A report released today by UNFPA, the United Nations Population Fund together with the International Confederation of Midwives (ICM), WHO and partners reveals that major deficits in the midwifery workforce occur in 73 countries where these services are most desperately needed. The report recommends new strategies to address these deficits and save millions of lives of women and newborns.
The 73 African, Asian and Latin American countries represented in the “State of the World’s Midwifery 2014: A Universal Pathway – A Woman’s Right to Health” suffer 96% of the global burden of maternal deaths, 91% of stillbirths and 93% of newborn deaths, but have only 42% of the world’s midwives, nurses and doctors. The report urges countries to invest in midwifery education and training to contribute to closing the glaring gaps that exist. Investments in midwifery education and training at agreed international standards can yield – as a study from Bangladesh shows – a 1,600% return on investment.
“Midwives make enormous contributions to the health of mothers and newborns and the well-being of entire communities. Access to quality health care is a basic human right. Greater investment in midwifery is key to making this right a reality for women everywhere,” said Dr. Babatunde Osotimehin, UNFPA Executive Director.
Midwives have a crucial role to play in the achievement of the Millennium Development Goals (MDGs) 4 (decrease child death) and 5 (increase maternal health). When educated to international standards and within a fully functional health system, they can provide about 90% of the essential care to women and newborns and can potentially reduce maternal and newborn deaths by two thirds. Despite a steady decline in maternal deaths in the 73 countries that are covered in the report – dropping yearly by 3% since 1990 – and newborn deaths – decreasing by 1.9% per year since 1990 – there is more these countries need to do to address the severe shortage of midwifery care.
“Midwives are central to midwifery care and the lives of women and newborn babies. The report precedes the Lancet Special Series on Midwifery, which together with the report will provide the evidence to guide all policy-makers in their quest to end preventable maternal and newborn deaths,