Rebuilding Health in Yobe State through PHC Rehabilitation and Social Equity Initiatives

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.

As rural hospitals stopped providing maternity care, Chatham Hospital opened a new Maternity Care Center in September 2020. The five-bed unit provides care to low-risk mothers and newborns and is staffed with family physicians trained in obstetrics and surgery, to keep costs down. In three years, the Maternity Care Center has delivered 402 babies, with birth volumes gradually increasing each year.

Enugu State is addressing healthcare access gaps and high maternal mortality by establishing 260 Type 2 Primary Healthcare Centers, with 100 already completed. These fully-equipped facilities provide 24-hour care with essential medications and reliable utilities. As part of the initiative, the Centers are also recruiting 2,200 healthcare workers, training over 1,800 staff members in safe delivery and contraceptive methods, introducing AI-assisted ultrasound screening and implementing affordable health insurance. Since opening in March 2025, one center alone has served over 690 people.

The Abiye Project registered over 20,000 pregnant women using a community-based model to ensure they receive proper healthcare. The program connected women with trained health rangers who served as liaisons with traditional birth attendants (TBAs). When TBAs’ resistance stalled the program, the government introduced financial incentives, paying them for each patient referral, leading to more hospital births and a reduced child and maternal mortality rate.

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.

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 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.

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 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.

Kangaroo mother care is a more affordable, accessible way to care for premature babies. It involves having mothers have 24-hour skin-to-skin contact, much like baby kangaroos in their mother’s pouch. This lifesaving practice is used in more than 50 countries worldwide. Studies show that babies who experienced kangaroo care grew up to be less hyperactive, better able to express their emotions and had stronger family relationships.