Community based interventions for the reduction of maternal mortality - the role of professional health associations, non-governmental organisations and community-based organisations in delta state, Nigeria.

AIMS AND
OBJECTIVES: This study was conducted to examine the contributions of professional health associations, non-governmental organisations, government ministries, and community-based organisations in implementing community-based interventions for the reduction of maternal mortality in Delta State Nigeria. It also seeks to demonstrate the challenge of coordinating activities of several stakeholders and quantifying the impact on reduction of maternal mortality.
MATERIALS AND METHODS: Various publications, reports, public presentations and policy documents on activities of professional health associations, non- governmental organisations, government ministries, and community-based organisations in Delta State of Nigeria were collected and analysed by the authors.
RESULTS: Professional health associations, non-governmental organisations and community-based organisations in Delta State have contributed to the reduction of maternal mortality through advocacy, awareness creation, and sensitisation programmes on reproductive health using behaviour change communication materials. Participation in programmes organised by the Delta State Ministry of Health has also contributed to some positive outcomes. These include the successful implementation of Delta State Free Maternal Health Care Programme since November 2007 and increase in contraceptive utilisation.
CONCLUSION: Professional health associations, non-governmental organisations, government ministries and community-based organisations have impacted positively in the quest for reduction of maternal mortality. The challenge is in coordination of interventions and tracking indicators to measure desired impact.