MOMENTUM Study Publication

In March 2020, the first manuscript for the MOMENTUM study was published in Global Public Health! This paper describes the methods of the study, including our group’s approach to the challenge of measuring the “Three Delays” of obstetric emergencies in the rural setting of Mfangano, from beginning of symptom onset on Mfangano to final treatment on the mainland. The paper shows some of the novel tools we are using to capture timing of events throughout the day on Mfangano, such as a visual scale with locally-specific reference events. It also describes our group’s philosophy of participatory and inclusive research, and how we sought to enact this with a narrative-based design and a flexibility methodology to empower local research staff.

MOMENTuM Study staff at Ekialo Kiona Center before embarking on a field work.

MOMENTUM Study staff at Ekialo Kiona Center


Finally, the paper describes how the MOMENTUM study will be used to examine if the Health Navigation program results in reduction in these critical delays in care, and where the largest gaps in care remain. We are excited to share this publication with other researchers and program leaders within the global health community who are seeking to grapple with similar challenges in resource-limited settings! Building on this, future publications will show our results.

e-print link: The MOMENTUM study: Putting the ‘Three Delays’ to work to evaluate access to emergency obstetric and neonatal care in a remote island community in Western Kenya.

MOMENTUM Study COVID-19 Update

Due to the evolving COVID-19 pandemic in Kenya, and to prioritize the health of our staff and that of the community, in-person data collection for the MOMENTUM study has been suspended at this time in accordance with Kenyan and University of Minnesota guidelines.
OHR and Ekialo Kiona center will continue to monitor the situation including Kenyan and University of Minnesota guidelines as time moves forward, and return to in-person data collection only when deemed safe and appropriate. In the meantime, the study continues with remote work on data cleaning and preparation for analysis while the Health Navigation Department continues to serve the community in creating awareness in curbing the COVID-19 pandemic.