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Among the most common causes of maternal death are pre-eclampsia, haemorrhage, sepsis, complications from abortion and obstructed labour, 80% of these causes are preventable. It is on this background that The Wellbeing Foundation Africa (WBFA), the Liverpool School of Tropical Medicine (LSTM), and Johnson & Johnson jointly launched the Emergency Obstetric & Newborn Care (EmONC) project in partnership with the Kwara State Ministry of health in 2015. The aim of the project was improving maternal and neonatal health by building capacities of healthcare workers in basic and comprehensive emergency obstetrics and new born care (BEmONC and CEmONC) respectively. 

Upon commencement, the project launched in 21 facilities across 7 local government areas (LGAs) in the state. It was eventually scaled-up to 27 other facilities in the remaining 9 LGAs to consolidate on the impact in the first phase, thus benefiting the entire State. At the end of the last phase of the project, healthcare workers in all 48 HCF in Kwara State were supported to provide Life Saving Skills Trainings and emergency obstetrics and newborn care services. 

 
Impact
Built-up capacity of healthcare workers in the University of IIorin Teaching Hospital (UITH) to support EmOC&NC interventions in Kwara State.
Maintained activities in the 21 facilities across 7 LGAs where we have previously worked
Upgraded capacity in another 27 healthcare facilities across 9 additional LGAs to provide quality emergency obstetric and early newborn care.
290 healthcare providers were trained in EmONC to help them use their newly acquired skills on a regular basis.
88 healthcare providers were trained in quality improvement across all LGAs in Kwara State.
50 master trainers and skills lab coordinators were also trained and positioned to facilitate trainings and skills lab sessions on a regular basis
8 skills labs were set up and are being used on a regular basis by healthcare providers in the 16 LGAs.
21 facilities (100%) improved the availability of Emergency Obstetric Care services to their patients.
Exceeded targets for all phases of the programme.
 
 

 

Opportunities

Following the successes recorded in Kwara State with the EmONC LSS training project, the WBFA seeks technical and financial support to scale up the programme to reach healthcare facilities in the Federal Capital Territory.

 

Neonatal Deaths Baseline Assessment in the FCT


The above chart represents data from the baseline assessment of all the Primary Health care facilities in the six (6) area councils of the FCT. There is a total of 247 primary Health care facilities in FCT with none activated for the delivery of life saving skills evident in the absence of no skill labs in all of these facilities. A total of 1130 Health care practitioners with only 60 being trained for Maternal lifesaving skills, that is only 5% of the HCPs working in the PHCs in FCT has been trained Lifesaving skills (LSS).

12% of HCPs in PHCs have been trained to carry out periodic maternal and perinatal death review, that is 12 in every 100 HCPs in FCT, this is significantly very low. Also, 2% of HCFs carries out perinatal and maternal death review, that is 2 in every 100 facility, this is also very low.

In 2019, there are 73,659 deliveries in PHCs in FCT while experiencing 96 maternal death in 2019.

The absence of any form of Emergency Obstetric and Newborn Care & LSS trainings for healthcare workers of healthcare services delivery system in the FCT over the years, coupled with Nigeria’s poor maternal mortality rate has highlighted the need to prioritise the following outcomes when the project is launched in the FCT:

  1. Improve the quality of Emergency Obstetric Care and Newborn Care (EmONC) in an initial forty (40) HCFs across the six Area Councils in the FCT where WBFA has its midwives operational.
  2. Improve the capacity of Healthcare facilities in the FCT to provide basic and comprehensive emergency obstetric and perioperative care.
  3. Improve the capacity of healthcare providers in the targeted Healthcare facilities in handling maternal and perinatal death reviews. 
  4. Support the University of Abuja Teaching Hospital to strengthen the capacity of its faculty, to improve the quality of its EmONC teaching, and integrate its components into the curriculum.
  5. Promote the development of a framework to institute regular and mandatory training of maternity care providers in EmONC.
  6. Generate evidence through operational research on effective and sustainable approaches to enhance the capacity of healthcare workers to provide quality maternal and newborn care services.