International Projects

Niger Implementation Science Study

CHS Project
Prise-C quality improvement teams prepare posters to demonstrate their levels of performance. This helps identify service delivery best practices. Photo by Alicia Antayhua.


CHS partnered with Niger’s Ministry of Health to evaluate the effectiveness and cost-effectiveness of expanding a proven maternal and newborn care improvement approach to 218 public maternity hospitals, 95% of such facilities in the country.

The approach modified best practices identified by quality improvement teams from 51 maternity hospitals. The teams shared experiences and worked together to improve services related to essential obstetric and newborn care, a set of preventive measures that ensures the survival of mothers and newborns.

The project provided training and supervision to hospital staff and focused on:

  1. Active management of the third stage of labor, a set of clinical steps to prevent and treat postpartum hemorrhage, or excessive bleeding after childbirth. Postpartum hemorrhage is the leading cause of maternal deaths.
  2. Detection and management of eclampsia/pre-eclampsia, a life-threatening pregnancy complication caused by high blood pressure.
  3. Essential newborn care.

CHS and the Ministry conducted this quantitative and qualitative study under the WHO’s Implementation Research Platform.

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The World Health Organization (WHO)