NURHI 2 aims at achieving a 12.5% increase in contraceptive prevalence rate (CPR) in its implementation states,ultimately contributing to the Nigerian Government modern CPR goal of 27% by 2020. CPR is defined as percentage of women between 15 and 49 years who are currently using or whose sexual partners are using at least one form of contraception regardless of the method (WHO), while mCPR refers to the percentage of those women who are currently using or whose sexual partners are using a modern contraceptive method.

According to The Global Library of Women’s Medicine, the app allows midwives and doctors to store patient records securely and to share them with their clinic. GLOWM also noted that the app was developed over a 4-year period, following an original request from the World Health Organisation (African Region).

Other objectives included the implementation of a set of evidence-based multi-faceted interventions for the improvement of the quality of care for primary postpartum haemorrhage, eclampsia and obstructed labour in four of the selected hospitals (three secondary hospitals and one tertiary hospital) as well as testing the effectiveness of the intervention package by comparing maternal and neonatal outcomes and process quality indicators in the four intervention hospitals with four comparable control hospitals in the same geo-political zones.

The “treatment” is a package of structural interventions implemented in the five districts allocated to the first wave. The study tests the impact on mothers’ health of visiting all pregnant women every two months during their pregnancy and after delivery. In the visits, the female visitors ask them some questions about their health and discuss with them evidence about some problems that affect the outcome of pregnancy, and that can be tackled within the household: domestic violence, heavy work during pregnancy, lack of knowledge about danger signs of pregnancy, and lack of communication about pregnancy between women and their partners. Male workers visit the partners of the pregnant women to have the same discussions. The home visitors advise women with danger signs in their pregnancy to visit a health facility and provide a referral note for them. In half of the wards, the home visitors also show video clips to help the discussions about the problems that affect pregnancy outcomes.

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