Service Delivery Redesign (SDR) for improving maternal health in Africa

This project aims to support improvements in the quality of maternal and newborn care through system dynamics and agent-based modeling of Service Delivery Redesign (SDR) implementation in Kakamega County, Kenya. The work is organized in two phases: the first focused on co-developing system diagrams with stakeholders and identifying relevant data sources, while the second models the impact and cost-effectiveness of SDR under various implementation scenarios. A key feature of the project is its participatory modeling approach, which engages a wide range of stakeholders—including county health officials, facility leaders, community health volunteers, patient groups, and implementing partners—in reviewing, refining, and validating the models. These interactions ensure that the models are grounded in local knowledge and facilitate the co-creation of a learning agenda to inform adaptive implementation and health system strengthening.