What is maternal mortality

Every day more than 800 women die because they become pregnant. About 303,000 women’s lives are lost each year due to complications during pregnancy or after giving birth. The worst affected are women living in poverty or in areas affected by a humanitarian crisis.

Need for action

About 60 percent of all maternal mortality takes place in situations of crisis and disaster. For every woman who dies, there are between 20 and 30 women who suffer injuries, infections or suffer from disability.

Maternal mortality is due to women’s generally low status and lack of empowerment. Unequal power structures in society reduce the ability of girls and young women to control their own sexuality and lives.

Every year, 40 million women give birth to children without the help of a present midwife or other caregiver. Of the women who become pregnant in low- and middle-income countries, four out of ten receive no health care at all during pregnancy.

Source: Unicef.se & RFSU

Eezers and the UN Development Goals

Vision

To contribute significantly to reducing maternal mortality in accordance with UN Sustainability Goal 3.1 by:

  • affect root causes in women’s local environment that affect maternal health.
  • affect national health systems and key actors that influence the maternal health situation.

Goal

  1. To develop safe and cost-effective transport solutions for pregnant mothers.
  2. To implement safe transport solutions for pregnant women.
    • Having 3,000 operational equipages (motorcycle ambulances) in sub-Saharan Africa by 2030
    • To carry out 3,000,000 medical transports by 2030.
UN Interim Goal 3.1 - Reduce Maternal Mortality

Eezer's concept of reducing maternal mortality in Africa

Getting from home to a clinic to get qualified help in a cheap and safe way is a major challenge in the African countryside. Many women die because they do not arrive on time.

The Eezer Initiative’s strategy and theory of change to influence the maternal mortality issue is grounded in the “Three Delays Model” (www.maternityworldwide.org). Where the second area “transport” is the primary entrance to the Eezer Initiative. This does not exclude activities in the first and third areas.

The model with “The Three Delays” shows three bottlenecks for the pregnant woman.

  1. The delay in the home of deciding whether to seek care or not (where cultural factors, the man’s decision-making role etc are of great importance)
  2. The delay of treatment when procuring means of transport and the transport itself on bad roads with long distances.
  3. The delay in treatment once the patient has arrived at health centers or hospitals.

The Eezer Initiative’s entry into the maternal mortality issue is the second delay. Where we develop solutions for safe and cheap transport between home and clinic.

Eeezer's new motorcycle ambulance

Motorcycle Ambulances

Our concept is based on the idea of using materials and technology that are available locally. Small cheap motorcycles are now available everywhere in Africa and the materials for towing devices and wagons are often found on the local market. and scale up the concept.

Products and services

  • Ambulance wagon (paired together with motorcycles = equipage)
  • Monitoring systems
  • Training

Development

The development of The EEZER Initiative’s products and services primarily takes place in collaboration between individuals, companies and organisations where each party bears its own costs. In some cases, services can be purchased as part of the development work.

Patent

The designs are not patented and we look forward to other players being inspired to develop their own solutions based on our designs or using our technical concepts.

Production

In the long term, we want to see small production and training centers grow in the various countries near the end users. During 2020, the main production will take place in Nairobi, partly by complete equipage but also by “flat packages” where sections of the equipage are transported to another place for final assembly.

In 2020, we see that some production of “plate packages” can also take place in Sweden for further transport to West Africa.

For Burundi we are working to ship a container from Sweden with all material (including, wheels, shock absorbers etc.) to 50 equipments for final assembly in Bujumbura with end use in Burundi and DR Congo.

Implementation

In the long term, we work for the “market” to run transport operations with state and private players as the engine of the business, where equipages are available to buy in the market. In the short term, other players and financiers need to contribute capital, drive development and open up the market.

During 2020, we work directly with local partners, such as local clinics, organizations and private players. We will also develop partnerships with larger organizations that have the potential to develop and implement the concept on a larger scale.

Data collection and analysis

The tracking and monitoring system that is being developed will be launched and used in sharp mode during 2020. This data collection will form the basis for how we develop the ship’s efficiency and strategic investments. For example, the equipage can be followed during which distances and to which destinations they are used.

Learning – education

As we get operators using the ship in their daily operations, an experience and learning will emerge that is the key to the concept’s long-term efficiency. This knowledge needs to be gathered and disseminated among themselves by meeting purely physically for exchange of experience, but also via social media such as instructional videos on Youtube etc.

Here are also more of the UN Sustainability Goals through EEZER’s work:

UN Interim Goal 3.8
UN Interim Goal 3.2
UN Interim Goal 17-7
UN Interim Goal 17-17

Development Phases

The long-term goal is for all women in the African countryside to be able to go to a clinic to give birth safely and cost-effectively.

Stage 1 – 30 Equipage

The pilot phase where we build 30 equipage and lend to as many different types of organizations as possible to create learning about how the Ekipage works and how the operational business can be developed. The financing is exclusively from Sweden.

Phase 2 – 300 Equipage

The second phase will begin in early 2020. The focus will be on:

  • Develop relationships with local key players.
  • Steady production at several production centers.
  • Expanded distribution and sales.
  • Priority countries are Burundi, Kenya, Somalia, Tanzania, Chad, DR Congo.
  • Continued development work on the ship will be carried out on the basis of safety, comfort and durability.
  • Data collection and analysis on the use of the ambulances will form the basis for the continued strategic development.
  • Funding will mainly be from Sweden.
  • Local financing strategies will be developed and implemented on a small scale.
  • Activities to strengthen local demand will be implemented.

Phase 3 – 3000 equipage

By 2030, 3000 equipages must have been produced and be in regular operation. Independent production and distribution centers will be in place at strategic locations to meet demand.

Phase 4 – 30,000 Equipages

During the fourth phase, “Eezer” will become an accepted concept throughout Sub-Saharan Africa for motorcycle-based medical transports in the same way that Jeep is a concept for four-wheel drive cars. There will be a pronounced demand and supply of equipage will be met by a large number of distributors. Financing will be managed locally.