Grassroot Advocacy for Improve Maternal Health

Grassroot Advocacy for Improve Maternal Health

Nigeria
Organization type: 
nonprofit/ngo/citizen sector
Budget: 
$10,000 - $50,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

The program is new. It will work closely with TBAs and other critical stakeholders in grassroots advocacy for improve maternal health. It is consistent with Kaduna State Strategic Health Development Plan 2010 – 2015 and will contribute to MDG 4, 5 and 8. It is expected that through conscious grouping of mostly TBAs, retired midwives, community health extension workers and strategic women groups residing in the grassroots, a core volunteer advocates for improve maternal health will emerged. Who will form the resources for establishing a support system in rural neighborhoods for reduction of maternal deaths? These advocates will continue dissemination of maternal health information and create demand for services and recognize the high risk groups (women in purdah) to increase coverage. Consequently, it can be sustain through strategic policy advocacy for it to be integrated into the State Maternal, New born and Child Health program.

About Project

Problem: What problem is this project trying to address?

The lacking of support in rural community which drives women from accessing antenatal care , preventing them from taking early action to maintain good health and from adopting safe behaviors in order to avoid complications in pregnancy such as fracture and injury, excessive flow of blood from the brain, perpetual psychosis, pre-eclampsia and eclampsia. This lack of support is in turn due to reasons of culture, poverty, poor systematic programming and inadequate spending for maternal health by the government. In some areas, pregnant women lost their life as a result of lack of knowledge about the sign of complications in pregnancy and danger signals during labour. On the other hand, the health sector spending by the government is most often tends to target the construction and rehabilitation of health facilities which is extremely important, but can not on it own lead to a realization of the health sector policy target which tends to revolve around the MDG such as reduction of infant and maternal mortality rate.
About You
Organization:
Mother and Child Care Organization of Nigeria
Visit website
Section 1: About You
First Name

Umar Farouk

Last Name

Mohammed

Website

http://Under construction

Organization

Mother and Child Care Organization of Nigeria

Country
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?

No

Section 2: About Your Organization
Organization Name

Mother and Child Care Organization of Nigeria

Organization Phone

+234 8094789066

Organization Address

38 Ali Akilu Way, First Floor, East Wing, Opposite Investment House, Kaduna

Organization Country

, KD

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Your idea
Country your work focuses on

, KD

Website URL

http://under construction

Innovation
What makes your idea unique?

It is the first of its kind in Kaduna State and will encourage mostly TBAs and other critical community actors to jointly function in a structured program. It is deliberately designed to support the National Midwives Service Scheme with a down up approach to reduce maternal mortality rate in Kaduna State. The program adopts a solidarity based approach in introducing a systematic change for maternal healthcare delivery at the grassroots. It is the first grassroot advocacy initiative that proposed integration of the TBAs into Maternal and Child Health program. The program will return the power of birthing process into the hands of women.

Do you have a patent for this idea?

Impact
What impact have you had?

• The program brought together rural women between the ages of 14 to 45 years who discussed issues relating to reproductive health and personal hygiene increasing chances of safe motherhood in Ifira community.

• Creates functional system for traditional and religious leaders in learning first hand information on the remote causes preventing women population from maintaining good health.

• Established a synergy for supporting rural women’s development and prosperity.

• Awaken community stakeholders’ zest and action for promoting and preserving the life of mothers and new born by ensuring that every expectant and nursing mother in rural neighborhoods maintains good health.

• There is an increase in awareness on the situation of maternal mortality and its adverse effect on the economic development of the community.

Actions

As entry point and for consensus building, to facilitate implementation of the program and enhance the program buy-in throughout, community visit was carried out establishing contacts with TBAs and strategic women groups to facilitate broader community involvement. The steps our organization is taking to make the program is to make the program successful include the following activities;
• Set up program management team
• Organizing pre-program / strategic meeting
• Carrying out community visits
• Mobilizing community stakeholders
• Organizing advocacy and partnership meeting
• Conduct advocacy visits to policy makers and traditional / religious leaders
• Conduct community baseline assessment and validation workshop
• Conduct capacity building workshop
• Carry out media campaign
• Undertake participatory monitoring and evaluation with follow-up meetings.

Results

• Increase chances of safe motherhood in neighborhoods of Ifira community.
• Increase awareness on situation of women’s health in the community and women participation in maternal healthcare delivery.
• Establish synergy on maternal healthcare delivery in neighborhoods of Ifira community.
• Establish functional structures in 20 neighborhoods of Ifira community.
• Increase advocacy events influencing additional budgetary allocation to maternal health in Igabi LGA.
• Strengthened capacity of Ifira community system to undertake maternal health education through activities of the functional structures.
• Undertake advocacy visits to policymakers at state and local government level including visits to HE Amina Sambo the wife of Governor of Kaduna State.

