June 2021 — To address persistently low rates for antenatal visits and delivery at facilities with skilled birth attendance among women in six subcounties in Kenya, the Afya Uzazi project developed an integrated activity that merged high-frequency monitoring and data use for intensified community and client engagement. The “surge” initiative used weekly staff data reviews to present clinical volume achievements against targets. The data also informed real-time adjustments in engagement with communities, such as use of mobile phone appointment reminders and follow-up to encourage clients to return for antenatal care and delivery. These efforts resulted in substantial improvements in the focus subcounties and the adoption of the surge model for scale-up by Nakuru and Baringo counties.
