Nepal

A focus on government engagement

Working in close partnership with the Government of Nepal, partners, and health institutions, we’re focused on building a sustainable, country-context approach towards the use of simulation for quality to strengthen health systems. 

Key achievements 2025:

• Introduced and integrated data-driven, in-situ simulation, digital tools, and quality improvement practices in institutions that reach more than 30,000 births annually. 
• Strengthened emergency care training with the Ministry of Health and Population and the Health Emergency Operations Center using the Emergency Care Learning Lab. 
• Supported Government of Nepal and partners to integrate and advocate for a simulation-based approach in the training and quality improvement programs.
• Partnered with UNICEF, UNFPA, OHW, PMWH, professional organizations to scale up simulation implementation across Nepal, including the Center of Excellence for maternal and newborn simulation in PMWH, Kathmandu. 

Impact in numbers

India

From donorship to ownership: Catalytic partnerships  

We have partnered with several important partners including the Ministry of Health & Family Welfare, WHO, UNFPA, Unicef, Jhpiego, Gates Foundation, the HealthCare Sector Skills Council, as well as several professional organizations, universities, and experts to strengthen pre-service and in-service healthcare education in India. Our work focuses on advancing simulation-based training in maternal, newborn, and basic emergency care. 

Key achievements 2025: 

• Collaborated with the WECAN Network (India’s Acute Care Action Network) and key partners to strengthen Basic Emergency Care. 
• Worked with Jhpiego to enhance midwifery and nursing education through National and State Midwifery Training Institutes in four states. 
• Partnered with UNFPA India to implement components of the Safer Births Bundle of Care in 40 health facilities in Madhya Pradesh. 

Impact in numbers

Nigeria

Adopting and implementing the Safer Births Bundle of Care

Key achievements 2025:  

• In collaboration with the government, SBBC launched in15 facilities in two pilot states, training 13 mentors, 45 facility champions, and 170 health workers. 
• Integrated SBBC into the National Maternal Mortality Reduction Innovation and Initiatives MAMII and the 2026 Annual Operational Plan in 20 states, reinforcing government commitment to sustaining and scaling efforts.  
• Signed a three-year SBBC contract with UNICEF Nigeria to expand implementation to 30 facilities in three additional states. 
• Signed an agreement with the Nursing & Midwifery Council of Nigeria to establish a simulation center, support lab design, create an action plan, and train faculty in simulation, peer learning, and preceptorship across 20 colleges in 11 states. 

Impact in numbers

Ethiopia

Building on foundations

Key achievements 2025:

• Expanded collaboration agreements with partners including the Institute for Healthcare Improvement to implement the Safer Births Bundle of Care and ENC in 150+ facilities over three years. 
• Signed a three-year agreement with SPIRHR to establish a high-quality simulation center, supporting lab design, procurement planning, and faculty development, including training 12 instructors through the SimBegin Level 1 course. 
• Concluded the Saving Little Lives program across 290 facilities, establishing a strong foundation for Ethiopia’s national small and sick newborn care plan. 

Tanzania

A flagship program, expanding in Tanzania and beyond the borders

Key achievements 2025:

• Findings from the first phase of the Safer Births Bundle of Care (SBBC) program, implemented across 30 health facilities in 5 regions in Tanzania showed a remarkable 40% reduction in early newborn deaths and a 75% reduction in maternal deaths. This was a proud moment for all partners and healthcare workers involved in SBBC in Tanzania.
• Work is underway to support the Ministry of Health, Tanzania and Haydom Lutheran Hospital as they scale up the Safer Births program approach in over 210 health facilties in 12 regions across mainland Tanzania. This project, titled Integrated Maternal and Newborn Health Program, is part of planned Beginnings Fund investment in Tanzania.
• A new partnership with Health Improvement Project, Zanzibar (HIPZ) was formalized.The objective of this collaboration is to improve maternal, newborn, and child health in Zanzibar through joint projects focused on capacity building, training, research, quality improvement, and supply of essential innovations.