Breaking the Cycle of Maternal Mortality (Woman Die Die Mata)

The Boresha afya ya mama na mtoto (improve the health of mother and child) program works to reduce maternal and infant mortality rates by connecting mothers with community health volunteers. These volunteers provide important education on topics like antenatal care and also help to increase access to immunization services. When the group formed in 2018, 531 women died during childbirth or pregnancy, but as of 2023, that number has dropped to 344 thanks to the program’s initiatives.

With its focus on research and the launch of the Safer Baby Bundle, Australia is ahead of the curve in preventing stillbirths. The Safer Baby Bundle includes evidence-based practices to prevent stillbirths including helping pregnant patients quit smoking, regularly monitoring fetal growth and movement and encouraging safe pregnancy practices like sleeping on one’s side. Since the launch of these strategies, the country sees about six stillbirths a day, whereas the U.S. experiences about 60 stillbirths each day.

The Niger State Primary Healthcare Development Agency has recruited 200 midwives, assigning at least one to healthcare facilities across the state, in an effort to address high rates of maternal and infant death during childbirth. There are currently 266 midwives distributed among facilities, helping aid in midwife retention and increase access to care.

The Anambra state government’s Antenatal and Delivery Program mandates government-owned hospitals and Primary Healthcare Centers (PHCs) to offer free antenatal care and delivery services, to close the gap in care and curb maternal mortality rates. The program has helped strengthen the maternal care capacity at 329 PHCs throughout the state and has served over 60,000 women.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

The Carter Center, in collaboration with other organizations, launched a project to curb several neglected tropical diseases like river blindness. The Center and its partners provide health education through monthly visits from medical personnel to rural communities that are often most affected by these diseases and administer the necessary medication to fight the illnesses. Over the course of more than 20 years, the Center has delivered 27 million doses of disease-fighting medicine.

Care Ring, in collaboration with other organizations like the University of North Carolina School of Nursing, launched The Bridge, a community-based healthcare initiative that aims to make preventive care easier to access. The Bridge features a mobile care unit that provides free health screenings, counseling support and connections to community resources. Since December 2022, The Bridge has provided care to more than 100 people, 39% of which didn’t have a regular doctor.

The Atayese initiative makes healthcare services more affordable and accessible for underserved age groups including young children, pregnant women and elderly people. The initiative launched in 2013 and runs clinics and hospital services in several states and communities where they’ve provided treatment to hundreds — in some areas, thousands — of patients.

The Bashir Fistula Foundation provides healthcare and connections to necessary medical resources to women suffering from obstetric fistula. Most all surgeries to cure the condition are fully paid for through partnerships between the Foundation and other organizations and medical centers. So far the Foundation has funded more than 100 surgeries.

The Women-Inspired Neighborhood (WIN) Network: Detroit works to improve Black infant health outcomes by providing support services like group prenatal care, targeted home visits, and breastfeeding programs. By using the CenteringPregancy model, over 600 women have gone through the program and there have been zero preventable infant deaths. Win also helps direct women toward resources like stable housing and higher education.