While the world has made significant progress in gains in curtailing maternal and child deaths, such advances have been painfully slow in Kenya, Kenya ranks in 21st for worst countries for mothers to be in, 1 in 300 women die in Kenya during child birth and a perinatal mortality rate of 23/1000 total births. High number of maternal deaths reflects inequities in access to health services. Mother and child morbidity is on the increase from preventable causes related to pregnancy and childbirth, according to the World Health Organisation. Ultrasound imaging now forms an essential part of antenatal care around the world. WHO recommends that women have at least four antenatal visits and an ultrasound procedure done on each visit to:- Accurate assessment of gestational age and diagnose any abnormalities in the womb, as well as the condition of the fetus (detection of possible fetal malformation, placental localization and confirmation of multiple pregnancies), Early detection and monitoring of the conditions that give rise to fetal and maternal compromise, detect any complications in pregnancies to enable planning for early intervention, and monitor the fetal development and its viability to survive. In addition to the crucial medical indications for antenatal ultrasonography some pregnant mothers have certain expectations of ultrasound examination; they may also want to or do actually have ultrasonography for various reasons. These include checking for fetal abnormalities, to see that all was normal, for their own reassurance, and assessing fetal growth. Others include checking for fetal viability, fetal sex determination, checking for number of fetuses, determination of gestational age and placental localization. Many in rural and urban centres areas do not have the means or the access to facilities to undertake much needed ultrasound procedure, even on a single one of those ante-natal visits. Cedars Diagnostics is a social enterprise whose key mission is to deliver better health outcomes for the bottom of the pyramid populace of Kenya, the urban poor by providing access to quality and affordable diagnostic healthcare.
Social Entrepreneurship in healthcare will protect against the impoverishing effects of illness’, with an ‘emphasis on the undeserved’.Through MRESS, Cedars Diagnostics hopes to innovate, using technology to make a meaningful contribution to primary and referral care by building capacity, enhancing skills and driving better outcomes for mothers and babies and for the communities we operate in.
Cedars Diagnostics under the flagship program Managed Radiology Equipment & Skill Service (MRESS), seeks provide Ultrasound imaging equipment and trained sonographers required to do ultrasound procedures to centres of care that cater to maternal and child health. MRESS is proposed to be an effective, efficient and innovative strategy to achieve sustainable, equitable and accelerated improvements eliminate preventable maternal and child deaths and improve outcomes in reproductive health to Kenyans of reproductive age. We would like to scale up this innovation inorder to make a bigger social impact to the BOP population of Kenya inorder to mitigate the high maternal and perinatal mortality rate.