Piloting Payment Models for Emergency Transport Schemes for Obstetric Emergencies in Northern Nigeria (METS)
One of the significant factors in reducing maternal mortality and morbidity in Northern Nigeria is access to emergency obstetric services. Piloting Payment Models for Emergency Transport Schemes for Obstetric Emergencies in Northern Nigeria (METS) aims to reduce the barriers to accessing emergency obstetrical care (EmOC) services through functional emergency transport schemes (ETS).
Funded by a MacArthur Foundation grant, this two year pilot will address the issue of barriers posed by the absence of adequate emergency transport schemes for facility-based delivery, the project aims to reduce the impact of the delays in reaching care.
Designed as an implementation research initiative, a process of learning by doing, METS will generate evidence for advocacy for a policy to complement the free MNCH services with an appropriately funded transport policy and system for obstetric emergencies.
METS will work in four states in Northern Nigeria – Jigawa, Zamfara, Yobe and Katsina, and
will compliment and be implemented alongside HPI’s existing Partnership for Reviving Routine Immunisation in Northern Nigeria and Maternal Newborn and Child Health (PRRINN-MNCH) programmes which currently run in the same four states.
The success of the project will be evaluated though a monitoring and evaluation approach which adopts “learning-by-doing”, with a strong built-in, continuous monitoring process and intermittent evaluation at pre-determined intervals.