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Midwifery initiative offers hope for MDG #5, encourages legitimacy of caregiving sector

by Jessica Hawkinson, Seminar Program Coordinator Presbyterian United Nations Office


According to a September 2008 UNICEF report, 50 million births in the developing world remain unattended each year—dramatically increasing the risk of both infant and maternal fatalities.(1) With millions of deaths and injuries as a result of inadequate health care for women, the pressure to meet the 5th Millennium Development Goal of Improving Maternal Health is all the more tangible. A few statistics from the recent UNICEF report put the status of maternal health and its accompanying MDG into perspective:

  • Each year, more than half a million women die from pregnancy-related causes and an estimated 10 million experience injuries, infections, disease or disability that can cause lifelong suffering.

  • More than 99 percent of all maternal deaths occur in developing countries, with some 84 percent concentrated in sub-Saharan Africa and South Asia.

  • Huge disparities in maternal care exist between the developing and developed world. In the developing world, the risk of death from complications relating to pregnancy and childbirth over the course of a woman’s lifetime is one in 76, compared with one in 8,000 in the industrialized world. In Niger that risk is estimated to be one in seven.

  • For more statistics, the UNICEF report can be viewed in full

In the midst of such overwhelming statistics, innovative efforts to bring change are being supported by United Nations organizations, as well as non-governmental and faith organizations. One recent initiative seeks to train and give power to local midwives as birth attendants and prenatal health staff. According to a UN news report, the United Nations Population Fund (UNFPA) and the International Confederation of Midwives (ICM) are embarking on a $9-million initiative to train, support, and build networks among midwives in the developing world.(2) Faith-based organizations are also actively engaged in supporting similar programs for improving global maternal health care.


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