REPORTS

2016 Annual Report

Saving Mothers, Giving Life Annual Report reveals further declines in maternal mortality within target districts.

The latest Saving Mothers, Giving Life report shows declines in maternal mortality by 55% in target facilities in Zambia and 44% in target facilities in Uganda. Furthermore, Uganda has seen a 44% reduction in mothers dying across target districts, which means SMGL is not just reaching women who make it to the facility but improving the health of mothers across the community.

The 2016 Saving Mothers, Giving Life Annual Report highlights our ongoing activities, key achievements, and new developments, including:

  • Increasing the number of women delivering in health facilities in Zambia by 38%, and decreasing combined stillbirths and newborn deaths in the facility by an astounding 44%;
  • Increasing the number of infants who receive HIV prophylaxis by 97% in target districts in Uganda;
  • Expanding home visiting programs to reach more women and newborns during the critical first few days of life and broadening training and mentoring programs on sick newborn care to ensure all providers are equipped to save lives

As our efforts in Uganda and Zambia continue to showcase the success of the SMGL approach, the recent launch of our program in Cross River State, Nigeria will allow us to scale up our comprehensive public-private model and ensure that we save more women's and newborns' lives.

To learn more, read the report.


Mid-Initiative Report

Saving Mothers, Giving Life’s Mid-Initiative Report showcases sharp declines in maternal mortality in target districts.

Since 2012, the maternal mortality ratio has declined by 45% in target facilities in Uganda and 53% in target facilities in Zambia. The mid-initiative report highlights the activities that have helped contribute to these gains, including:

  • Nearly doubling the number of women delivering in health facilities in Zambia, and increasing rates of Caesarean sections in target districts by 32%;
  • Enhancing women’s access to Emergency Obstetric and Newborn Care by 30% in Ugandan districts;
  • Strengthening transportation and communications networks among communities and facilities, in addition to strengthening the supply chain for life-saving medicines and commodities; and
  • Expanding testing and treatment for HIV/AIDS for women and their newborns by in both Uganda and Zambia

The results in Uganda and Zambia have confirmed that we can save more women in low-resource settings with a comprehensive public-private model. Saving Mothers, Giving Life is now building on its success in both countries, and expanding the program to Cross River State in Nigeria.

To learn more, read the Mid-Initiative Report.


2013 Annual Report

Saving Mothers' first Annual Report, Making Pregnancy and Childbirth Safer in Uganda and Zambia, demonstrates rapid progress towards reducing maternal mortality ratios in eight pilot districts.

In Uganda districts, the maternal mortality ratio has declined by 30%, while in facilities in Zambia, the maternal mortality ratio has decreased by 35%. The Report showcases the activities that have helped contribute to these gains, including:

  • Increasing the number of women delivering in health facilities by 62% and 35% in Uganda and Zambia, respectively
  • Enhancing women's access to Emergency Obstetric and Newborn Care, by hiring and training skilled birth attendants;
  • Strengthening transportation and communications networks among communities and facilities, in addition to strengthening the supply chain for life-saving medicines and commodities; and
  • Expanding testing and treatment for HIV/AIDS for women and their newborns.

Saving Mothers, Giving Life is working hand-in-hand with the Ugandan and Zambian governments to implement Phase 2 with a long-term goal of national scale-up.

Read the Annual Report.


Please note: The SMGL Annual Report has been updated since its original release on January 9, 2014. The original report indicated that the pre-discharge institutional neonatal mortality rate (NMR) increased significantly in Uganda during SMGL Phase 1. Further investigation found and corrected erroneously recorded data in one facility, leading to a downward revision of the endline NMR and PMR in Uganda.

Phase 2 Launch Report

In the summer of 2014, Saving Mothers, Giving Life announced its plans to expand the initiative into new districts of Uganda and Zambia and increase its attention on newborns.

As the Phase 2 Launch Report highlights, the initiative is building on its impressive results in Phase 1 by enhancing its programming in a range of areas. It is:

  • Expanding its package of interventions to reduce newborn mortality
  • Strengthening public health surveillance
  • Streamlining implementation among local partners
  • Prioritizing client satisfaction as a key measure of quality care
  • Bringing on new partners and donors
  • Increasing its reach in both priority countries, expanding to six new districts in Uganda and 12 new districts in Zambia

Saving Mothers, Giving Life is working hand-in-hand with the Ugandan and Zambian governments to implement Phase 2 with a long-term goal of national scale-up.

To learn more about Phase 2, read the Phase 2 Launch Report.


September 2013

Health Facility Assessments carried out over the past year demonstrate the impact Saving Mothers, Giving Life programs are having in Uganda and Zambia.

  • More women are now delivering in health facilities, which are now equipped to provide essential delivery and emergency obstetric services.
  • Hundreds of health care providers have received new skills training, empowering them to deliver high quality maternal health care.

Read the full report.


May 2013

In its first year, Saving Mothers, Giving Life has made excellent progress in the effort to reduce maternal mortality. Across eight districts in Uganda and Zambia, Saving Mothers has trained hundreds of health workers, upgraded health facilities and encouraged more women to give birth in safe facilities. Highlights of our newest program update include:

  • Columbia University's first external evaluation, which identifies Saving Mothers' key strengths and provides recommendations that will be used to inform the program's Phase 2 scale-up and expansion
  • Baseline and mid-term evaluation results from the Centers for Disease Control and Prevention (CDC), which indicate that progress in health facilities and communities is having a positive impact on maternal health outcomes

Read the full report.


March 2013

Early reports indicate that Saving Mothers, Giving Life’s set of interventions are making an impact in select districts in Uganda and Zambia:

  • The number of pregnant women delivering in facilities has increased by nearly 50% in the targeted districts in both Uganda and Zambia.
  • The percentage of pregnant women who had their fourth antenatal care visit has doubled in Ugandan target districts since Saving Mothers, Giving Life’s launch.
  • All of the facilities in targeted districts in Uganda providing Caesarean sections are now able to provide safe blood for women that are hemorrhaging.
  • Over 300 new doctors, nurses, midwives, and technical officers have been added to the health workforce in both Uganda and Zambia, providing both basic and comprehensive emergency obstetric as well as HIV care.

Read the full report.

USAID and
Futures Group

Findings of Expenditure Studies in Uganda and Zambia for the Saving Mothers, Giving Life partnership: Executive Summary.

Columbia University Evaluation: Uganda Brief

Columbia University Evaluation: Zambia Brief

External Evaluation
Interim Report

External Evaluation
Final Report

Maternal Mortality

Maternal and Perinatal Outcomes in Health Facilities

Emergency Obstetric and Newborn Care Access and Availability

Monitoring and Evaluation Overview

Saving Mothers, Giving Life and the University of Zambia School of Medicine: Zambia Ethnographic Appraisal of Maternal Health Seeking Behavior: Executive Summary

Centers for Disease Control and Prevention — Saving Mothers, Giving Life Monitoring and Evaluation Report: Executive Summary

Saving Mothers, Giving Life: Uganda, Phase 1 Dissemination Report