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Karen Kasmauski/MCSP


Started: October 2014 / Ended: December 2018

MCSP worked to reduce newborn and maternal mortality in Nigeria by increasing the quality and utilization of key, evidence-based interventions at facilities in Kogi and Ebonyi States. To ensure that every woman and newborn was cared for using a package of proven interventions, our efforts focused on the high mortality period around the time of birth.

We drove increases in coverage and quality through better measurement and use of data at multiple levels of the health system. Moreover, we improved performance through enhanced clinical governance and targeted capacity building at the facility level, and the adoption of new innovations through national advocacy and phased implementation at state and facility levels.

MCSP also strengthened the routine immunization (RI) system to increase and sustain coverage and reduce childhood illness and death in Bauchi and Sokoto. Our approach included:

  • Sustained and focused investment;
  • Delivery of dependable, regular, high-quality routine immunization services;
  • State ownership, financing and accountability for primary health care (including immunization);
  • State ownership, financing and accountability for primary health care (including immunization);
  • A move away from unsuccessful polio-driven approaches to strengthening the RI system; and
  • Where appropriate, new incentives and disincentives that stimulate improved RI performance.

In addition, the Mobile Alliance for Maternal Action (MAMA) launched in Nigeria in late 2015. MAMA delivers vital health messages to pregnant women and new mothers through age- and stage-based mobile messaging that validates and complements the efforts of frontline health workers. The program is locally led, planned for scale, and complements the national health care system by aligning with health priorities, policies, and systems from the outset. MAMA aims to increase consistent antenatal care visits and facility deliveries, thereby reducing maternal and neonatal mortality rates.

To read a summary of work in Nigeria, click here.

Intervention Areas:

Country Data

MCSP analyzed coverage disparities across RMNCH indicators for MCSP program countries. Click below for country-specific data.

Download File

Nigeria 2018 Graph
Source: USAID’s 2018 “Acting on the Call” report
Maternal Child Survival Program
Maternal and Child Survival Program