Maternal Figures is a database of maternal health interventions implemented in Nigeria in the last 30 years. Developed as a research tool for journalists, the database contains verified information including funding sources, contact information, programme reports, and more.
Free Maternal Care?
Maternal Mortality Ratio
The Emergency Obstetric and Newborn Care (EmONC) training takes place in-house and equips doctors, nurses and midwives, as a collective team, with the skills need to overcome obstetric emergencies. The training uses lifelike anatomical models and simulation case scenarios to enable health workers to develop expert first-hand experience. According to The Wellbeing Foundation, the EmONC program has trained over 40,000 health workers in Kwara State and provided Skills Labs in select medical facilities in the state. At implementing facilities, there's been a 15% reduction in maternal fatality & 38% reduction in the still birth rates. Johnson and Johnson funds the program while the implementing partner, the Liverpool School of Tropical Medicine, makes in-kind contributions.
In 2001, Kano became the first state in the country to initiate free maternal services in all its secondary and tertiary health facilities. The services included in the free maternal care program include free antenatal care, assisted vaginal delivery (forceps and vacuum), free caesarean section (elective and emergency), free post abortion care services, free management of ectopic and free laparotomy for obstetric complications. Other programs include free treatment for the under 5 and free vesico-vaginal fistula repairs. These 3 programs are managed by the free maternal, child health and VVF repairs implementation committee that was set up by the State government in 2002.
In 2016, the Kano State government signed into law, a bill that establishes the Kano State Contributory Healthcare Management Agency (KSCHMA) with the overall goal of ensuring all residents of the state have access to quality and affordable healthcare services with financial and social risk protection. In addition, the DFID funded program MNCH2 provided support for the development of operational guidelines and a benefits package for the contributory healthcare scheme that followed. A 2019 news report noted that access to care under the contributory scheme commenced with only the formal sector, largely civil servants and their dependents (a spouse and 4 biological children), but has since been expanded to include pregnant women and children under-five and civil servants.
In 2007, Jigawa State introduced the Haihuwa Lafiya (Safe Motherhood) Programme to provide free maternal and child health services in the state. In 2013, The Jigawa State Government announced that they had set up 353 Safe Motherhood Demand Creation Committees to enhance reproductive health services in rural areas of the state under the Haihuwa Lafiya programme.
In response to the challenges of high MMR in the State, the Enugu State government initiated a policy on free maternal and child health (FMCH) care in 2007, as a flagship of its maternal health programmes. The FMCH provides free medical, antenatal, delivery and postnatal care for poor women and children in primary and secondary hospitals, and those referred to tertiary hospitals in the State.
The Lagos State Traditional Medicine Board (LSTMB) is an arm of the Lagos State government that provide training and support for Traditional Birth Attendants. The Lagos State Traditional Medicine Board, LSTMB, provides six week long training for traditional practitioners, including Faith Healers, Traditional Birth Attendants, Herbal Practitioners and Traditional Bone Setters. After the courses, attendees are known to receive certificates which then certify them to practice in the state.
According to a September 2019 report by The Nation, the Lagos State Government has built eight MCCs across the state from 2008 till date. The centres are said to have five clinics for mothers, babies and children, in addition to having a neonatal unit for premature babies, labour ward with delivery room, emergency clinic, a theatre for Caesarean section during complicated deliveries. The idea for MCC's originated in 2007 during Babatunde Fashola's tenure as governor of the state. According to the former governor, the aim of the program was to take maternal and child care close to the people while improving the quality of that care to the highest possible level.
In a 2011 amendment to a Lagos state criminal act, former Governor Babatunde Fashola noted that a woman could not be found criminally responsible "for any act or omission which causes the death of her child who is under the age of 12 months, if at the time of the act or omission the balance of her mind was disturbed by reason of: (a) Depression as a result of childbirth, postpartum or puerperal psychosis; or (b) previous history of depression or psychosis triggered by a re-occurrence because of childbirth or lactation/breastfeeding. (p.26) The law (p26) states that where the trial judge after ordering a medical examination finds that the balance of a woman's mind is still disturbed, he shall make an hospitalization order.
The Maternal and Child Mortality Reduction Programme was established to map out strategies for the reduction of the high mortality indices in the State. The overarching goal was to reduce the maternal and child mortality rates in line the MDGs 4, 5 and 6. The objectives of the program include: improving the health seeking behaviors of women of childbearing age in the state, increasing the quality of care provided to pregnant women and children, improving the knowledge and skills of health providers to provide qualitative maternal and child health services, and increasing the utilization of the Public Health Facilities in the State.
The Lagos State Health Scheme (LSHS) was established by law in May 2015. The scheme is a health insurance program that is targeted at ensuring that all residents of the State have access to quality, affordable and equitable health care. According to the Lagos State Government, expectant mothers have additional benefits on the scheme. This includes neonatal services, gynecological prenatal care and delivery, blood transfusion for maternal cases only and family planning services.
The information contained on this website is for information purposes only. The information is provided from research conducted by Maternal Figures, and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express, or implied.
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