Abstract:
INTRODUCTION: Universal health coverage is a global agenda within the sustainable
development goals. While nations are attempting to pursue this agenda, the
pathways to its realization vary across countries in relation to service, quality,
financial accessibility, and equity. Kenya is no exception and has embarked on
an initiative, including universal coverage of maternal health services to
mitigate maternal morbidity and mortality rates. The implementation of
expanded free maternity services, known as the Linda Mama (Taking Care of
the Mother) targets pregnant women, newborns, and infants by providing
cost-free maternal healthcare services. However, the efficacy of the Linda
Mama (LM) initiative remains uncertain. This article therefore explores whether
LM could enable Kenya to achieve UHC.
METHODS: This descriptive qualitative study employs in-depth interviews, focus
group discussions, informal conversations, and participant observation
conducted in Kilifi County, Kenya, with mothers and healthcare providers.
RESULTS AND DISCUSSION: The findings suggest that Linda Mama has resulted in
increased rates of skilled care births, improved maternal healthcare outcomes,
and the introduction of comprehensive maternal and child health training for
healthcare professionals, thereby enhancing quality of care. Nonetheless,
challenges persist, including discrepancies and shortages in human resources,
supplies, and infrastructure and the politicization of healthcare both locally
and globally. Despite these challenges, the expanding reach of Linda Mama
offers promise for better maternal health. Finally, continuous sensitization
efforts are essential to foster trust in Linda Mama and facilitate progress
toward universal health coverage in Kenya.
