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Improving Access to Maternal Healthcare in West and Central Africa
- Oumar
- Republic of the Congo (DRC), Chad, and Niger
- February 1, 2026
- Start Date: March 9, 2023 End Date: September 20, 2024
Situation
In rural areas of Democratic Republic of the Congo, Chad and Niger, women experiencing obstetric emergencies struggle to access care due to high costs, distance and fragile health systems—contributing to preventable maternal and neonatal deaths.
Assignment
Proportion Global was engaged to help establish sustainable, community-owned mechanisms that anticipate emergency costs and strengthen access to maternal healthcare. The brief required co-designed, locally adaptable solutions grounded in human-centered design.
Approach
Local health teams received HCD training to build capabilities in user-driven inquiry. Supported by Proportion Global, they conducted exploratory research to understand financial barriers, mobility challenges and social dynamics shaping maternal care. Insights across the three countries informed joint ideation sessions where communities and health actors co-created feasible, culturally aligned concepts.
Result
Five solutions emerged: waiting houses near facilities; emergency tricycle transport; a women-run community farm funding maternity care; obstetric-emergency tontines; and community resource centers for education and support. Together, these mechanisms strengthen financial preparedness, improve timely access to care and expand women’s agency in safeguarding maternal health.