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Writer's pictureTimothy Laku

Case Study: Improving Maternal Healthcare in Underserved Regions of East Africa Through Technology

This case study explores how Jacaranda Health’s digital solutions have transformed maternal healthcare delivery, significantly reducing maternal mortality and expanding access to care in underserved regions of Kenya.


  • High maternal mortality rates and limited access to quality healthcare affect women in underserved areas across East Africa, especially in Kenya.

  • Jacaranda Health utilizes digital tools like PROMPTS, a mobile messaging platform, and data analytics to provide life-saving maternal healthcare information and empower local health workers.

  • Jacaranda Health has reduced maternal mortality rates in areas of implementation by 30%, reached over 200,000 women with critical health information, and supported 1,500 healthcare workers with training and digital tools.



Introduction

Across East Africa, particularly in Kenya, maternal mortality rates remain alarmingly high due to limited access to healthcare, lack of real-time health information, and inadequate support for healthcare workers.


Despite efforts by governments and NGOs, many women still face life-threatening complications during pregnancy and childbirth, often without timely access to skilled care.


Jacaranda Health, a social enterprise committed to improving maternal healthcare, recognized that technology could bridge these gaps. By leveraging mobile health tools and data-driven care, Jacaranda developed innovative solutions that deliver critical health information to pregnant women while empowering healthcare workers with real-time clinical guidance.


This case study explores how Jacaranda Health’s digital solutions have transformed maternal healthcare delivery, significantly reducing maternal mortality and expanding access to care in underserved regions of Kenya.


The Challenge: High Maternal Mortality and Inadequate Healthcare Access

Maternal mortality continues to be a significant public health issue in East Africa, particularly in Kenya, where maternal mortality rates are around 342 deaths per 100,000 live births.


This high rate is due to several factors: lack of access to quality healthcare, shortage of trained health workers, and a lack of real-time health information for women in underserved communities.


Rural women often face barriers such as long distances to health facilities and delayed responses to complications during pregnancy and childbirth.


Furthermore, the absence of data-driven systems exacerbates the problem, limiting the ability of health facilities and workers to track patient outcomes, respond to risks, and deliver targeted interventions.


Jacaranda Health recognized these issues and saw an opportunity to leverage technology to address the maternal mortality crisis in underserved areas, particularly in low-resource settings.


The Strategic Solution: Digital Health Tools and Data-Driven Care

Jacaranda Health adopted a technology-driven approach to improve maternal healthcare, with a focus on mobile health platforms, data analytics, and training for healthcare workers. These tools were designed to deliver information to pregnant women and help healthcare workers provide better care.


Key Technology Solutions:


  • PROMPTS (Mobile Messaging Platform):

    PROMPTS is a mobile messaging platform that sends SMS-based health information to pregnant women. These messages cover topics such as prenatal care, warning signs of complications, and reminders for postnatal care visits. PROMPTS helps women recognize early signs of potential complications and connects them with nearby health facilities if urgent care is needed.


    PROMPTS also sends critical patient data to health workers, allowing them to monitor patients and intervene quickly when risks are identified. This system has significantly reduced delays in care for women in rural areas. For example, in Nairobi County, PROMPTS messages prompted a timely emergency referral for a woman at risk of preeclampsia, which likely saved her life.


  • Data Analytics for Healthcare Monitoring:

    Jacaranda uses data analytics to monitor health outcomes, identify trends, and improve service delivery. The data collected from PROMPTS and health facilities allows Jacaranda to assess the effectiveness of interventions, track the progress of patients, and ensure that health workers are targeting the most critical cases. In Kisumu County, data from PROMPTS helped identify a significant increase in postnatal complications, prompting targeted interventions that led to a 15% reduction in postnatal readmissions.


  • 3Mobile-Based Support for Healthcare Workers:

    Jacaranda also developed a mobile platform to provide on-demand clinical guidance to healthcare workers in underserved areas. This platform allows health workers to access evidence-based protocols and seek real-time guidance when handling complex maternal cases, even in low-resource settings. In Machakos County, healthcare workers using this platform reported a 40% reduction in delivery complications due to improved decision-making and adherence to clinical protocols.


Partnerships for Scaling Solutions:


Jacaranda partnered with Kenya’s Ministry of Health to integrate PROMPTS and its other digital tools into the public healthcare system. This partnership has allowed Jacaranda to expand its reach across multiple counties, supporting thousands of women and healthcare workers.


International partners, such as USAID and Grand Challenges Canada, have also provided funding and technical support, enabling Jacaranda to scale its programs while maintaining a focus on impact.


Measurable Outcomes: Enhanced Maternal Health Outcomes and Expanded Access

Jacaranda Health’s strategic use of technology has resulted in measurable improvements in maternal healthcare outcomes across Kenya:


  • 30% reduction in maternal mortality: In regions where PROMPTS and other tools have been implemented, maternal mortality rates have dropped by 30%, demonstrating the effectiveness of these interventions in preventing complications.

  • Over 200,000 women reached: PROMPTS has provided life-saving maternal health information to over 200,000 women, helping them navigate their pregnancies safely and seek timely care.

  • Support for 1,500 healthcare workers: Jacaranda’s mobile-based training and support platform has empowered 1,500 healthcare workers, providing them with real-time clinical guidance to improve patient outcomes.

  • 15% reduction in postnatal readmissions: Data analytics from Jacaranda’s interventions have led to better care and a 15% reduction in postnatal readmissions in Kisumu County.

  • Scaling partnerships: Jacaranda’s collaboration with Kenya’s Ministry of Health has expanded its technology solutions across multiple counties, with the potential to reach over 1 million women by 2025.


Actionable Insights: Lessons for Social Enterprises and CXOs

  • Leverage Mobile Technology for Accessibility: Jacaranda Health’s use of mobile health platforms like PROMPTS demonstrates how mobile technology can reach underserved populations with critical health information. For social enterprises, mobile solutions can be an effective way to scale services, particularly in low-resource environments.


  • Data-Driven Interventions for Better Outcomes: Jacaranda’s integration of data analytics into its healthcare system provides a valuable lesson in how data can be used to identify trends, allocate resources, and improve service delivery. Social enterprises can adopt data-driven strategies to enhance the impact of their interventions.


  • Support Healthcare Workers Through Digital Training: By offering mobile-based training and real-time clinical guidance, Jacaranda has empowered healthcare workers to make informed decisions. Investing in capacity-building tools for frontline workers can improve the quality of care in underserved areas.


  • Partnerships for Scaling Impact: Jacaranda’s partnerships with Kenya’s Ministry of Health and international donors were instrumental in scaling its solutions. Social enterprises aiming for growth should prioritize building strategic partnerships that support scalability and long-term impact.


Conclusion

Jacaranda Health’s innovative use of digital tools to improve maternal healthcare in Kenya provides a powerful example of how technology can drive growth, impact, and sustainability.


By utilizing platforms like PROMPTS to deliver life-saving information and data analytics to optimize service delivery, Jacaranda has improved maternal health outcomes, reduced mortality rates, and supported healthcare workers in low-resource settings.


For social enterprises, Jacaranda’s approach offers valuable insights into how technology-driven solutions can address critical challenges in global healthcare. With strong partnerships and a commitment to data-driven care, Jacaranda continues to lead the way in scaling maternal health solutions that save lives and improve health outcomes.


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