Publication Date July 1, 2024 Program & Technical Resources

Counseling, Informed Consent, and Debriefing for Cesarean Section in Nigeria

Counseling, informed consent, and debriefing (CCD) are crucial for respectful maternity care (RMC) and medical ethics. Despite the prevalence of cesarean sections worldwide, ensuring RMC remains vital, especially in surgical maternity care. The MOMENTUM Safe Surgery in Family Planning and Obstetrics project explored CCD attitudes, preferences, and practices in emergency and non-emergency obstetric care through a mixed methods study in four health facilities across Ebonyi and Sokoto States, Nigeria, from November 2022 to March 2023. This fact sheet summarizes key findings and recommendations.

Publication Date July 1, 2024 Program & Technical Resources

Applying a Holistic Approach to Fistula Care in Nigeria

The MOMENTUM Safe Surgery in Family Planning and Obstetrics project supports fistula prevention by enhancing provider capacity for high-quality obstetric surgeries, introducing quality improvement in obstetric care, and training primary health care workers and nurses in preventive catheterization for prolonged or obstructed labor management. In Nigeria, treatment involves surgical repair or non-surgical intervention (catheterization) at health facilities like National Obstetric Fistula Centers (NOFICs) or state-level vesicovaginal fistula (VVF) centers, or through organized surgical campaigns. A holistic fistula care approach addresses patients’ needs from prevention to rehabilitation and reintegration, ensuring they can access necessary services.

Publication Date June 1, 2024 Program & Technical Resources

COVID-19 Vaccination Program in Review: Nigeria

As MOMENTUM Routine Immunization Transformation and Equity’s COVID-19 vaccination program in Nigeria comes to an end, we look back on the successes, challenges, and lessons learned that the project had in reaching underserved and priority populations, strengthening health systems management, and improving the health workforce. Download this report to learn more about the COVID-19 vaccination program in Nigeria, which was conducted from June 2022 to March 2024.

Publication Date June 1, 2024 Program & Technical Resources

Quality Improvement Approaches for Safe Surgery in Nigeria: MPCDSR, Robson Classification and the WHO Surgical Safety Checklist

MOMENTUM Safe Surgery in Family Planning and Obstetrics in Nigeria seeks to accelerate reductions in maternal and newborn mortality and morbidity by increasing the capacity of Nigerian institutions and local organizations to introduce, deliver, scale-up, and sustain the use of safe and appropriate surgical obstetric care; prevention and management of obstetric and iatrogenic fistula; and prevention and mitigation of female genital mutilation/cutting in the maternal health context. As part of the efforts to scale-up safe and appropriate surgical obstetric care, the project has worked with partners to strengthen and institutionalize the use of three key quality improvement (QI) approaches: maternal, perinatal and child death surveillance and response (MPCDSR); Robson classification, and the WHO surgical safety checklist. This brief discusses the Team's application of each of these approaches.

Publication Date April 1, 2024 Research & Evidence

Piloting a Lean Costing Approach for Family Planning and Maternal Health Services

MOMENTUM Private Healthcare Delivery piloted a 'lean' costing approach to explore the costs and major cost drivers of FP and MH service delivery in the public and private sectors at three sites in Nigeria, Tanzania, and the DRC. This report summarizes the findings from the costing approach and discusses how the results and approach can help inform FP and MH programming.

Publication Date April 1, 2024 Program & Technical Resources

COVID-19 Vaccination Integration Assessment

As many countries transition away from the emergency phase of the COVID-19 pandemic, they must consider the long-term plans and future sustainability of COVID-19 vaccination. The USAID-funded MOMENTUM Routine Immunization Transformation and Equity and Health Systems Strengthening Accelerator projects conducted a qualitative assessment in seven countries on the status and plans for COVID-19 vaccination integration into routine immunization and primary health care, and the health system more broadly. Each country report summarizes findings and lessons learned from key informant interviews and focus group discussions conducted with stakeholders involved in implementing integration activities at national and sub-national levels.

Publication Date March 1, 2024 Research & Evidence

Strategies for Deploying Pediatric Death Audit to Improve Quality of Care

Pediatric death audits are used to improve health care quality and outcomes for children. In this report, MOMENTUM Country and Global Leadership examined the use of death audits in Kenya, Nigeria, Sierra Leone, South Africa, and Zambia. These experiences suggested both challenges in the use of death audits for improving pediatric quality care as well as options to begin developing effective systems that incorporate audits, even in low-resource settings.

Publication Date February 1, 2024 Research & Evidence

Participatory Approaches to Programme Design, Planning and Early Implementation: Experiences From a Safe Surgery Project in Nigeria

MOMENTUM Safe Surgery in Family Planning and Obstetrics is a global project that strengthens surgical ecosystems through partnership with country institutions. In Nigeria, the project implements in Bauchi, Ebonyi, Kebbi and Sokoto states and the Federal Capital Territory, focusing on surgical obstetrics, holistic fistula care and female genital mutilation/cutting prevention and care. The project utilized participatory approaches during its design, planning and early implementation phases. Well-established state and national systems, structures, policies and guidelines enable this programming approach. Since communication between institutional actors is often limited, these approaches necessitate building and maintaining relationships and knowledge sharing, which requires a significant up-front time investment that must be balanced with donor/partner desires for rapid deliverables. Linking different actors within the health system together through co-creation/co-implementation represents a crucial step in building sustainable country ownership and oversight for surgical ecosystems strengthening interventions.

Publication Date January 1, 2024 About MOMENTUM

MOMENTUM Programs in West Africa: Regional Reference Brief

The West Africa Regional Reference Brief summarizes MOMENTUM’s programs and activities implemented in partner countries to improve equitable access to respectful quality maternal, newborn, and child health and nutrition, voluntary family planning, and reproductive health care for all individuals and communities. The brief will be updated periodically as project activities evolve throughout the life of the project.

Publication Date December 1, 2023 Program & Technical Resources

Learning from MOMENTUM: Community Engagement and Systems Strengthening Approaches to Addressing Gender-Based Violence

Published in recognition of the 2023 16 Days of Activism against Gender-Based Violence (GBV) campaign, this brief highlights six innovative approaches—related to community engagement and system strengthening—for addressing GBV. The case studies from three MOMENTUM projects offer practical insights for gender experts, practitioners, and advocates, particularly those working in GBV pre­vention and response, to apply and adapt in their own work.