WHO-Federal Government Integrated Community Case Management (ICCM)

World Health Organization and the Nigerian government collaborate to curtail child mortality in the country. The WHO-Federal Government Integrated Community Case Management (ICCM) project has scaled up the provision of essential packages for child survival in underserved communities.

Despite recent improvements, maternal and child mortality remain critical public health issues in Nigeria with unacceptably high health outcomes indicators. Problems such as cost for treatment, deplorable state of the health facilities, distance to health facility, lack of awareness and knowledge for informed decisions and referral are some of the many difficulties stated by caregivers in describing difficulty with accessing healthcare.

Integrated Management of Childhood Illness (IMCI) and ICCM are the key child survival thrust being used by the Nigerian Government to address the unacceptably high under-5 morbidity and mortality indices.

ABIYE (Safe Motherhood) Project

The Abiye (Yoruba: Safe Motherhood) Programme is a home-grown comprehensive health initiative formulated to tackle the challenges of maternal mortality and morbidity in Ondo State, Nigeria. It was initiated in 2009 during Governor Mimiko’s administration in response to the 2008 Nigeria Demographic Health Survey (NDHS) which put Ondo State as having the worst maternal and child health indices in the Southwest of Nigeria. The Abiye programme was also intended to achieve the Millennium Development Goals 4 and 5 by 2015. It is a free health program for pregnant women, and young children up to age 5. The initiative aims at ensuring that maternal health care service delivery in Ondo state is accessible and efficient enough to effect a reduction in the rate of maternal and infant mortality.

Abiye model has been recognized by the World Bank as a viable template for achieving the targets of the Millennium Development Goals on maternal health within the African continent. Ondo State is the only state in Nigeria that met the MDG indicators of reducing maternal death in the country, surpassing the goal with a 75% reduction By 2016, the Ondo State Government had reduced MMR by 84.9 per cent; from 745 per 100,000 live births in 2009 to 112 per 100,000 live births in 2016 through the Abiye Initiative.

The model is a comprehensive policy formulated to address four critical delays that contribute to maternal mortality and morbidity, namely:

-The delay in deciding to seek care

-The delay in reaching care

-The delay in receiving appropriate care on arrival

-The delay in referral