Improving maternal and Child Healthcare using MamaNurse® Innovative Collaborative, Community-Based Approach, creating public Healthcare Leaders & Equitable System Based on Intersection of People, Policy, Process & Strategy. In Nigeria, the government is implementing the Free Maternal and Child Health Care Programme (FMCHCP). The policy is premised on the notion that financial barriers are one of the most important constraints to equitable access and use of skilled maternal and child healthcare. In Ebonyi State, Southeastern Nigeria the FMCHCP is experiencing implementation challenges including: inadequate human resource for health, inadequate funding, out of stock syndrome, inadequate infrastructure, and poor staff remuneration. Furthermore, there is less emphasis on community involvement in the programme implementation. In this policy brief, we recommend policy options that emphasize the implementation of community-based participatory interventions to strengthen the government’s FMCHCP as follows: Option 1: Training community women on prenatal care, life-saving skills in case of emergency, reproductive health, care of the newborn and family planning. Option 2: Sensitizing the community women towards behavioural change, to understand what quality services that respond to their needs are but also to seek and demand for such. Option 3: Implementation packages that provide technical skills to women of childbearing age as well as mothers’ groups, and traditional birth attendants for better home-based maternal and child healthcare. The effectiveness of this approach has been demonstrated in a number of community-based participatory interventions, building on the idea that if community members take part in decision-making and bring local knowledge, experiences and problems to the fore, they are more likely to own and sustain solutions to improve their communities’ health.

1. MamaNurse® Civic Innovation Model Canvas For Promoting Evidence-Based Community Collaborative
Interventions Around Maternal Health
Our Key Partners
 Government Ministry
of Health
 Faith Based and Other
Community Based
Organizations
 Development Partners
Like UNICEF, WHO,
USAID, DFID etc
 Research/Study Groups
 Community Radio
Stations and Other
Grassroots-oriented
media/public
communications
operators
 Faith-based
organizational leaders
 Community Chiefs,
Clan Heads etc.
Our Key Activities
 Training of
Healthcare Providers
 Provision of Maternal
Health Tools to
Health Facilities
 Linkage Setup
 Contraceptive
Support for Families
 Birth Registration
 Collaboration/data
collation
 Monitoring and
Evaluation
Civic Value Offer
 Turning The Tide of
Maternal Health Crisis
in Nigeria to achieve
our SDG Related set
targets by year 2030
 Setting a reliable
framework for Birth
Registration in Nigeria
 Creating a Framework
to use Policy-making to
improve Maternal and
Under-5 Health
conditions in Nigeria
 Expanding our
Collaborative
Framework to fast
track INTERSECTION
of People, Process &
Strategies for SDG
maternal-related health
goals.
Beneficiary Relationships
 Training/Capacity
Building
 Collaboration, Synergy
and Networking
 Vertical and Horizontal
health communication
system and
synchronized network
Community Beneficiary
Segments
 Rural and Urban
Dwellers (Last Mile
Healthcare Consumers)
 Girls and Women of
Reproductive Age
 Government Agency
 Development Partners
 Study/Research Groups
Key Resources for our
operation
 Grants
 Donations and member
income generated through
our community social-
enterprise model
Our Community
Channels
 MamaNurse Health
Fulfillment Personnel,
Centers
 Private & Public Sector
Primary Care Outlets
 Community Health
Talks and Shows
Our Civic Community Cost Structure
 Designing Data Gathering tools and process
 Health Leaders Capacity Building Trainings and Workshops
Community Social-enterprise/Civic Operation Sustainability
 Healthcare Business Intelligent Trainings to enhance our members’
small business profitability, scaling, value creation and solving
community based problems.
 Revenue from granting permitted access to public health related
data and statistics from our data warehouse
 Local Manufacture and sales of consumables like sanitary pads using
innovative method from plantain/banana stem fibers, producing
biodegradable environmental friendly, affordable sanitary pads