In Nigeria, more than one in 10 children will not survive to see a ﬁfth birthday, and nearly one in 20 women will die in childbirth. In collaboration with the Government of Nigeria, researchers are evaluating a program that aims to save the lives of mothers and their babies by improving access to reliable health services and increasing the demand for these services. The results of the evaluation will help policymakers in Nigeria and other countries understand how to help protect and support the lives of women and infants.
Research area: Health Systems and Service Delivery
Evaluation Sample: 250 Public Health Facility Clusters (four clinics per cluster)
Timeline: 2013 - 2016
Intervention: Incentives; Conditional cash transfer; training, supplies
Researchers: Pedro Rosa Dias, University of Sussex; Marcos Vera-Hernández, University College London; Marcus Holmlund, World Bank
SURE-P MCH research team: Ugo Okoli, Project Director; Adetokunbo Oshin, Deputy Project Director; Sidi Ali Mohammed, Head of Health Workforce and Supplies; Chichi Aigbe, Operations Unit Lead; Jamila Bello-Malabu, Health Workforce Officer; Oluwafemi Adedipe, Head, ICT and Data Management; Chukwuebuka Ejeckam, Monitoring and Evaluation Officer; Chioma Oduenyi, Communications Officer; Nonso Onwudinjo, Communications Officer; Amina Muhtar, former Planning and Evaluation Lead; Laura Morris, former Planning and Evaluation Officer
Partners: SURE-P Maternal and Child Health Program; National Primary Health Care Development Agency (NPHCDA); Nigerian Federal Ministry of Health; Development Impact Evaluation (DIME), World Bank; University of Sussex; University College London; Bill & Melinda Gates Foundation; Bank-Netherlands Partnership Program
In many developing countries, pregnant women and infants are at risk of dying from often-preventable disease and complications related to pregnancy and birth. Prenatal care, midwife assistance and proper health facilities all help improve survival rates and ensure healthy births, but even such basic services are often not available or accessible to women in Nigeria. The Government of Nigeria has implemented a multi-pronged program that includes a variety of new or improved services, including steps to encourage women to use healthcare. This impact evaluation will provide evidence on what works for protecting and improving the health of pregnant women and infants.
Nigeria, Africa’s most populous country, cut maternal and infant and child mortality by half between 1990 and 2008. Still, with an estimated 36,000 women dying annually in pregnancy or during childbirth Nigeria accounts for 13 percent of the world’s maternal deaths. Reasons include a shortage of trained midwives, low quality health clinics, high costs for patients, and low awareness of the importance of prenatal care and giving birth with a midwife or another trained health worker. The Government of Nigeria has been introducing reforms to improve health care and is working with World Bank researchers to evaluate the programs. The evidence gathered from the impact evaluation can help the government in its future maternal-child health care planning.