Maternal care facilities in Senegal are a critical component of healthcare systems aimed at improving maternal health outcomes. However, their effectiveness and efficiency have not been systematically evaluated through longitudinal data. This study utilizes a mixed-methods approach, combining quantitative data from panel surveys with qualitative insights from interviews and observations. Panel data are collected annually across multiple sites to track changes in clinical outcomes such as maternal mortality rates (MMR) and neonatal morbidity. A preliminary analysis reveals that facilities serving rural areas have seen a significant decrease in MMR by approximately 20% over the past five years, with variations in effectiveness attributed to differences in service delivery models implemented across sites. This study establishes a robust framework for evaluating maternal care systems using panel data, providing evidence-based insights into their impact on clinical outcomes. Future research should focus on scaling up these findings and exploring additional factors influencing health metrics. Policy-makers are encouraged to implement standardised protocols across all facilities to enhance consistency in service delivery and improve overall health outcomes for mothers and infants. Maternal care, Senegal, Panel data, Clinical outcomes, Mixed-methods evaluation Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Diop et al. (Wed,) studied this question.