Intro: Sustainable Impact Maker International (SIMI) has launched an equity-driven intervention in rural Ghana to address the high maternal and neonatal mortality rate in the country. The program focuses on improving access to pre-and postpartum care, infant care, and provision of resources to develop financial, social, and emotional sustainability to reduce postpartum depression.

Methods: Participants included pregnant women between the ages of 15-49 who were food insecure, had no sustainable and substantial source of income and had limited access to formal antenatal care. The intervention included antenatal care at least twice each trimester, healthy food, job and trade training, care packages, and more.

Results: Most participants reported no access to a medical provider before joining the program, and many expressed limitations to financial, social, and familial support that contributed to their inaccessibility to formal antenatal care. However, after participating in the program, most reported receiving substantial support and sought routine maternal care services, adhered to medication, reduced alcohol consumption, and increased receptiveness to medical advice for self-care and baby post-birth. All participants had safe deliveries without complications, and most delivered healthy babies. Additionally, many reported that improved core competencies to advance educational opportunities, create livable situations to earn an income, and assess birth spacing.

Conclusion: Overall, the program has had a positive impact on improving pregnancy outcomes in rural Ghana, and it is crucial to continue incorporating dynamic and equitable interventions like SIMI's Mom Count program to reduce maternal and neonatal mortality rates in the country and achieve the 2030 Sustainable Development Goals.