NORTHEAST

IMPLEMENTING

PARTNERS'

MEETING

Thursday, January

15, 2015

About USAID│TSHIP

• Launched 2009, USAID/Nigeria’s flagship project on

health, population and nutrition

• Focuses on high-impact, cost-effective and integrated

interventions including: • Maternal Health

• Newborn Health

• Child Health

• Family Planning & Reproductive Health

• Health Systems Strengthening

• Enabling environment

• Whole state approach/ reaches every ward in target

states

OVERVIEW OF ACTIVITIES

MATERNAL HEALTH

• At-scale community-based distribution of

misoprostol tablets for post-partum care

• Government procures commodity with own

resources

• All Emirate Councils and Islamic Sect leaders

approved

Utilization of Misoprostol by LGA

Jan-Jul 2014 (N=42,168)

18% 17%

29%

35%

25% 27%

22% 22%

30%

26%

30%

25%

28%

31% 32%

28%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Percent Prevalence of Selected Maternal Outcomes

in 42,178 women at 6 Weeks Postpartum

Selected Outcomes n %

Heavy Bleeding 254 0.006% (6 per 1000

women)

Deaths 4 9.5 per 100,000 Live

births

Bauchi State Maternal

Mortality Rate (2013)

1550 per 100,000 live

births

6

N=42,178 (mothers)

Live births=42,360

NEWBORN HEALTH

• At-scale community-based distribution of

chlorhexidine gel for neonatal sepsis/cord infection

• Government procures commodity with own

resources

• All Emirate Councils and Islamic Sect leaders

approved

• Decline in neonatal mortality/ more naming

ceremonies

Coverage of Chlorhexidine Gel (4%) by LGA

Jan to Jul 2014 in Bauchi (n=42,360)

16% 16%

46%

25%

30%

50%

22% 22%

19% 19%

25% 23%

27%

21% 24%

26% 29%

23%

43% 42%

25%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Neonatal Mortality Rates in Chlorhexidine Population

versus North East Zone

6

43

0

5

10

15

20

25

30

35

40

45

50

NNMR in Chx Pop NNMR in NE

Nu

mb

er

of

death

s p

er

1,0

00 l

ive

bir

ths

CHILD HEALTH

• Vitamin A coverage reached 1,679,694 (90%) of

populations (6-59 months) across Bauchi State

• Measles coverage between 115%-120% attributable

to IDPs from Yobe, Borno, Adamawa and Gombe

• Interruption of polio cases/ no outbreak since

November 2013

FAMILY PLANNING

• Increased number of service delivery points

• Improved consumption patterns

• As of December 2014, 52,000 Couple Years of

Protection, up 25–fold since 2010

IMPROVED MEASUREMENT

SYSTEMS

• Women organizing to demand services and

accountability

• Maternal, newborn, child health, family planning

and reproductive health needs being met

• Increased resilience through self-help projects

100 WOMEN'S’ GROUPS

• Assuring community trust, support felt needs

• Regular IP coordination & security meetings

• Promoting community goodwill across networks

and sects

• Staff training and vigilance

SECURITY MATTERS

•THANK YOU