Kano State

Ward Development Committee (WDC)

Many pregnant women in the community used to avoid visiting the government health facility. However, due to the Quality of Care (QoC) implementation and the intervention of the Women's Development Committee (WDC) team, women have now begun to utilize the facility. This change is attributed to the effective sensitization efforts conducted by the WDC members. They not only sensitize women but also educate men, encouraging them to permit their wives to access healthcare services. The initiative has resulted in a significant improvement in the uptake of Antenatal Care (ANC) and delivery services.

The WDC played a crucial role in a specific case where a pregnant woman was in labor but couldn't go to the Primary Health Care (PHC) facility because her husband was absent. In their community, it was deemed unacceptable for women to seek healthcare in their husband's absence. Upon receiving the distress call, the WDC promptly intervened. They ensured the woman was transported to the PHC, where she delivered one live baby and unfortunately, one stillbirth due to prolonged labor.

Recognizing the gravity of the situation, the WDC reported the incident to the Ward head in the community. The Ward head took swift action, warning husbands against denying their wives access to healthcare in their absence. Subsequently, the Ward head followed up with the husband involved. Upon his return, the husband expressed gratitude for the WDC's intervention and visited them to convey his thanks.

QI Mentor At Gwagwarwa PHC

Healthcare workers had received training for the Live Saving Scheme (LSS), covering aspects such as skin-to-skin care and third-stage labor management. However, the implementation of these practices was not optimal until the Quality of Care (QoC) intervention training, which focused on improving the quality of care. This intervention emphasized key measures, including the immediate administration of uterotonic after delivery, proper skin-to-skin care, delayed cord clamping, and monitoring baby temperature one hour post-delivery to identify and address hyperthermia.

In our role as mentors, we provided training to healthcare providers on accurately recording these indicators in the register. Recognizing the lack of documentation tools, we supplied the necessary materials, enabling them to maintain comprehensive records. Monthly visits were conducted to offer mentoring support, review data, and make necessary course corrections. As a result of these efforts, there was a notable reduction in cases of Postpartum Hemorrhage (PPH) and newborn deaths.

Kano State Success Stories 1 [compiled]

Healthcare workers underwent training for the Live Saving Scheme (LSS), equipping them with knowledge about skin-to-skin care and third-stage labor management. However, effective implementation was lacking until the Quality of Care (QoC) intervention training, which focused on improving care quality.

This intervention included training on administering uterotonic immediately post-delivery, proper skin-to-skin care, delayed cord clamping, and monitoring newborn temperature one hour after delivery to identify hyperthermia. We conducted training sessions for providers on accurately recording these indicators in registers, and to address the lack of documentation tools, we provided necessary materials. Monthly visits were made to offer mentoring, review data, and make course corrections, resulting in a significant reduction in cases of Postpartum Hemorrhage (PPH) and newborn deaths.