The 4byFour model is a maternal health systems strengthening intervention which builds on the flagship SQALE quality improvement intervention. It combines quality improvement with roll out of antenatal facility point-of-care testing for HIV, syphilis, anaemia and malaria, and community pregnancy testing and referral. The model is named 4byFour to reflect its focus on helping women to receive 4 tests by 4 months of pregnancy and 4 (ANC) visits 4 (for) all women, in line with Kenyan national guidelines.
Quality Improvement (QI)
To empower community and facility health workers to work together and collect, analyse and use their own data to improve the quality of antenatal care provision and enhance pregnant women’s experiences.
Integrated Point of Care testing (iPOC)
To improve the availability of testing for four common conditions (HIV, syphilis, anaemia, and malaria) in ANC facilities.
Community Pregnancy Tests and Referral (CPT)
To increase early detection and referral to ANC care, particularly younger women and those in rural areas.