“Do the right thing”: Mentoring and birth simulations help nurses manage obstetric complications in Nampula Province, Mozambique

Speeches Shim

Alcançar is a consortium comprising eight international and national organizations whose goal is to reduce maternal, newborn, and child mortality in Nampula Province, Mozambique. The consortium is led by FHI 360 and funded by the U.S. Agency for International Development (USAID) for 5 years (April 2019 ‒ March 2024). Alcançar aims to establish Nampula Province as a model for improving provision and increasing use of high-quality, patientcentered maternal, newborn, and child health services by delivering a package of technical support to all levels of Nampula’s health system. The project strategy includes innovative, evidence-based, quality improvement approaches to sustain and enhance health service delivery. Alcançar includes FHI 360 (prime), Dimagi, Ehale, Institute for Healthcare Improvement (IHI), Viamo, Associação de Jovens de Nacala (AJN), HOPEM Network, and PRONTO International.


Maternal and newborn mortality rates in Mozambique have remained persistently high. The national maternal mortality ratio has stagnated at around 450 deaths per 100,000 live births (INE, 2019), and the newborn mortality rate is 27 deaths per 1000 births; neither have improved substantially since 2000 (MISAU, 2011). Improving the quality of obstetric and intrapartum services is essential to reduce maternal and newborn deaths, which occur most frequently during labor and in the 24 hours after delivery. High-impact interventions for improved maternal and newborn outcomes are wellestablished, but they must be delivered through a functioning and integrated system by competent, motivated, and resourced staff to achieve their desired effect. Frontline health care providers must have the appropriate skills to provide high-quality, evidence-based obstetric and intrapartum care, and the confidence and capacity to respond appropriately during obstetric and newborn emergencies. Alcançar’s baseline assessment identified gaps in knowledge and practice among health care providers, including the proper monitoring of labor, and the ability to record and interpret vital signs, diagnose and treat severe hemorrhage, and diagnose and manage newborn asphyxia.

Issuing Country 
Monday, April 5, 2021 - 1:30am

Last updated: April 05, 2021