More Mobilising Access to Maternal Health Services in Zambia (MORE MAMaZ) was an integrated programme that empowered rural communities to address the household and community-level barriers preventing women and girls from accessing maternal and newborn health services.
The programme achieved transformational change for women and girls, particularly those who are under-supported at household and community level, by supporting government partners to scale up HPI’s community engagement approach.
Watch a short film on how the programme increased women’s access to essential maternal health services using community-based and community-managed transport systems.
MORE MAMaZ built on the successes achieved by the predecessor programme, Mobilizing Access to Maternal Health Services in Zambia (MAMaZ), implemented between 2010-2013.
Rural communities were empowered to increase maternal newborn health awareness, address access and affordability barriers, and tackle underlying social problems that contribute to negative health outcomes, such as gender-based violence. The approach strengthened existing structures, namely community-based Safe Motherhood Action Groups (SMAGs). Complementary, targeted supply-side inputs were provided.
Five districts (Chama, Chitambo, Serenje, Mongu and Mkushi) were supported to scale up the MAMaZ intervention by increasing the population coverage of community engagement activities from the 25% achieved in MAMaZ, to between 61% and 94% over the programme’s lifetime. A national scale-up component supported the roll-out of the MORE MAMaZ approach to a further 15 districts. Click here for a summary of the programme’s scaling up achievements.
Capacity building of District Health Management Teams focused on building a secure, long-term institutional home for demand-side health-related issues.
New learning and evidence from the intervention districts increased the evidence base at national level about effective ways to intervene at community level in support of improved access to maternal and newborn health services.
Key results included:
- 32% increase in skilled birth attendance rates (from 46% to 78%)
- 25% increase in women and girls attending ANC in first trimester (from 37% to 62%)
- 14% increase in use of modern family planning methods (from 24% to 38%)
- 4,105 women transferred to a healthy facility by Emergency Transport Scheme (ETS) drivers
- 2,344 women supported by food banks
- 2,798 women supported by emergency savings schemes
- 82,205 door-to-door visits to homes of pregnant and newly delivered women undertaken by trained SMAG volunteers
The project was implemented in support of the Comic Relief Maanda Initiative theme of improved health for women aged 15-49 and children under five. The programme was implemented by Transaid, Health Partners International, Development Data and Disacare in partnership with the Ministry of Health and District Health Teams.