Increasing access to safe motherhood services. PATHS1 Nigeria

Authors: Health Partners International
Document Type: Policy and technical briefs
Publication Date: 2008

This policy brief focuses on increasing access to safe motherhood services in Nigeria. Significant behaviour change in relation to pregnancy and maternal complications occurred in the intervention communities, and communities and providers in both states reported that many maternal deaths and morbidities had been averted. The initiative focused on building institutional capacity within government to lead and sustain the work, and strengthening the technical and project management capacity of non-government implementing partners. Emphasis was also placed on use of advocacy and lobbying to leverage high-level political support for the work.

Key steps necessary for the safe motherhood demand-side approach:

  1. Initial rapid social assessment of the safe motherhood situation
  2. Stakeholder review and planning workshop
  3. Detailed design of safe motherhood ‘increasing access’ strategies
  4. Clarification of institutional framework for implementation
  5. Capacity needs assessment of institutional partners/on-going provision of capacity building support
  6. Initial design and implementation of intervention approaches in small number of pilot sites
  7. Review, refinement and roll-out of intervention approaches
  8. Development of advocacy skills to support policy change
  9. Building capacity to sustain the work
  10. Documentation and dissemination of lessons learned


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Tags: Nigeria, Maternal health, Community engagement, Safe motherhood, Emergency Transport Scheme, Access to health services, PATHS, Behaviour change, Maternal mortality, Institutional strengthening. Health services,