The MOMENTUM Study (Monitoring Maternal Emergency Navigation and Triage on Mfangano) : A 12-month community-based cohort study to evaluate delays in access to maternal and newborn emergency care in Western Kenya.

The MOMENTUM Study will evaluate the primary outcome of delays in accessing maternal and newborn health (MNH) emergency care among women and newborns who experience a pregnancy-related, obstetrical, or newborn emergency on Mfangano Island, as well as associations and factors influencing delays in accessing emergency MNH care. This study will also qualitatively assess preliminary feasibility and perceived impact of OHR’s Health Navigation program. The study will run concurrently with the expansion of the Health Navigation program in 2018. Data will be collected from participants in the community, at 9 local health facilities on Mfangano Island Division, and 2 referral hospitals on the mainland, over 12-months of follow-up, incorporating chart reviews, standardized survey interviews and focus group discussions.

Data collection will be coordinated out of the Organic Health Response-Ekialo Kiona Center located at Kitawi Beach, Mfangano Island under supervision of local research staff and study investigators. Baseline, interim 6-month, and 12-month data analysis will take place under supervision of
investigators at University of Minnesota and Maseno University.

This study is supported by the University of Minnesota Global Health  Seed Grant and the Doris Duke Fellowship Program.