Universal home visits for maternal and child health

Description

Universal home visits for maternal and child health in Bauchi State, Nigeria

The project tested the impact of universal home visits on maternal and infant outcomes in Bauchi State Nigeria in a stepped wedge cluster randomised trial. Key contributions include:

  • It demonstrated the feasibility and acceptability of a programme of universal home visits, ensuring that the most marginalized women and their spouses are included. It specifically involved men, through separate visits to spouses; the results indicated that the visits changed male attitudes.
  • It demonstrated that improvements in maternal and child health can be achieved through actions at household level to address upstream risk factors; these improvements can happen even in the absence of improved access to good quality health services
  • It supported our conceptual framework, whereby households make changes after going through a sequence of intermediate steps, beginning with hearing about local evidence
  • It demonstrated the feasibility and benefits of robust remote monitoring and quality control, using GPS enabled handsets and developing software enhancements to prevent submission of invalid records

Partners:
-Federation of Muslim Women Associations of Nigeria (FOMWAN)
-Bauchi State Primary Health Care Development Agency

Country: Nigeria

Dates: 2015 – 2020

Funding:
Innovating for Maternal and Child Health in Africa initiative supported by Global Affairs Canada, Canadian Institutes for Health Research (CIHR) and International Development Research Centre (IDRC)

Publications:

-Trial protocol: https://doi.org/10.1186/s12913-018-3319-z
-Impact on maternal outcomes: https://gh.bmj.com/content/4/1/e001172
-Canadian Geographic article: http://idrc.canadiangeographic.ca/blog/dramatic-delivery-maternal-child-health-nigeria.asp
-The Conversation Africa article. https://theconversation.com/nigerian-trial-shows-howuniversal-home-visits-can-help-reduce-maternal-risks-114205

Further information: https://ciet.org/home/projects/universal-home-visits-nigeria/