Project 001

Health and reproductive care

Maternal and newborn referral units

This referral unit serves as a vital link for mothers and newborns requiring medical attention during pregnancy and the immediate postpartum period.

HealthNot yet documented1 published document
All project documents
Sector
Health and reproductive care · Maternal care
Status
Proposed project type
Documents
1 published

Project mission

This project aims to provide specialized support for expectant mothers and newborns during the critical period surrounding birth. It is intended to reduce health complications through timely access to clinical care, monitoring, and referral services. By establishing a bridge between home and higher-level medical centers, the project seeks to improve health outcomes and ensure safer deliveries for families in underserved regions.

It provides a clean, safe environment for clinical assessment, monitoring, and stabilization. If a complication is identified, the unit facilitates prompt transport to an advanced medical facility. The project focuses on ensuring that every mother has a reliable pathway to care, reducing the risks associated with childbirth through professional monitoring and coordinated support services.

Draft profile. Written from the project title to describe the intended model, and not yet reconciled with the project strategy document.

Reviewed Nov 14, 2026.

Purpose

The need

Many families face severe challenges in accessing timely medical care during pregnancy, leading to preventable complications. This need arises from a lack of infrastructure that can reliably identify risks and facilitate immediate transfers to specialized care. By focusing on referral and stabilization, this project addresses the dangerous gap between community living and essential emergency obstetric services.

Intended communities

The referral unit is designed to be culturally respectful and accessible to all pregnant individuals, regardless of their location or background. Inclusion is supported through communication in local languages and the provision of a welcoming environment. The design prioritizes ease of access to ensure that transport and care are never hindered.

Objectives

  • Provide consistent clinical monitoring for expectant mothers and infants at risk of complications.
  • Establish a clear and efficient pathway for emergency transfer to advanced hospital facilities.
  • Ensure the availability of essential stabilization equipment and trained personnel.
  • Promote early identification of health issues through regular, accessible prenatal and postnatal assessments.

Services and delivery

Services and components

  • Private clinical rooms for assessment and stabilization.
  • Communication technology for coordinating transfers with regional hospitals.
  • Storage for emergency medications and medical consumables.
  • Dedicated space for the arrival and departure of transport vehicles.
  • Basic diagnostic equipment to monitor maternal and newborn vital signs.

How the project works

Patients visit the unit for routine check-ups or when specific health concerns arise. Trained health workers perform assessments to identify potential risks. If the patient requires specialized care beyond the unit's capacity, the coordination team arranges for secure, timely transport to a hospital. While waiting for or recovering from transport, patients receive stabilizing care in a supportive environment. The model focuses on the continuous monitoring of maternal and infant health during this transition.

Infrastructure and technical requirements

The facility requires a reliable building with private assessment spaces, consistent power for medical equipment, and clean water. Connectivity is critical to maintain constant communication with referral hospitals and dispatch transport. Safety infrastructure includes secure waiting areas and sanitation facilities that meet the specific needs of postpartum women and their infants.

Workforce and training

The workforce includes midwives, nurses, and transport coordinators who are trained in maternal and newborn care. These professionals provide clinical assessment, support, and coordination. The project aims to recruit from within the region, offering training opportunities to enhance the skills of the local health workforce and improve regional health capacity.

Logistics and supply chains

Procurement focuses on maintaining a steady supply of medications, diagnostic kits, and medical consumables. Reliable transport is essential, requiring a fleet or formal partnership that can operate at all hours. Logistics also includes managing a clear inventory of assets and ensuring that all referral pathways are kept functional through regular communication and maintenance.

Operations and maintenance

Operations are managed to ensure 24-hour readiness for referrals and assessments. Daily tasks include tracking the status of every patient, managing communication with referral centers, and maintaining medical equipment. Protocols for patient transport are updated regularly to ensure speed and safety, while administrative staff track performance to ensure the service remains effective.

Implementation

Risks and dependencies

  • Risk of transport delays is addressed by maintaining pre-arranged backup vehicle agreements and clear communication protocols.
  • Risk of clinical errors is mitigated through standardized referral guidelines and regular skills training for all staff.
  • Risk of community mistrust is countered by transparent engagement, respectful care practices, and the involvement of local community leaders.

Community and outcomes

Community participation

Consultation with local community groups and health committees informs the unit's operations. Feedback from mothers and families is actively sought to ensure that the care provided is respectful and effective. This participatory approach helps build trust and encourages early engagement with the referral system throughout the pregnancy journey.

Environmental and social considerations

The project considers the impact of facility operations on the local surroundings, focusing on sustainable waste management and clean energy use. The social environment is prioritized by ensuring that the unit is a safe, dignified space that supports family presence and culturally appropriate care for all patients.

Intended outcomes and measurement

  • Number of successful referrals conducted in a timely manner.
  • Frequency of antenatal and postnatal assessments performed.
  • Percentage of expectant mothers reached through the referral network.
  • Documentation of adherence to standard care and transfer protocols.

Connected projects

Documents

Main project strategyCurrent project strategyCurrent edition

Project 001

A strategic pre-feasibility report that provides a service strategy, cost model, reference designs, and delivery programme for maternal and newborn referral stabilization wings.

Version
1.0
Published
Nov 14, 2026
Language
English
Size
6.6 MB
Pages
86

Questions and answers

Can I visit the referral unit for a routine check-up?

Yes, the unit is intended to serve as a resource for both routine health monitoring and the identification of potential complications. It is a place where you can receive assessments and support throughout your pregnancy, ensuring that you have a plan for a healthy delivery.

What happens if the staff decides I need more advanced care?

If an assessment shows you need specialized services, the unit will coordinate an immediate transfer to a hospital. Our team manages all aspects of the transport process to ensure you arrive safely and that the receiving facility is prepared for your arrival, minimizing any waiting time.

Are family members allowed to stay with me at the unit?

The facility is designed to be a supportive environment where families are welcome. We recognize that the presence of family members is essential for maternal comfort and newborn care. Space is provided to ensure you are supported by those you trust during your stay.

What medical equipment is available at the unit?

The unit is equipped with essential tools for monitoring the health of mothers and babies, including devices for checking vital signs and basic diagnostic tests. These allow our staff to stabilize patients and provide accurate information to hospital partners during the referral process to ensure appropriate care.

Take part in this project

Community organizations, technical specialists, implementation partners, and prospective funding partners can open a conversation about project 001.

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