Our solution builds capacity in the government health system through health education and promotion in the community, mentoring and training of health providers, addressing supply chain bottlenecks of life-saving blood, medicines, and equipment, and sustaining an integrated health data system that supports timely decision making.

Our approach has demonstrated its validity by reducing IMMR by 74% and perinatal mortality by 44% in the two districts between 2015 and 2022. Among the key achievements that have contributed to these impacts, we have raised the percentage of women who deliver their babies in health facilities with professional birth attendants from 42% to 71.4%. In communities served by our Mama Rescue Project, 94.4% of women have access to skilled attendance at delivery, which is the key element to reducing maternal and perinatal mortality.

We have made dramatic improvements in the quality of care at 48 government-funded health facilities, with Case Fatality Rates (CFRs) (the likelihood of a mother dying from a complication) falling 82% from 1.7% in 2015 to 0.3% in 2022. Through our Mama Rescue transportation program, which links women in labor to local motorcycle and automobile taxi drivers through a BAMA-designed mobile phone app, over the past two years we transported 27,000 women in labor from village to HC, and have reduced the time it takes to transfer a woman who develops life-threatening complications in labor from HC to hospital from 31⁄2 hours to 34 minutes (Please click here to watch the Mama Rescue Demonstration video by BAMA staff member Katharina Mueller).

BAMA has established three Neonatal Intensive Care Units (NICUs) at government-funded hospitals, which have achieved a 97% survival rate for the 1,706 sick newborns under our care. Our peer-support parenting groups have improved early childhood development (ECD), maternal mental health, and family planning uptake compared to controls for 1,400 adolescent mothers. We have realized an 84% reduction in incidence of sexual and gender-based violence (SGBV) amongst adolescent mothers.