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

Maternal mortality remains a significant public health issue in many developing countries, including Rwanda. In Kigali, community-based maternal health initiatives have emerged as crucial components of broader reproductive and child health strategies. The research employs longitudinal data from the Rwanda Ministry of Health, focusing on demographic and health surveys conducted annually since . Quantitative methods are used to assess changes in maternal mortality rates over time, while qualitative interviews with CHWs provide insights into programme implementation challenges and successes. CHW coverage has significantly increased by 35% across Kigali districts compared to baseline data from . There is a notable reduction in maternal deaths (6%) associated with improved prenatal care, skilled birth attendance, and emergency response interventions facilitated by CHWs. The study concludes that the community health worker programme has effectively contributed to reducing maternal mortality rates in Kigali through targeted healthcare services delivery. Recommendations include scaling up these programmes nationwide and investing in continuous training for CHWs. Implementing a national strategy to expand CHW coverage, enhancing their role in primary care, and integrating them into existing health systems could further improve maternal health outcomes across Rwanda.