Strengthening community to health facility care continuum in Nampula, Mozambique Mozambique has made it a priority to address its high maternal death rate and its high adolescent pregnancy rate. Access to quality sexual and reproductive health information, services, prenatal services, and delivery services

This project is seeking to find sustainable solutions to these challenges in Natikiri district, a rural area in Nampula Province. Researchers are collaborating closely with the community, local hospital, and provincial and national ministries of health to prioritize health problems and develop a set of innovative interventions.

The project intends to cost and assess the impact of a community-owned ambulance service and of scaled-up access to reproductive health outreach services and community hospital emergency delivery services. Strengthening the capacity of maternity staff, enhancing emergency obstetrical and outreach services, and advancing efforts to eliminate illicit charges to clients should contribute to strengthening and improving the quality of provincial maternal health services.

An action research methodology based on intervention implementation and ongoing monitoring will be applied to cost interventions, identify lessons to improve ongoing implementation,and assess impact.