Nigeria made modest progress lowering its maternal mortality ratio-from 946 per 100,000 live births in 2005 to 814 per 100,000 live births in 2015- yet it remains high. The neonatal mortality rate remains a major Challenge as well, at 37 deaths per 1,000 live births in 2013. To improve Maternal Newborn health outcomes, Jhpiego, an affiliate of John Hopkins University, proposed to support the Nigerian Federal Ministry of health to operationalize new task-shifting policy recommendations for the community health extension workers (CHEW) cadre providing reproductive, maternal newborn, and child health in two northern Nigerian States Adamawa and Nassarawa, over a period of three years.
This programme in Adamawa and Nasarawa as at the end of implementation was able to achieve much by;
Training 21 BEmONC state master trainers who train CHEWs and who cascaded training to other health workers in trainers’ respective states.
Trained 173 and 169 CHEWs on BEmONC and PPFP, respectively, resulting in improved knowledge among trained CHEW from baseline to subsequent assessments, increasing from an average score of 40% to 77%(BEmONC) and 35% to 68%(Postpartum long acting reversible contraceptive).
Equipped skills laboratories of the two states own health technology schools and their 14 practical sites PHCCs with models, Newborn resuscitation kits, postpartum intrauterine device insertion kits, non –pneumatic anti shock garments, and other training materials to improve service delivery capacity.
Trained 9 tutor and 13 preceptors on the standards –based management and recognition (SBM-R) approach to improve the quality of training in PSE institution.
Trained 13master trainers on supportive supervision.
Provided post training supportive supervision to assess knowledge and skill retention and mentor trained CHEWs. Just mention but a few. All these was achieved with the pro active commitment by the Project Manager Dr. Olutayo Martins
The end of project dissemination was held at AUN hotel and was graced with the presence of the Hon. Commissioner for health Dr. Fatima Atiku Abubakar, Executive Chairman Adamawa State Primary Health care Development Agency (ADSPHCDA), Dr. Abdullahi Dauda Belel represented by Dr. Martins Bimba permanent Member I ADSPHCDA , The Country Director Jhpiego Dr. Adetiloye Oniyire Dr. Paul S Margwa Director Planning research and statistic ADSPHCDA and participant from health institution across the state.