Overview:
The Clinton Health Access Initiative (CHAI) was established in 2002 to increase access to care and treatment for people living with HIV/AIDS and to strengthen health systems in resource-poor countries. Over the past few years, CHAI has expanded the scope of our work to include access to high-quality treatment for malaria, new vaccines and essential treatments for common childhood illnesses such as diarrhoea and pneumonia. CHAI has also increasingly supported governments to build the capacity required for high-quality care and treatment programs. Currently, CHAI partners with governments in more than 25 countries while more than 70 countries directly benefit from the low-priced drugs and diagnostic test agreements that CHAI has negotiated.

Nigeria’s maternal mortality rate of 576 deaths for every 100,000 live births accounts for approximately 14% of the global burden of maternal deaths--second only to India. This represents approximately 37,000 maternal deaths per year. Under-5 mortality rate is 128 per 1,000 live births and Nigeria experiences over 800,000 deaths among under-five children annually, 30% of which is attributable to newborn deaths. Mortality rates for children, infants and neonates are higher than the latest average estimates for the Sub-Saharan Africa region: 128, 69 and 37 per 1,000 live births respectively. Nigeria’s targets for MDGs 4 and 5 are 70 under-five deaths per 1000 live births and 250 maternal deaths per 100,000 live births. While some progress has been recorded, current rates of 2% and 4% reductions in maternal mortality and under-5 mortality, respectively, suggest that drastic action is needed if Nigeria is to attain these targets.

Recognizing the need for an innovative and high impact response to reduce the high maternal and child mortality rates, Clinton Health Access Initiative (CHAI) plans to roll out a comprehensive Maternal and Newborn Health program which uses an integrated approach to address critical gaps, create linkages through the entire system from communities up to tertiary care, and leaves a sustainable system for on-going impact.

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