Addressing the Third Delay: Scaling Up an Obstetric Triage System to Reduce Delay and Improve the Quality of Care in High-Risk Referral Hospitals in Ghana

Maternal mortality ratios in Ghana referral hospitals remain as high as 957-1,004/100,000 live births. Poor outcomes and dismal quality of care stem from delayed identification of complications upon arrival; women wait can hours or even days for evaluation and treatment. Kybele-Ghana will implement its obstetric triage program to six referral hospitals over two years, ultimately reaching 80% of Ghana's tertiary hospitals.