Strengthening MNCH, end to end.
Since its inception, SFH has worked with partners to strengthen MNCH by delivering evidence-based, scalable programmes that affect women and children’s lives, and strengthen thought leadership and policy reforms across the MNCH spectrum. Good health for women and children leads to longer, more fulfilled lives, allowing the woman and the child the opportunity to attain meaningful development. It is also a basic human right.



- 1,200Maternal deaths per 100,000 live births in Nigeria, 1990
- 540Maternal deaths per 100,000 live births, 2013
- 191Under-five deaths per 1,000 live births, 1990
- 94Under-five deaths per 1,000 live births, 2012
Maternal risk concentrates on four windows.
Decades of evidence show that the largest gains in maternal and child outcomes come from addressing four specific risk factors. SFH’s MNCH portfolio is organised around all four.
Too soon
Early-onset or adolescent pregnancy increases risk for both mother and child.
Too frequent
Lack of spacing between births reduces recovery and developmental windows.
Too many
Higher parity raises cumulative risk across the life of the woman.
Too late
Pregnancies in women of older age carry heightened maternal and neonatal risk.
Programmes that have shaped the work.
Four flagship programmes delivered across Nigeria in partnership with USAID, PSI, and the wider donor community.
ESMPIN
Expanded Social Marketing Project in Nigeria
A five-year, multi-partner programme enhancing access to family planning, reproductive health, and child-health products while promoting healthy behaviours and exploring local manufacturing for key commodities.
WHP
Women’s Health Project
A five-year programme across 19 states and the FCT targeting maternal-mortality reduction, expanding access to IUCDs and implants for women aged 18 to 45 and adding postpartum-haemorrhage prevention with Misoprostol.
RAcE 2015
Rapid Access Expansion Programme
A community case-management programme expanding rapid access to first-line treatment for malaria, diarrhoea, and pneumonia for children under five in hard-to-reach communities.
MNCH Improvement
MNCH Improvement Project (Northeast Nigeria)
A north-east-focused improvement programme strengthening MNCH service delivery, the workforce, and community demand in conflict-affected and underserved areas.
More about our thematic work.
See the other seven programme areas SFH Nigeria delivers across the country.
