CONCEPT NOTE ON “1 KIT SAVES 2” (clean birth kit) PROJECT
Submitted To
Global Giving
By
Traffina Foundation for Community Health
Suit 82 NAOWA complex Asokoro Abuja
www.traffinafoundation.org
info@traffinafoundation.org traffinafoundation@yahoo.com
Tel: 092912072
Mobile: 08034930904
Project Background
Sepsis and tetanus are among the leading causes of maternal and newborn death in
Nigeria. These infections occur mainly as a result of contamination from an
unclean environment and from harmful delivery practices, including the use of
unclean materials during delivery. The high rates of home deliveries by people
with little or no training on hygienic delivery practices, shortages of clean
(recommended) delivery materials all contribute to the problem of perinatal
infection.
Clean birth practices combined with monitoring and active third stage management
may prevent up to 23% of maternal deaths in low income countries including
Nigeria... Hassan et al. found that unhygienic practices are common among
traditional birth attendants (TBAs), but also evident among skilled birth attendants
who work within health facilities.
Every single day, Nigeria loses about 2,300 under-five year olds and 145 women
of childbearing age on pregnancy/delivery complications including infection which
accounts for 15 percent of this burden. This makes the country the second largest
contributor to the under–five and maternal mortality rate in the world. Eighty
percent of pregnant women in rural communities attend ante-natal classes and less
than Ten percent deliver at the health facility. They prefer the traditional homes
due to low
cost of deliveries which has very poor, dirty and unsafe environment
for delivery.
WHY THE CLEAN BIRTH KITS? Each year, thousands of women living in rural
communities globally including Nigeria give birth on their own or without the help
of a trained health worker. These births often take place at home, where the risk of
infection is high.
At TFCH every Mother and child in the world is so precious to us, we are
committed to saving lives and we are crossing borders to achieve this e.g. (Niger
Republic).
Also, many women are turned away from hospitals and clinics if they do not bring
their own delivery materials with them. At home or in the hospital, inadequate
basic materials provides an opening for infections and other complications.
The clean delivery kits are often viewed as luxury, which the rich alone can
afford to aid safe delivery. While women in rural communities have little or no
knowledge of what the kit looks like, let alone being able to afford it.
Some healthcare providers in rural Nigeria are found to have delivery room that
are dusty and dirty, tools are rusty and blood laden from the last birth; and there
is no way to sanitize the instruments. As a result, unsanitary conditions persist
leading to increased rates of infection. Clean birth kits are globally recognized as
an effective solution. According to the World Health Organization, when birth
attendants are educated about birth kits and how to use them, it has a significant
effect on reducing maternal and infant mortality rates.
To respond to the above challenges, the clean delivery kit is a simple approach to
reduce this risk. These kits help to provide a clean birthing environment for
mothers and newborns who would otherwise be left to go through the birthing
process in an unsanitary environment that creates risk of maternal infection at point
of delivery .Provision of free clean birth kits to our maternity homes / Primary
health facilities provides a safer birth environment and better health outcomes for
mothers and babies.
In respect to this, TFCH is currently using the clean birth kits as a tool to reduce
maternal and infant mortality within rural communities in Nigeria, thus generate
strong support for women in rural communities. The birth kit is created by
women, packaged by women and used to save women from unsanitary birthing
condition, thus saving the WORLD
There’s no greater gift for a mother than a healthy newborn and being alive after
delivery. But not every mother is fortunate to give birth in a clean hospital delivery
room. With this innovation, Traffina Foundation will provide women in resourcepoor settings (direct beneficiaries) with increased access to a clean and safe
delivery and a healthy start to a new life through provision of free delivery kit for
rural women.
The kit is given to the mother as a gift, recognizing childbirth as an important
and courageous act of womanhood – a feeling that many mothers never get a
chance to experience in many cultures.
