Pakistan Initiative for Mothers and Newborns (PAIMAN) Project

PAIMAN's holistic approach to improve maternal and newborn health in its districts ranges from interventions within the community, within the public and private sector, and with district health systems.

The community behavior change communication and mobilization component works to improve family awareness about maternal and newborn health issues.

Its closely-linked second component improves access to and quality of public and private sector health care delivery at the district level by training public and private sector providers in essential and emergency obstetric and newborn care and emphasizing training of a new cadre of community-based midwife.

This long-term solution will increase rates of skilled birth attendance.

PAIMAN also refurbished and re-equipped selected public sector facilities to ensure 24/7 emergency care and has oriented traditional birth attendants (TBAs) with clean delivery techniques and referral mechanisms.

As a cross-cutting intervention, PAIMAN worked on building capacity of district health mangers to plan for and evaluate district-level interventions using data from the revitalized district health information system.