Health Access through Local Empowerment/Targeted States High Impact Program
In February 2012, PfD has partnered with John Snow Inc. (JSI) to implement the USAID-funded Targeted States High Impact Program (TSHIP) to reduce maternal and infant mortality in northern Nigeria. Together, PfD & JSI achieved this through capacity building exercises designed to:
- Improve community engagement;
- Improve the quality of local health care services; and
- Improve health systems effectiveness.
JSI implements TSHIP in 43 local government areas across Bauchi and Sokoto States. PfD supervised the implementation of TSHIP across three areas in Bauchi State: Bauchi, Toro, and Tafewa Balewa. Nigeria has among the highest rates of maternal and child mortality in the world, and these predominantly rural states in northern Nigeria are among the most severely affected: in Bauchi State, under 5 child mortality remains at 260 deaths per 1,000 children, and the maternal mortality rate remains at a staggering 1,549 deaths per 100,000 births.
Partners for Development has improved community uptake of modern family planning, reproductive health, and MNCH services through a combination of capacity building exercises designed to improve the overall efficacy of local health systems in Bauchi, Toro, and Tafewa Balewa. These interventions, carried out with the consultation and full cooperation of local community leaders, included training-of-trainers activities; health education activities for health practitioners and community members on diverse topics such as children’s nutrition, family planning, prenatal care, and malaria prevention and treatment; and connecting community members to services through improving community-based health volunteers’ knowledge of the services available to families.
PfD surpassed the majority of its targets. In particular, PfD reached:
- 51,207 people through family planning counseling;
- 44,763 pregnant women who are receiving/have received IPT for malaria in prenatal care;
- 31,087 mothers & babies, who were assisted by TSHIP-trained skilled birth attendants.
The success stories PfD has collected from the HALE project illustrate the impact TSHIP’s health education programs have had on community health-seeking behaviors throughout conservative Bauchi and Sokoto States, reducing the number of women who give birth without skilled attendants, and dramatically increasing the number of women who access family planning and antenatal care services.