Maternal Mortality Reduction through Community Health Worker Programmes in Kigali, Rwanda: A Longitudinal Analysis

Maternal mortality remains a significant public health challenge in Rwanda, particularly in urban areas like Kigali where access to healthcare services can be limited. A mixed-methods approach was employed, including quantitative surveys and qualitative interviews among mothers who have given birth within the last two years. Data were analysed using logistic regression models to assess programme impact on MMR reduction. An increased proportion (P=0.03) of women reported improved access to healthcare services post-partum as a result of community health worker programmes, correlating with a decrease in late-stage complications leading to reduced maternal mortality. Community health worker initiatives have shown promise in enhancing maternal care and outcomes in Kigali, Rwanda. Further research is recommended to validate these findings. Scaling up successful community health worker programmes should be considered as part of comprehensive maternal healthcare strategies in Rwanda. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.