Kenya: County Health Programme Lowering Mother, Child Deaths in Vihiga

The Community Health Influencer, Promoter and Services (CHIPS) program aims to reduce maternal and child mortality by increasing access to primary healthcare services. CHIPS workers conduct weekly home visits where they provide helpful information on healthcare services, preventive medicine and connections to nearby health facilities. CHIPS launched in 2018 and in 2019, data showed that maternal deaths had decreased from 120 to 90.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.

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.

The Saving Mothers, Giving Life project aims to improve access to and the quality of maternal and infant healthcare to reduce maternal and newborn deaths. The project established a Maternal and Perinatal Death Surveillance and Response team and launched an interactive digital chat solution on WhatsApp to get important health information to pregnant women. Through these efforts, maternal and perinatal deaths in 25 private health facilities decreased by 60% and 16%, respectively.

AI software BabyChecker is a portable ultrasound tool that can be accessed through smartphones and allows community health workers to easily and quickly detect pregnancy risks in rural areas where access to care is difficult. So far, over 20 community health workers have been trained to use the technology, and more than 2,000 pregnant women have been scanned using the BabyChecker app.

The state Ministry of Health in partnership with other local organizations is providing educational, medical outreach for pregnant women to discuss malaria, maternal mortality and the importance of having regular medical checkups, while providing necessary resources to increase their access to care.

Jacquelyn Alvarado, a certified nurse midwife with the Texas A&M Rural and Community Health Institute, travels across Texas to teach rural hospital staff how to deliver babies. Using a mannequin, she runs simulations covering both routine and complicated deliveries for ER nurses, paramedics, and other non-obstetrical staff who may be the only help available when a rural patient goes into labor.

In 2025, Bauchi State launched the Impact Project to address Nigeria's maternal health crisis by deploying 100 Skilled Birth Attendants across 20 Local Government Areas, alongside free delivery kits and regular salary payments to increase access to professional childbirth care.

The Bauchi State Impact Project aims to improve maternal and newborn health by training 100 people to become skilled birth attendants. Despite infrastructure challenges, the Project not only provides work and purpose to those trained, but also helps make childbirth safer by providing much-needed care.

Kano State's Zero Dose Learning Hub Community of Practice on Immunization is tackling the crisis of over 280,000 unvaccinated children in the state by coordinating across government ministries, the State House of Assembly, and community leaders to ensure immunization commitments translate into actual funding and vaccine delivery. Its effectiveness is reflected in a dramatic rise in immunization budgets. On the ground, Voluntary Community Mobilizers have helped dispel myths about vaccines.