Scaling up Clinical and Community Action to Address Maternal Health in Nigeria
Pathfinder has a long history of working to address maternal mortality, and since 2007, we have been developing and implementing an innovative program to address post-partum hemorrhage (PPH).
With support from Merck for Mothers, 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:
- Improve support for the CCA-PPH Plus model at community, state, and federal levels
- Improve quality of services and build capacity of government to address postpartum hemorrhage and severe pre-eclampsia/eclampsia
- Incorporate the CCA-PPH Plus model into the pre-service training curriculum of community health extension workers
- Ensure that misoprostol is available at the community level for the prevention of postpartum hemorrhage
Building Blocks for FP2020 is designed to support and advance family planning in Nigeria and Pakistan, two countries that have made ambitious goals for improving access to reproductive health care in the next decade.
Community Actions to Improve Safe Motherhood in Charanchi, Katsina State, Nigeria under the Population and Reproductive Health Capacity Building Program
The project provided capacity building support for two local community-based organizations, including the rollout of Pathways to Change, and mobilized the organizations to identify barriers in the use of quality maternal health services.
In Nigeria, Tanzania, and Uganda, Pathfinder aims to improve the capacity of community-based organizations to better prevent mother-to-child transmission of HIV.
The Integrated Family Health Program received praise from Ethiopia’s Technical Advisory Committee, entrusted with reviewing the performance of the program, on the increase in institutional deliveries within the program areas.
Pathfinder's Assessment of the Quality of Antenatal Care Services Provided by Health Workers Using a Mobile Phone Decision Support Application in Northern Nigeria Study was published in the PLOS ONE journal.