Quality healthcare for women and girls is vital if we are going to achieve the related Sustainable Development goals (SDGs). In Nigeria, 58,000 women die annually from pregnancy related complications (A joint report by UNICEF, WHO, United Nation Population, UNFPA and World Bank revealed a staggering increase in maternal deaths in Nigeria between 2011 (55,000) and 2015 (58,000). Most of these deaths can be prevented through targeted and sustained public health awareness campaigns, female education, increased availability of family planning services and training for health care providers.

Greater Hands Foundation is particularly concerned with women and adolescent health, maternal & newborn health. The strategic areas addressed include; Sexual Reproductive Health and Rights, Healthy timing & spacing of Pregnancy, Family Planning, Maternal & Newborn Health intervention and Advocacy.

Our work :

  1. Advocacy/Sensitizing communities to demonstrate the importance of attending Antenatal Care services (ANC) and delivery by Skilled Birth Attendants (SBAs) and facilitating a maternity referral network.
    • We hold town Hall meetings across supported Wards and conduct one-on-one /one-on-group outreaches, home visits and also distribute of IEC and visual messaging materials to our community members.
    • Leverage on community structures to prevent Stillbirths (SBs) and ensure prompt referrals and linkages to health facilities: These structures include; Ward Health Development Committees (WHDCs) and Community volunteers (CVs). The CVs are selected and trained by GHF to conduct community awareness, one-on-one sensitization, home visits and make referrals/escort pregnant women for early ANC registration and facility deliveries by Skilled Birth Attendants (SBAs).
  2. Mapping of Traditional Birth Attendants (TBAs) and orienting them on early identification of danger signs in pregnancy, Infections prevention and the importance of early referrals/escorting services for pregnant women to facilities for deliveries by SBAs.
  3. Leverage on and strengthening the Emergency Transport Services. The providers are selected and trained with the aim of providing effective transportation for pregnant women when access is required along the MNH continuum of care and to improve linkages and referrals to SBAs across supported sites hence addressing all the obstacles that hinder women from getting to the health facilities.

Impact :

  • Over 29,000 community members have been reached through One-on-one/One-on-group Outreaches; and targeted integrated service delivery outreaches have been  conducted.
  • 113 Community Volunteers trained and are referring pregnant women to supported facilities for antenatal care (ANC),   labour and delivery (L&D) and Family Planning (FP) services uptake. Over 6,000 pregnant women referred for ANC and over 3000 pregnant women referred/escorted to facilities for deliveries.
  • TBAs are now referring and escorting pregnant women in Labour to facilities to be delivered by Skilled Birth Attendants (SBAs).
  • Over 15,470 IEC Materials and other visual messaging aids distributed/displayed
  • We have facilitated the formation of over 20 voluntary community groups that are currently addressing community health needs and promoting healthy practices, particularly for maternal and newborn health. 
  • We are working with health staff to develop effective processes, track efficiency, and facilitate community awareness building. The referral system has improved coordination and documentation across various municipal health facilities.

We have partnered with a number of stakeholdersin maternal and newborn health to exchange best practices.  In the process, we have strengthened the delivery of health services at 40 Health facilities both (private and public) and built the capacity of the communities in how to respond to and facilitate maternal and newborn health situations.

We are engaging directly with adolescents to influence their physical health, social attitudes and addressing their rights towards meeting their needs for sexual and reproductive health information. We have built their capacity to make informed choices.