Over 4,000 pregnant women in Nigeria have received free caesarean sections under MAMII.
The National Health Insurance programme fully covers these surgeries in designated health facilities nationwide.
Launched in November 2024, the Maternal and Neonatal Mortality Reduction Innovation Initiative targets 172 high-burden LGAs.
Its goal is to cut maternal deaths by 30% and neonatal deaths by 20%.
MAMII implements context-specific solutions addressing governance, accountability, community engagement, and skilled service delivery.
The programme also strengthens financing, performance management, and emergency medical response systems across LGAs.
Since inception, over 400,000 pregnant women have been line-listed for closer health monitoring.
The National Emergency Medical Services and Ambulance System handled 32,711 referrals, significantly improving timely care.
More than 500 health facilities now receive lifesaving maternal, newborn, and child health commodities.
Emergency transport systems have been activated in 12 states, enhancing access to skilled care.
Early data indicate improved antenatal care attendance and increased skilled birth deliveries.
Across 172 LGAs, 435 facilities have been revitalised to enhance maternal and neonatal outcomes.
First ANC visits before 20 weeks reached 729,724 women, while 794,205 completed their fourth visit.
Between Q1 and Q3 of 2025, LGAs recorded 731,559 deliveries, 841 maternal deaths, and 1,245 neonatal deaths.
Health system indicators also show progress, with 52% of LGAs having at least two Level-2 facilities.
Despite gains, gaps remain, including insufficient community health workers and limited emergency transport coverage.
Experts recommend scaling functional BEmONC and CEmONC facilities, strengthening community health systems, and institutionalising MPDSR.
With continued coordination, MAMII can drive sustainable reductions in Nigeria’s maternal and newborn mortality.
