Maternal Figures
More than 50,000 women die during childbirth in Nigeria every year

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.

The stages of maternal health care
Pregnancy

Pregnancy signals the physiological and psychological changes that occur over a period of 40 weeks. In Nigeria, 9.2 million women and girls become pregnant each year. Complications such as maternal hypertensive disorders contribute to maternal deaths during pregnancy. Our database includes interventions like the use of Conditional Cash Transfers which encourage pregnant women to attend health screenings in order to receive cash bonuses.

42
Pregnancy interventions in our database
26%
of pregnancy interventions are policy focused

Nigeria

Interventions

75

ACTIVE

/

150

TOTAL

Free Maternal Care?

No

Funders

75

Maternal Mortality Ratio

512

Per 100,000 live births
Interventions
0
41
Interventions
  • The Nigeria State Health Investment Project (NSHIP), is a World Bank Assisted Project whose major objectives are to improve the delivery and use of high impact maternal and child health interventions and improve care at selected facilities in the participating states, by ensuring pro-poor focus. NSHIP began as a pre-pilot in 2011 in one LGA in each of the project states of Adamawa, Nasarawa and Ondo, and was scaled up to all the 50 LGAs in the three states (Adamawa 19, Nasarawa 13 and Ondo 18) since 2014, with half receiving performance-based financing (PBF) and the remaining block grants in the form of decentralized facility financing (DFF) NSHIP is financed with International Development Association (IDA) credit of US$150 million to the Federal Government of Nigeria (FGoN) with subsidiary financing agreements with the three project States (IDA 50940); and a Health Results Innovation Trust Fund (HRITF) grant of US$20 million (TF 13432). The project which became effective on August 20, 2013 had an intended closing date of June 30, 2018 which was extended to June 30, 2020 in 2016 as part of the changes in the additional financing. In June 2016, additional financing of US$145 million was approved for the project: $125 million IDA credit and US$20 million Global Financing Facility (GFF) grant to scale up the parent project to the North-Eastern (NE) States of Nigeria (Bauchi, Borno, Gombe, Taraba and Yobe).
    Additional Information
    In response to slow progress in improving health service delivery, the Government of Nigeria requested World Bank support in testing performance-based financing (PBF) and decentralized facility financing (DFF) as part of the Nigeria State Health Investment Project (NSHIP). PBF provides funding directly to health facilities based on the quantity and quality of services they deliver. Funds are transferred electronically to each facility’s bank account and they have substantial autonomy in how they use the funds. Up to half the funds can be used to pay performance bonuses to staff. Supervision was substantially strengthened. DFF was similar to PBF except that facility earnings were NOT based on the quantity and quality of services they delivered, they could not pay performance bonuses to health workers and the amount they received was, by design, half the amount earned by PBF facilities. Along with its attempts at improving service delivery through PBF and DFF, NSHIP also aims at strengthening institutional performance by using disbursement linked incentives (DLI) to the states and local governments on an annual basis. For example, local governments are rewarded for strengthening supervision of health facilities and publishing their annual budgets. States are rewarded for implementing PBF, and for increasing immunization coverage. States and LGAs are reimbursed for their eligible expenditure programs upon achievement of institutional performance outputs through the DLI approach.
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  • The project aimed to reduce maternal and child mortality by advocating implementation of new reform policies passed and enacted to reorganise health services, strengthen management, increase funding, address inequities and respond better to the needs of the population in more States. The project advocated for six additional States to pass Primary Health Care (PHC) Under One Roof legislation which meets NPHCDA (National Primary Health Care Development Agency) standards; for six additional States to pass appropriately costed policies or legislation guaranteeing free maternal and child health care at the point of use; and to get the National health bill passed and signed into law to improve health services.

    Locations and Funding

    Present in State

    Not Present in State

    Project Status

    Completed

    GB-1-203654

    Health Reform Foundation Of Nigeria


    Additional Information
    NA
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  • Fistula Care Plus, a follow-up to USAID's Fistula Care Project, supports prevention and treatment of obstetric fistula through surgeries and urethral catheterization, and rehabilitation of obstetric fistula clients in 13 states across Nigeria.

    Locations and Funding

    Present in State

    Not Present in State

    Project Status

    Active

    AID-OAA-A-14-00013

    Erin Mielke

    Fistula Care Plus Management Team


    Additional Information
    In a 2017 USAID report, it was noted that in Nigeria, in conjunction with the Federal MOH, FC+ is supporting a review of fistula strategy and its implementation. In addition, with the help of FC+, Nigeria published new guidelines for catheterization during prolonged labor and for “conservative treatment,” which involves catheterization for women with new fistula, within a period of up to six weeks postpartum. According to the same report, The Nigerian Federal health budget provides funding of fistula surgery at three federal fistula centers (Ebonyi, Bauchi, and Katsina) and state funds support fistula repair at state centers in Kebbi, Kano, Sokoto, Zamfara, Jigawa, Kwara, and Cross River. In Oyo State, the Ibadan University Hospital is responsible for most fistula surgeries in the state. FC+ was said to provide additional support with supplies and equipment.
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  • In November 2013, WHARC received a three year grant from the John D. and Catherine T. MacArthur Foundation to implement a project in Lagos State from November 1, 2013 to October 31, 2016. The project aimed to improve the quality of care in maternal health at all levels of health care system through the practice of Maternal Death Review (MDR) within health delivery systems in Lagos State and to increase the capacity as well as action of the community through conducting verbal autopsy of maternal deaths. The specific activities the project meant to implemented were (a) piloting facility-based Maternal Death Review (MDR), (b) conducting community-based MDR, and (c) collaborating with other civil society organizations working on accountability for maternal mortality and government institutions

    Locations and Funding

    Present in State

    Not Present in State

    Project Status

    Completed

    NA

    Women's Health and Action Research Centre


    Additional Information
    NA
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  • Mamalette is an online platform and social group that provides parents with information on fertility, pregnancy, birth, and babies. Through their live events and mothering groups, Mamalette supports pregnant women by addressing any stigma around pregnancy and childbirth that might affect women’s access to lifesaving care. Mamalette's website also features a panel of maternal health experts, as well as resources for women at every stage of pregnancy and postpartum.

    Locations and Funding

    Present in State

    Not Present in State

    Project Status

    Active

    NA

    Anike Lawal

    Co-Founder, Mamalette


    Additional Information
    NA
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Disclaimer

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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