The model and its methodology
We have the methodology to reduce maternal and newborn mortality.
Nigeria has one of the highest maternal and fetal mortality ratios in the world. Hospitals are lacking necessary equipment and well-trained health personnel as well as a steady supply of water and energy; poor hygienic conditions also negatively affect the chances of survival of mother and child. Yet: in the states of Kano and Kaduna, Nigeria, we reduced in 10 rural hospitals maternal mortality by 60% within three years (2008 - 2010); fetal mortality was also reduced by more than 15%.
In a comprehensive approach, initiated and supported by the Rotarian Action Group for Population & Sustainable Development (RFPD) and many Rotary Clubs from Austria, Germany and Nigeria, we implemented a system of quality assurance in obstetrics. Stakeholders regard this approach as a model, suitable for scaling up in other regions and countries. You can find the methodology, published in the International Journal of Gynecology and Obstetrics (July 2011), here.
Four pillars of success
- Awareness and advocacy campaign, informing the public about the necessity of pre- and ante-natal care as well as child spacing, risks of home deliveries and obstructed labor;
- Introduction of quality assurance in obstetrics in three selected hospitals, including training of health personnel and provision of needed obstetric equipment for these hospitals;
- Integration of health authorities (state and local) in order to guarantee the sustainability of the project;
- Collaboration with traditional rulers and other stakeholders.
The cooperation with traditional rulers and health authorities is crucial and a prerequisite of success. A project of this kind will only be successful when cultural and religious values of the beneficiaries are being respected. Collaboration with other stakeholders is also important. Many single interventions are available, but none alone can reduce maternal and newborn mortality. Let us show the world that Rotary has the network and the right approach to make an impact in maternal and child health.
If you are interested in supporting the scaling up, if you need further information or have any questions, please contact us.