The USAID-funded Targeted States High Impact Project (TSHIP) is implementing high-impact, cost-effective, integrated interventions to improve maternal and newborn health outcomes in Nigeria's northern Bauchi and Sokoto States. This slideshow, presented at the Northeast Implementing Partners' Meeting on January 15, 2015, reviews program activities and results.

1. NORTHEAST
IMPLEMENTING
PARTNERS'
MEETING
Thursday, January
15, 2015

2. 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

3. OVERVIEW OF ACTIVITIES

4. 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

5. 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%

6. 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

7. 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

8. 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%

9. 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
Numberofdeathsper1,000live
births

10. 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

11. 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

12. IMPROVED MEASUREMENT
SYSTEMS

13. • 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

14. • Assuring community trust, support felt needs
• Regular IP coordination & security meetings
• Promoting community goodwill across networks
and sects
• Staff training and vigilance
SECURITY MATTERS

15. •THANK YOU