Study setting
Awutu Senya District is located in the Central Region
of Ghana. The district has 3,078 surviving infants under
1 year of age and approximately 1,776 pregnant Mobile
Midwife clients (24, 25). The district lacks a hospital
and, therefore, Awutu Breku Health Centre in the district
capital (Awutu Breku) functions as the main referral