Improving maternal and newborn care in Kwara State, Nigeria

Midwife examining a pregnant woman's abdomen

Together with Well Being Foundation Nigeria, we are implementing a programme to improve MNH care in Kwara state. The programme is implemented with financial support from Johnson and Johnson, USA (J&J).

Phase 1(January 2015 to June 2016)

The first phase of the programme has a life span of 18 months, from January 2015 to June 2016.

We are working with 9 target facilities. Data collection was done from the 9 target facilities and three facilities were chosen to become Continuing Medical Education (CME) centres and will receive the skill room’s equipment.

The target was to train at least 96 health care providers from selected facilities in three high burden local government areas (LGAs) in Kwara, namely Ilorin south, Ilorin East and Ilorin West. 

In addition to the EmONC training, a few staff were trained as master trainers so as to ensure sustainability of training among those who did not get the opportunity to attend the trainings. The additional training for master trainers was also aimed at strengthening supportive supervision skills. The programme is strengthening training in the Kwara School of Midwifery and Nursing by providing the school with skills lab equipment and training some of the midwifery tutors as master trainers. The programme also established skills training rooms in three strategic facilities across the state capital and trained motivated staff to manage them in order to promote CME activities.

Staff from target facilities are being trained on Quality Improvement (QI) processes and are being encouraged to form QI teams to help inculcate the culture of quality, which means willingness to review existing practice, identifying lessons learnt and make improvements.

Phase 2: February 2016-January 2018

In February 2016, LSTM received a further grant from Johnson and Johnson USA to extend the current interventions to 4 more LGAs in Kwara state.

The project, jointly developed by the CMNH-LSTM and by Wellbeing Foundation (WBF), presents a plan to support the Ministry of Health (MoH) in enhancing the capacity of health workers in Life-Saving Skills (LSS) in Essential Obstetric Care and Newborn Care, data collection and its use as well as quality improvement methodologies in four LGAs in Kwara State.

Interventions will be delivered with a view to strengthen existing systems and to ensure sustainability. Alongside implementation, a research component will be embedded in the work plan to ensure that the effects of the proposed approach to capacity building of health workers is documented and disseminated.

Twelve BEmONC and CEmONC health care facilities in four local government areas will receive all the interventions in a stepwise manner by the end of the 24 month project.

The overall objective is to increase the availability and quality of care for mothers and babies at selected CEmONC and BEmONC health care facilities in Kwara State.

The specific objectives of our proposed interventions are:

  1. To improve the quality of Emergency Obstetric Care and Newborn Care (EmONC) in twelve Health Care Facilities (HCFs) in four local government areas of Kwara State.
  2. To strengthen capacity of health care providers and managers of targeted HCFs in collection and use of data.
  3. To strengthen health care providers capacity in the targeted HCFs in maternal and perinatal death reviews, as well as standard-based reviews.
  4. To support one medical training institution to improve the competency based EOC&NC training components of its curriculum.
  5. To generate evidence on effective and sustainable approaches to enhance capacity of health care works, through operational research