In 2011, Nigeria adopted guidelines for the use of misoprostol for prevention of Postpartum Hemorrhage (PPH) at the community level.

The project supported MCH interventions with the following activities: Provided family planning and MNCH commodities to health facilities in eight states through a pilot and the roll out of two last mile delivery systems; helped avert maternal and neonatal deaths by providing technical assistance to USAID/Targeted States High Impact Project (T/SHIP) to develop and roll out a community-based distribution model that provided chlorhexidine and misoprostol to women who deliver at home in Sokoto and Bauchi states; supported the establishment and implementation of the Subsidy Reinvestment and Empowerment Programme’s (SURE-P) MNCH supply chain component; supported Kogi, Bauchi, and Sokoto states in planning and budgeting for MNCH commodities through quantification of MNCH commodity requirements for public sector services; and tripled storage capacity for vaccines, medicines, and supplies for MNCH in four of the National Primary Healthcare Development Agency’s (NPHCDA) six warehouses by refurbishing the storage spaces

According to the final report, the project exceeded all three indicators of success associated with maternal health. The first indicator was the percentage of pregnant women who received two or more doses of intermittent preventive treatment (IPT). The report noted that the Project surpassed the target by over 110% and reflected a significantly higher proportion compared to non-project sites where only 41% of pregnant women received 2+ doses of IPT. The second indicator was the percentage of pregnant women who slept under bed net night before the survey. The report noted that he actual value at the end of Project surpassed the target by 47%, which was significantly higher than the 48% rate of pregnant women in non-Project sites who slept under an ITN the night preceding the survey. The final indicator of success was the number of direct Project Beneficiaries of which female. According to the report, the target was attained well before the end-of Project household survey was conducted.

The IMNCH strategy has a three-phase implementation plan with defined targets for the reduction of neonatal mortality. Phase I, scheduled from 2007–2009, includes the immediate removal of major bottlenecks, the delivery of intervention packages and the reduction of neonatal mortality by 33% by 2009. For Phase II, which was scheduled for 2010–2012 planned to reinforce implementation of the strategy at all service delivery modes and reduce neonatal mortality by 44% by 2012. Phase III, which was scheduled for the duration of 2013–2015 hoped to achieve 80% effective coverage of clinical interventions at basic healthcare facilities and 70% at first and secondary referral care facilities and a reduction of neonatal mortality by 57% by 2015.

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