MAHMAZ
The MAHMAZ project is an impact and process evaluation of maternity homes in Zambia using a cluster-randomized matched-pair design. The project is complementing Government efforts in meeting MDG 5 as well as the Saving Mothers Giving Life (SMGL) project’s work in generating demand for health services, promoting access to care and improving the quality of maternal and newborn health services by addressing the “three delays” which are:
1. Delays in deciding to seek care,
2. Delays in getting to care, and
3. Delays in receiving care upon arriving at the health facility.
The project is designed to address the distance challenge that far too many women face in accessing quality facility-based care. To make it easier for women to access assisted delivery, the project is building 10 maternity homes (referred to locally as Mothers Shelters). These comfortable, safe homes will provide a place where women can stay in the last weeks of pregnancy so they can deliver at a nearby facility capable of performing basic emergency obstetric and newborn care (BEmONC) with trained birth attendants. They also will be within reasonable transfer distance to facilities that can provide comprehensive emergency obstetric and newborn care (CEmONC) in case it is needed. The homes will be equipped and managed in ways that we hope will increase community acceptance and engagement, and assure long-term sustainability.
Maternity Homes Access in Zambia
Funders