Community-Led Health Systems Reform and Maternal Health Outcomes in Urban Nigeria: An Evaluation

Community-led health systems reform (CLHRSR) initiatives have been implemented in Nigeria to improve maternal health outcomes. A mixed-methods approach including surveys, focus group discussions, and secondary data analysis was employed. Maternal mortality rates decreased by 15% after implementation, with significant improvements noted in antenatal care utilization (72%) and skilled birth attendance (80%). While initial results are promising, further research is needed to understand the sustainability of these changes. Continuation and expansion of CLHRSR initiatives should be prioritised with ongoing evaluation and support from both governmental and non-governmental organizations. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.