Strengthening access to and quality of reproductive health services in humanitarian settings


Innovative Training to Help Frontline Health Workers Save Lives


To improve quality of care on the day of childbirth — and thus reduce maternal mortality — Jhpiego, in collaboration with global partners, designed Helping Mothers Survive (HMS), a facility and simulation-based suite of modules, to improve and sustain critical obstetric and newborn care skills of midwives, nurses, doctors and others who provide direct care during pregnancy, labor and delivery. These modules extend the reach of conventional training by targeting those with limited access to regular learning opportunities and by acting as the “booster shot” for those who have received previous trainings.

HMS utilizes the latest evidence in clinical care and learning approaches, which includes a signature “low dose, high frequency” approach to training and practice after training to improve provider confidence and competence to perform life-saving skills. Finalized in 2011, the first module in the series, Bleeding after Birth (BAB), addresses post-partum hemorrhage, the leading cause of maternal mortality globally. This module was reviewed and endorsed by ICM, FIGO, UNFPA, ICN, AAP, and was reviewed by WHO. Continuing with the theme of integrated care, Jhpiego developed the Helping Mothers and Babies Survive Threatened Preterm Birth module, which was completed in 2015.

In responding to requests from around the globe, and with input and collaboration from leading technical experts from ICM, ACNM, FIGO and ACOG, Jhpiego is in the process of developing new modules in expanded content areas, including normal labor and birth as well as complicated labor and birth.

For more information, please visit the Helping Mothers Survive website at:

The Helping Mothers Survive Bleeding After Birth Training package is available for download at no cost and in 5 languages at:

If you are using HMS in humanitarian settings, please share your experience with us at

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