The Focus of this implementation research was to:-
•Identify the gaps between the SBM-R (RH) program and the ground reality across the Malawian healthcare context.
•Co-produce and test potential solutions to improve the effective implementation of the SBM-R (RH) initiative to enhance quality and equity of care provided in the health centers.
Increasing access and utilization of health care services is not sufficient for maternal health outcomes. However, health care providers should consider providing services that are safe, and of high quality if positive maternal and neonatal outcomes are to be achieved.
The project aimed at addressinga key concern of the Malawian Ministry of Health (MOH), namely the persistence of a high maternal mortality ratio (MMR) of 439/100,000 live births despite a facility birth rate of 73%.
Mothers and newborn in Tanzania should not die of complications of pregnancy and childbirth for lack of access to CEmONC services
2016: Only 12% of health centres provided CEmONC services and therefore many pregnant women and newborns were dying of obstetric complications.
MMR: 578/105 livebirths (2005); 556 (in 2016) •NMR: 25/103 livebirths in 2016