What will it take for your project to be successful over the next three years? Please address each year separately, if possible.

First year:
Identify critical actors / beneficiaries
Initiate community engagement
Generate interest and wider support for promoting and preserving the health of mothers and new born.
Develop road map through bottom - top approach

Second year:
Capacity development for target groups
Establish network of trained TBAs
Link TBAs with other State Actors

Third year:
Carry out media intervention
Undertaken policy advocacy
Lobbying for TBAs to be integrated into Maternal, New born and Child health program for sustainability

Monitoring and Evaluation of impact of the program will be an ongoing action from beginning to the end of the program.

Through increase in political attention the program can be incorporated into the current Maternal and Child Health program, and can serve as part of the requirements needed to be fulfilled by the government of any state that is willing to access the National Midwifery Service Scheme.

What would prevent your project from being a success?

Since the program adopted a bottom top approach and the community already have identified with it as a common necessity in the community, the political tension which will arise as a result of the heat from 2011 general election will have no influence or impact on the program. The people will see it as their program.

How many people will your project serve annually?

1001‐10,000

What is the average monthly household income in your target community, in US Dollars?

Less than $50

Does your project seek to have an impact on public policy?

Yes

Sustainability
What stage is your project in?

Operating for less than a year

Is your initiative connected to an established organization?

Yes

If yes, provide organization name.

Mother and Child Care Organization of Nigeria

How long has this organization been operating?

More than 5 years

Does your organization have a Board of Directors or an Advisory Board?

Yes

Does your organization have a non-monetary partnerships with NGOs?

Yes

Does your organization have a non-monetary partnerships with businesses?

Does your organization have a non-monetary partnerships with government?

Yes

Please tell us more about how these partnerships are critical to the success of your innovation.

• Partnership with these actors is critical for the program to be successful. The demand and supply factors required synergy building, since it also includes non medical interventions.

What are the three most important actions needed to grow your initiative or organization?

• Generate interest and wider support for promoting and preserving the health of mothers and new born.
• Develop road map through bottom - top approach
• Lobbying for TBAs to be integrated into Maternal, New born and Child health program for sustainability

The Story
What was the defining moment that you led to this innovation?

• The idea occurs as a result of the urge to care for life and to help fast track women’s empowerment for prosperity of rural families. And the desire to initiate actions that will benefit women of reproductive age collaborating with others to inspire systematic change in maternal healthcare delivery in Nigeria.
When this innovation is fully integrated into the primary healthcare delivery system, a section of rural women population will have been incorporated into the local government system and will provide employment opportunities to improve their means of livelihood.

Tell us about the social innovator behind this idea.

Born 1968 at Zuru town in Kebbi State during the era of Nigeria civil war and graduated as Production Engineering student from The Polytechnic Birnin Kebbi in 1997. When in school, he served in various capacity of leadership of youth organizations. As youth religious leader, he continued with the passion of working in the field of inter-religious dialogue to foster better understanding and respect across the divides. In 1996, the various Muslim students’ groups within The Polytechnic Birnin Kebbi Islamic community unanimously elected him as President of Muslim Student Society of Nigeria for the school chapter. He worked as assistant Imam of Haliru Abdu Central Mosque Birnin Kebbi from 1992 - 1998. As a contribution toward restoring trust and ensuring acceptance across religious divides in Kaduna State, he initiated a project which was supported by German Institute for Foreign Cultural Relations Berlin; the project overall objective was increased intercultural, inter-religious and inter-ethnic understanding and reinforcing the engagement of civil society in conflict prevention and resolution in Kaduna State. The project has already established functional and sustainable peace committees in three senatorial zones in Kaduna State. This intervention is the first of it kind in Kaduna State. In recognition, the Kaduna State Media Corporation offered a one year television slot(from 2009 – 2010) in support of the project.In his capacity as Program Manager with Interfaith Mediation Centre Kaduna, he was exposed to working with grassroots’ communities, state actors, high-level religious and traditional leaders across the Northern Nigeria. He was involved in promoting dialogue among the elected and the electorate to foster sustainable democratic discipline in Nigeria. In May 2004, he initiated partnership that was designed utilized the potential of faith in mobilizing religious communities together to take action in promoting transparency and accountability in 8 LGAs of Kaduna and Plateau States. In 2007, he was engaged by Bertelsmann Foundation from June – August, to help her Cultural Dialogue Department organized 2007 Salzburg Trilogue with special focus on Palestine – Israel crisis. And in 2008, he participated in Generations For Peace pioneer program in Jordan.

How did you first hear about Changemakers?

Newsletter from Changemakers

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