MNCH

Every two minutes, a mother dies during pregnancy or childbirth – and so do nine newborns. Too often these deaths are the result of failing systems: facilities without basics like trained staff, power, or essential medicines.

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How SystemSolving Helps

We help governments remove delivery bottlenecks so high-quality care reaches mothers and newborns when they need it most. By providing real-time visibility at the last mile, we enable leaders to close dangerous gaps in care by providing critical supplies, strengthening skilled birth attendance, and ensuring facilities are safe, clean, and fully equipped.
additional facility births annually

350K

additional facility births annually

In Punjab, Pakistan, public facility birth rates surged from 61% in 2014 to 86% by 2024, adding an additional 350,000 deliveries at 24/7 centres every year by 2018 – a total volume surpassing even the UK’s NHS.

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more safe births in under three years

400K

more safe births in under three years

Health authorities in Sindh, Pakistan, expanded 24/7 maternity facilities and upgraded care, surging facility-based deliveries from 20% to 46% statewide.

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increase in fully equipped maternity facilities

20%

increase in fully equipped maternity facilities

Leaders in Sokoto State, Nigeria, quickly upgraded antenatal care, clinic infrastructure, and essential medicine stocks to secure safer deliveries for mothers.

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Spotlight Impact

Facility births in Punjab, Pakistan, surged from 61% in 2014 to 86% by 2024 – surpassing the UK’s NHS in volume with +350,000 annual deliveries at 24/7 centres. Post-2018, full government ownership improved these safe birth outcomes, contributing to a 38 point drop in neonatal mortality.
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Our Insights

How Zamfara overcame the odds to boost child immunisation
How Zamfara overcame the odds to boost child immunisation

September 30, 2026

3 min read

Delivering vaccines in Nigeria’s Zamfara State means racing against both time and terrain. When seasonal rains turn dirt roads into rivers, or securit…

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Facing the uncomfortable truth for mothers in Nigeria
Facing the uncomfortable truth for mothers in Nigeria

April 9, 2026

3 min read

In late 2025, a senior health official in Sokoto was shown a series of photos from a local health clinic. He saw a rusted delivery bed and a room with…

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How Sindh turned urgency into better maternal care
How Sindh turned urgency into better maternal care

November 24, 2025

4 min read

When we began working with the Government of Sindh on maternal and newborn health, the challenges were daunting – overstretched facilities, unreliable…

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Punjab’s health revolution: how simple fixes saved thousands of lives
Punjab’s health revolution: how simple fixes saved thousands of lives

November 13, 2025

4 min read

When we began work in Punjab, Pakistan in 2014, one in eleven children died before their fifth birthday – far worse than in Punjab, India, where focus…

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Turning AI into action for women’s and children’s health
Turning AI into action for women’s and children’s health

October 17, 2025

4 min read

Every day across Africa, women and children die from causes we already know how to prevent. The real challenge is not lack of innovation, but connecti…

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Doing big things, fast: how scaling with urgency drives breakthroughs
Doing big things, fast: how scaling with urgency drives breakthroughs

July 18, 2025

3 min read

In March 2020, the world locked down overnight. No pilots. No randomised controlled trials. Just bold action in the face of uncertainty. Because the s…

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Too much data, too little insight: what governments need to improve health outcomes
Too much data, too little insight: what governments need to improve health outcomes

June 26, 2025

4 min read

In 2022, Dr. Azra Pechuho, Minister of Health in Sindh, Pakistan, reviewed data suggesting maternal health facilities across the province were functio…

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Building political commitment to deliver, sustain and scale change
Building political commitment to deliver, sustain and scale change

June 6, 2025

4 min read

Adversity doesn’t stop leaders. It reveals them. When systems are strained and budgets tight, political commitment makes the difference between well-i…

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Improving labour services in low- and middle-income countries
Improving labour services in low- and middle-income countries

August 19, 2024

2 min read

Labour services have not always been up to the standards needed for expectant mothers, but significant improvements are being made in low- and middle-…

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WHAT WE DO

Our Work

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

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