Scaling up Clinical and Community Action to Address Maternal Health in Nigeria

Scaling up Clinical and Community Action to Address Maternal Mortality in Nigeria

Pathfinder has a long history of working to address maternal mortality, and since 2007 has been developing and implementing an innovative program to address post-partum hemorrhage (PPH). Pathfinder is building on its successful CCA-PPH Plus model to focus on addressing the two leading causes of maternal mortality, PPH and pre-eclampsia/eclampsia, while encouraging and building the government's capacity to address other major causes of maternal mortality (sepsis, obstructed labor, and unsafe abortion). Pathfinder will extend this model to three new states (Sokoto, Kebbi, and Zamfara), and support better access to quality care at the community level through the training of community health extension workers by incorporating the CCA-PPH model into their pre-service curricula; and by expanding access to misoprostol for PPH within communities (which Nigeria approved in December 2011). At the same time, Pathfinder will continue to provide technical assistance to federal, state, and local partners interested in adopting the CCA-PPH Plus approach and will advocate for improved quality of maternal healthcare.

The specific objectives of the project are to:

  1. Improve support for the CCA-PPH Plus model at community, state, and federal levels
  2. Improve quality of services and build capacity of government to address postpartum hemorrhage and severe pre-eclampsia/eclampsia
  3. Incorporate the CCA-PPH Plus model into the pre-service training curriculum of community health extension workers
  4. Ensure that misoprostol is available at the community level for the prevention of postpartum hemorrhage
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