TFCH has a target of providing 50,000 free clean birth kits to improve access to
maternal, new born and child health in Nigeria by end of 2015. Currently TFCH has
provided six thousand (6000) free birth kits across the following the states in
Nigeria, thus saving more than 12,000 lives since 2013:
 Nasarawa, Kebbi , Niger, FCT Abuja , Imo and Abia states in Nigeria
This approach has created a lasted positive behavioral change in mothers on how to care for their
new born, improved access to quality care at health facility due to relationship the clean birth kit
has created between our midwives and the mothers. This has also helped in HIV/AIDS
prevention treatment and care for the new born that would otherwise die without having access
to health care.
The clean Birth kit contains the following
1. Ten (maternity pads
2. CHLOHEXIDINE
3. MISOPROSTOL ,
4. 2 CORD CLAMPs
5. 2 STERILE RAZOR BLADE
6. DISPOSABLE UNDER SHEET/MAKINTOSH:
7. BABY RECEIVING CLOTH
8. COTTON WOOL / GAUZE
9. ONE LONG LASTING MOSQUITO TREATED NET:
10. ONE BABY DIAPER:
11. 2 PAIRS OF STERILE GLOVES
12. Immunization calendar / reminder cards in local languages.
13. Thermometer.
14. Mucus extractor.
15. Long lasting mosquito treated net.
The overall objective of this modest initiative is to contribute to the reduction of
maternal and perinatal morbidity and mortality through clean and safe delivery.
Project Objectives:
To provide 50,000 clean birth kits to support pregnant women in poor resource.
• To provide information to women, men in communities on the importance of
delivering under a clean environment.
• To provide free clean delivery Kits to women in rural communities who cannot
afford to pay for the cost of delivery even at primary health center.
• To build capacity among community leaders, to create awareness on clean and
safe delivery kits.
• To establish a monitoring and evaluation system for implementing the “1 KIT
SAVES 2 project.
Expected outcomes
(1) improved reproductive health service delivery;
(2) Saving more than 100,000 lives (women and children) from dying due to
delivery infection by end of 2015
(3) Improved utilization of the clean birth kit and related services by expectant
mothers
(4) Increased rate of facility delivery / Improved service utilization.
(5) Increased community awareness on importance of safe and clean delivery
outreach services
(6) Reduced traditional home births
(7) Reduced record of infection at delivery
ACTIVITIES
This project aims to increase access to improved knowledge of life-saving tools,
which will provide clean and infection-free delivery to less privileged mothers:
1. Community advocacy and sensitization to community heads.
2. Radio/TV jingles in local languages.
3. Community sensitization for all women, Traditional birth attendants and
health facility staff in the communities to create awareness on the free
clean birth kits.
4. Distribution of kits to facilities and 1day orientation for health facility staff
on the use and storage of the kits.
5. Collection of monthly reports on number of women who utilizes the kits
including their contact for verification.
6. Monthly supportive supervision on the project.
7. Quarterly supportive supervision to monitor the effectiveness and
challenges on the project.
8. Training of Midwives and community volunteers.
THE BUDGET
Budget TFCH PREGNANT MOTHERS & NEWBORN KITS
DONATION
ITEMS
NO.OF
ITEMS
Ten Maternity Pads
10,000
Chloehexidine
Misoprostol
2 cord clamps
FREQUENC
Y
1
1
10,000
10,000
1
UNIT COST
1.47319
1.17855
0.883913
0.530348
TOTAL
USD
14,731.88
11,785.50
2,946.38
5,303
Sterile Razor blade
Disposable under Sheet
10,000
10,000
1
1
0.294638
0.589275
294.638
5.892.75
Baby Receiving Cloth
10,000
1
0.47142
4.714.20
Cotton Wool/Gauze
10,000
1
0.176783
1.767.83
Long Treated Mosquito Net
10,000
1
883913
Baby Diaper
10,000
1
0.294638
2 pairs of Sterile Gloves
10,000
1
0.589275
Thermometer
Mucos Extractor
10,000
10,000
1
1
2.94638
1.7855
8.839.13
2.946.38
5.892.5
29,463.76
11.785.50
Hand Gloves
10,000
1
0.717855
1.178.55
Solar Clip Cap lights for Delivery at
Night
10,000
Traning of Nurses and Midwives
Grand Total:
10,000
1
15
29.019.15
1
1
498
35,181.82
99,707.46