Background
Nigeria continues to bear one of the world’s highest burdens of maternal and newborn mortality, with many deaths resulting from preventable complications. Gaps in frontline clinical capacity remain a major barrier to quality emergency obstetric and newborn care. Through the FCDO-funded CHOICES Project, the Clinton Health Access Initiative (CHAI) partnered with ACE Strategy & Consults to deliver Safer Birth Bundle of Care (SBBC) and Postpartum Family Planning (PPFP) training across Ondo State.
Our Approach
ACE used a structured four-phase model from initiation, pre-implementation, implementation, and post-implementation support. We combined stakeholder engagement, facility readiness assessments, and simulation-based, low-dose high-frequency (LDHF) training delivered through a hub-and-spoke model across four training clusters. To sustain impact, ACE also established simulation corners in facilities and supported state-led supervision and mentorship.
Our Impact
- 112 healthcare workers trained (40 doctors and 72 nurses/midwives)
- Across 26 health facilities in 17 Local Government Areas
- 114% improvement in post-training clinical knowledge assessments
- Simulation equipment (Neo Natalie, Mama Natalie, Mama Birthie) distributed to 22 facilities and 2 Colleges of Health for continued practice
This project reflects ACE’s ability to design and deliver simulation-based, low-dose high-frequency training that measurably shifts clinical competence and to build in the systems, equipment, and mentorship structures that make those gains stick well beyond the training room.
Partners: Clinton Health Access Initiative (CHAI) | Foreign, Commonwealth & Development Office (FCDO) | Ondo State Government