
From guest blogger: Sue Jacob, Student Services Advisor for Royal College of MIdwives, UK.
AS the festive season approaches, a celebration linked to a particular
birth at Christmas, midwives throughout the world will support women during the
births of their babies. Whilst many mothers and babies survive childbirth,
approximately 350,000 mothers die each year.
The slow progress to meet MDGs 4 and 5, leading to the needless deaths
of mothers and babies continues to be a cause for concern throughout the global
health care community and political arenas (1,2). Stakeholders, professional
associations, NGOs and civil society continue to invest considerable sums of
money and are actively engaged in developing strategies to reduce this
appalling loss of lives.
Sub-Saharan Africa and Asia carry the highest burden of global
maternal, neonatal and child deaths. Scratch below the surface in these regions and
you find midwives are too few, and poor in quality. I have seen this for myself
in my role as Student services advisor, supporting the Royal College of Midwives
(RCM)’ international work, and as lead for RCM’s Global Midwifery Twinning
project. In my experience there are gaps in scope of the midwifery practice, there
is no national mapping of midwife requirements, there is inadequate preparation
of midwife educators to prepare and support future generations of midwives AND
finally there is minimal supervision and accountability in clinical practice.