“Mama Nafula died in silence.” Not because the clinic was too far. Not because the medicine was out of stock. But because no one was watching. No one was answering. No one was held accountable. This is the hidden truth of maternal, newborn, and child deaths: they’re not just gaps in care, they are gaps in accountability. Behind every lost life is a system that didn’t track, didn’t act, or didn’t listen. But what if we changed that? What if every death triggered a rapid quality review? What if every district posted their newborn survival rates publicly? What if every mother in a rural village had a direct line to report health system failures and leaders were expected to respond? When accountability becomes part of the health system, something powerful happens: 🔹 Mortality drops. 🔹 Data drives decisions. 🔹 Communities reclaim trust. 🔹 Policymakers deliver, not just promise. Accountability is not a buzzword. It’s a lifeline. And it might just be the missing link to achieving SDG 3.1 and 3.2 by 2030. Let’s explore the 5 pillars of accountability in MNCH that work because without them, there’s no equity. And without equity, there’s no ending preventable deaths. #MNCH365 #MaternalHealth #NewbornCare #ChildHealth #HealthSystemsStrengthening #AccountabilityInHealth
Deeply painful. No woman should lose her life while giving life. I agree; accountability is a lifeline. This is a call to action—to each and every person.
Sad reality. What if we become humane in our deeds. Putting ourselves in the shoe of the childbearing woman?
The Public Health MEL Specialist. I help organizations build M&E systems that drive decisions and demonstrate impact. Public Health MEL I Data analyst I Evaluator I Digital Health I Impact story teller.
2wThank you Dr. Cornelia Ochola for this! when we conduct mortality audits, we get to uncover that some deaths could easily have been averted when each part of the system takes accountability.