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Nigeria

Nigerian midwives simulate a birth with the mamma natalie simulator Nigerian midwives simulate a birth with the mamma natalie simulator

Nigeria in focus

Together with partners we’re working to reduce newborn and maternal deaths

The challenge

With one death every seven minutes, Nigeria has been called the world's most dangerous nation for a mother to give birth. Globally, Nigeria accounts over a quarter - 29% - of all maternal deaths, with around 75,000 women dying from childbirth every year. There is a shortage of trained healthcare personnel to address this crisis.  

How we help 

Together with partners, we’re working toward improving maternal and newborn health in Nigeria. The Safer Births Bundle of Care (SBBC) program combines hands-on training with continuous quality improvement to save mothers and newborns. The program has shown a 75% reduction in maternal deaths and 40% reduction in newborn deaths. 

We’re also working to establish and integrate simulation-based training at pre-service institutions and for healthcare workers already in-service as training is a critical component to improving patient outcomes.  

In addition to our focus on maternal and newborn care, we’re also working toward improving basic emergency care training. 

Scaling impact across Nigeria

So far, our work with partners spans 12 states. We have ambitions and plans to further scale our impact within these states, as well as reaching others across Nigeria in the coming years.

 

How we collaborate

  • Support implementing partners with reviewing and interpreting LIFT data emerging from facilities
    Provide regular check-ins with facility leads
  • Support for effective use of Safer Births physcial and digital tools
  • Conduct regular implementation reviews

Goals

  • Instill culture of continuous quality improvement via trained mentors
  • Sustain improvement of healthcare worker skills by regular simulation-based training based on data from the facility
  • Use of innovative Safer Births tools during labor and after delivery

Partners

  • Norwegian Church Aid
  • NORAD
  • Borno State Government
  • Haydom Lutheran Hospital
  • Laerdal Global Health 

How we collaborate 

  • Support adoption and on-going effective use of Safer Births physcial and digital tools
  • Review and analyze clinical and training data alongside partners 
  • Conduct regular implementation reviews with implementing partners

Goals

  • Ensure midwives access consistent, high-quality simulation-based training to tackle leading causes of maternal and newborn deaths.
  • Collaborate to integrate simulation-based education and deliver the SimBegin facilitator course for local trainer empowerment.
  • Establish on-site Simulation Labs and enhance faculty clinical skills using the Helping Mothers and Babies Survive training programs.

Partners

  • Clinton Health Access Initiative
  • Gates Foundation funded group G-ANC

How we collaborate

  • Conduct comprehensive needs assessments to assess simulation education readiness
  • Provide guidance for and support to establish simulation labs with tailored solution design.
  • Promote use of Helping Mothers and Babies Survive (HMBS) programs to enhance clinical skills.
  • Support implementation of important digital solutions like LIFT Assessments and LIFT Scenarios for data-driven training
  • Support preceptor training in midwifery-led care.

Goals

  • Strengthen educators' capacity to teach competency-based, simulation-focused midwifery.
  • Improve access to high-quality simulation-based training and increase simulation lab utilization. 
  • Promote adoption of digital tools for tailored assessments, mentoring, and course adjustments. 

Partners

  • Nursing and Midwifery Council of Nigeria
  • Liverpool School of Tropical Medicine
  • Capacity Connect Limited
  • PROMPT
  • Telleosis Nigeria Limited
  • Laerdal Global Health
  • Gates Foundation.

A simulation-based approach and facility-based low-dose-high-frequency training, along with the use of innovative equipment, can be applied across all healthcare facilities in diverse settings in Nigeria, to promote ongoing learning and improve the quality of healthcare in our country.

Dr. David Adeyemi, Senior Program Manager, Clinton Health Access Initiative
Dr. David Adeyemi, Senior Program Manager, Clinton Health Access Initiative

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Connect with us

Meet our Nigeria team

Obinna Orjingene

Country Director, Nigeria

Lydia Regina Ishaya-Audu

Senior Implementation Specialist, Nigeria

Ivony Kamala, Implementation Specialist, Tanzania

Ivony Kamala

Implementation Specialist, Tanzania & Nigeria

Franco Apiyanteide  Implementation Specialist, Nigeria

Franco Apiyanteide

Implementation Specialist, Nigeria