Nigeria’s maternal mortality ratio is the 10th highest in the world with an estimated 630 maternal deaths per 100,000 live births. Routinely available, good quality antenatal care (ANC) services allow the provision of preventive services and counseling that can contribute to the reduction of adverse health outcomes. One of the main barriers to the delivery of high quality ANC services in Nigeria is the lack of skilled providers available at primary health centers; community health extension workers, not originally intended to serve as primary ANC care givers, are now filling that gap and need additional support and training to deliver ANC services. Evidence suggests that mobile phone case management applications have the potential to improve adherence to clinical protocols and improve care.
Pathfinder conducted a pre/post intervention study to assess the effect of introducing a mobile case management and decision support application for ANC on the quality of ANC services provided in 10 primary health centers in Abuja and Nasawara, northern Nigeria. A total of 266 ANC clients were interviewed directly after their first ANC visit for that pregnancy.