Amref Health Africa, PharmAccess Foundation and the M-PESA Foundation are committed to achieving lasting health change in Africa. This vision is closely aligned to the United Nations’ Sustainable Development Goal 3 – to ensure healthy lives and promote well-being for all at all ages. Essential to achieving SDG 3 is continuing the great progress made thus far in maternal and child health indicators. Globally,the maternal mortality ratio has declined by 37% since 2000, and over the period 2012 to 2017, almost 80% of live births worldwide occurred with the assistanceof skilled health personnel, up from 62% in the 2000 to 2005 period.

Six years later, we reflect on the program’s progress and comprehensively define the model that was successful in improving MNH indicators in Samburu County – an arid pastoralist region chosen as the primary location for Uzazi Salama because of its lagging health indicators and priority standing according to the Kenyan Ministry of Health. To-date, Uzazi Salama has made significant improvements in MNH indicators in Samburu against its initial targets, but there remains work to be done. The remainder of this report details the specific activities carried out by the project partners, the results of those activities, and areas for improvement in future replications. We put forth this discussion to inspire health sector actors to leverage Uzazi Salama as a model to improve existing MNH programs based on our learnings; and/or inspire these actors to work with us to replicate and scale Uzazi Salama to improve