Human Rights-based Approach to Maternal Health Policy and Implementation: An Analysis of Abiye Safe-Motherhood Policy of Ondo State Nigeria

Abstract

A human rights-based approach that recognizes that women deserve the right to health is critical to achieving equitable reduction of maternal mortality in Nigeria, a country that is the second largest contributor to global maternal mortality. This study evaluated the extent to which the Abiye safe motherhood policy of the Ondo State government of Nigeria incorporated human rights-principles in its formulation and implementation. The study involved interviews and focus group discussions and the OHCHR human rights principles served as the basis for the thematic analysis of data. Findings indicate that the Abiye initiative exemplified the core principles of human rights-based approach to maternal health. Whereas, the initiative showed stronger practice in terms of the principles of participation, empowerment, non-discrimination and international assistance, there was limited indication of adherence to accountability, transparency, and sustainability principles. The Abiye safe motherhood initiative responded to maternal health needs in fairly acceptable and equitable ways; allowing the creation of opportunities and enabling conditions for the fulfillment of the health rights of reproductive-age women. It is recommended that governments at all levels should prioritize incorporating human rights-based standards into new or existing programs in a way that meets the core needs of respect and welfare of every woman in pregnancy and childbirth.