Skip to content

Story and Perspective

A Bold Partnership Dramatically Reduced the Deaths of Mothers

Lois Quam

Uganda Nigeria

In 2011, I was heading President Barack Obama’s signature Global Health Initiative at the Department of State. Reporting directly to Secretary Hillary Clinton, I felt compelled to use my past experience as a CEO of a FORTUNE 50 corporation to address a global challenge that inspired me professionally and personally: saving mothers’ lives.

It was an extraordinary moment in history. The New York Times had just reported on a crisis in maternal health in Uganda. Women were dying when their deaths could have been prevented. The situation was deeply disturbing—and motivating for our team. No vaccine, no drug alone could solve this problem. Women need quality services. They need integrated health and community systems that work in real time.

A Challenge Accepted

Less than a year later, Secretary Clinton launched Saving Mothers, Giving Life to test an integrated health systems approach to dramatically reduce maternal and child death in three sub-Saharan African countries—Uganda, Zambia, and Nigeria. Our team set an audacious goal of decreasing maternal deaths by 50% in targeted districts.

I knew this target would be tough to achieve, and I embraced it. I believe that audacious goals inspire new solutions and force long-standing silos to be torn down.

Tearing Down Silos to Save Lives

With committed leaders and strong public health agencies, the US government had much to offer. We needed partners to bring complementary strength and dedication to form a super team of public, private, and NGO leaders focused on accelerating reductions in maternal mortality:

The governments of Uganda, Zambia, and Nigeria provided true partnership and leadership to deliver quality, lifesaving care and strengthen health systems at the district level.
The government of Norway’s focus on agility and results was key.
Merck for Mothers brought robust operational and business expertise.
American College of Obstetricians and Gynecologists leveraged its powerful networks and clinical reputation and capacity in systems strengthening and training.
Every Mother Counts kept a clear focus on the needs and rights of the women herself and built a greater public presence.
Project C.U.R.E. provided much-needed medical equipment and supplies.

Today, I continue to be impressed by how well the Saving Mothers, Giving Life team has worked together, leveraging strengths, experience, methodologies, and resources of each partner to achieve strong results. This was clear to me in my recent visit to Nigeria.

In Nigeria, My New Perspective on a Successful Partnership

Now, as President and CEO of Pathfinder, I get to see Saving Mothers, Giving Life activities firsthand in Cross River State, Nigeria, where Pathfinder is a lead implementer. Here, we work to strengthen linkages between private and public systems and offer women and their families a total market response that saves lives.

This means improving delivery outcomes in public, faith-based, and private-for-profit health facilities. It means women are supported at every point—through pregnancy and delivery.

When I visit facilities, I see public and private providers sharing the same referral system. And I meet women as they access comprehensive, lifesaving care. This includes full options for family planning.

By working together—as NGOs, governments, corporations, and communities—we push ourselves further.

For women like Hadiza Hamisu, who live in remote communities in rural Nigeria, accessing a health facility for safe delivery is extremely difficult. Pathfinder and our partners are working to close this gap.

The Future is Up to Us

Six years after the launch of Saving Mothers, Giving Life, I remain deeply committed to this work. I am energized by women we serve, the families kept whole, and the knowledge that the world’s toughest challenges can be solved if we work together boldly.

When it comes to saving women’s lives and achieving health for all, we have to be all in.

Featured Stories & Perspectives

Beyond Participation: Ensuring Women and Communities Lead Climate Resilience

To truly build resilience in the face of the climate crisis, we must shift the power dynamics: from top-down interventions to community-led transformation—with…

Read More
Clinical Mentorship for Better Family Planning Care

From Fear to Mastery: Clinical Mentorship for Better Family Planning Care

I Used to Fear it. Now I Master it. KIKWIT, Democratic Republic of the Congo — For years, women in Kwilu Province…

Read More
Empower Community Meeting

EMPOWER Uganda: Transforming Lives, Strengthening Systems

Cross-posted from our Country-Led in Action newsletter on LinkedIn. In Uganda, we often speak about systems strengthening, localization, and sustainable…

Read More
From Global Indicators to Local Impact: How COP30’s Adaptation Framework Can Strengthen Health Resilience

From Global Indicators to Local Impact: How COP30’s Adaptation Framework Can Strengthen Health Resilience

The Bridge Between Belém and the Clinic The Global Goal on Adaptation (GGA) now has a measuring stick. A decade…

Read More

What 500 Young People can Teach You about Work

Redefining Employability for a Changing World Employability is typically treated as a technical problem: a matter of skills gaps, training…

Read More

From Awareness to Action: A Teacher’s Fight to Keep Girls in School

Lire cette histoire en français >> In Kourfey, Niger, a problem was weighing heavily on Moussa Tahirou. As a teacher,…

Read More

The Pulse of Country-led Progress: A Conversation with Dr. Amina Dorayi 

After a hiatus in 2025, our LinkedIn Country-Led In Action newsletter is back! We explore how our country-led strategy translates into sustainable approaches that improve the health, resilience, and leadership of…

Read More

Improving Data Systems to Reach Girls with the HPV Vaccine in Nigeria

Every vaccination program hinges on a fundamental question: Do we know where the eligible population is? For the life-saving HPV…

Read More
Climate Champion Chandi - #16Days Feature

#16Days: A Climate-Resilient World is a Safer World

#16Days of Activism Against Gender-Based Violence Violence against women and girls is one of the most pervasive—and preventable—human rights violations…

Read More

From Training to Transformation: How Kano’s Health Workforce Mentorship Program is Saving Lives 

Health workforce shortages plague Kano state’s health system in Nigeria, where for every 10,000 people, there are only 3 health workers available to provide care. This critical workforce…

Read More

Overcoming Disruption, Transforming the HIV and AIDS Response: Why Community Leadership Still Matters

This World AIDS Day arrives with a powerful symbol of scientific progress: lenacapavir, the long-acting injectable PrEP that can prevent…

Read More
Woman holding seeds

Climate Champions: How Women in Pakistan and Bangladesh are Leading the Fight for Resilience

Climate change is ravaging communities across Pakistan and Bangladesh. From devastating floods and violent cyclones to prolonged droughts and lethal…

Read More