10/19/2026
What does it take to scale a life-saving intervention — and sustain its impact across an entire health system?
Ghana’s experience with OTIP offers important lessons.
In a recent Thrive in Conversation, Robert Asambobillah of Kybele Ghana and Dr. Chris Fofie of Ghana Health Service share lessons from Ghana’s experience scaling Kybele’s Obstetric Triage Implementation Package (OTIP), alongside research that helps explain what makes implementation effective. The conversation reflects the value of collaboration between Ghanaian health professionals, health system leaders, and research partners, including Britta Augsburg and colleagues at the Institute for Fiscal Studies (IFS).
Developed in partnership with the Ghana Health Service, OTIP is a midwife-led approach that helps maternity teams identify women at risk of complicated births and prioritize timely care. IFS’s causal impact evaluation of OTIP showed a 60% reduction in maternal mortality when scaled to 76 facilities.
The conversation explores not only whether OTIP works, but how it can be scaled effectively.
Ghana’s experience offers something valuable to the global maternal health community: not simply an intervention to replicate, but practical knowledge from Ghanaian health professionals and health system leaders about what it takes to make effective care part of routine practice at scale.
At Kybele, we believe the next chapter depends on building on that leadership — deepening implementation and learning in Ghana, strengthening the evidence for sustained impact, and partnering with other countries to adapt and scale proven approaches.
We are grateful to Robert, Chris, and the wider Kybele Ghana team; the Ghana Health Service; and Britta and our research partners at IFS for helping advance this important work.
🎥 Watch the conversation and explore the lessons from Ghana:
https://thrivechildevidence.org/events/thrive-in-conversation-scaling-up-hospital-based-maternal-health-intervention-ghana-lessons-midwife-champions/
Ghana has pioneered the use of an Obstetric Triage Implementation Package (OTIP) with midwives in hospitals across the country. Findings from a large-scale study have shown impressive results: a randomised controlled trial across a subset of hospitals included in Ghana’s national rollout provided ...