied this question.