New Study Reveals Rising Role of Midwives in Maternal Care Across Africa

A new study has highlighted the growing influence of midwives in maternal care across Africa, with significant implications for the continent's health goals and development strategies. The research, conducted by the African Health Research Institute, underscores how midwives are playing a critical role in reducing maternal and infant mortality rates, particularly in rural and underserved regions.

Midwives at the Heart of Maternal Health

Midwives are increasingly becoming the primary caregivers during pregnancy and childbirth, especially in areas where access to doctors is limited. The study found that in countries like Kenya, Uganda, and Malawi, midwives account for over 70% of all deliveries. This shift is not only improving health outcomes but also aligning with the African Union’s Agenda 2063, which prioritises universal health coverage and improved maternal health.

“Midwives are the backbone of our healthcare system,” said Dr. Amina Njoroge, a senior researcher at the institute. “They provide essential care, educate women on nutrition and hygiene, and identify complications early, which can save lives.” The study also noted that training and supporting midwives can reduce the burden on over-stretched hospitals and clinics.

Challenges in Scaling Up Midwife-Led Care

Despite the success, several challenges remain. Many midwives lack access to proper training, equipment, and safe working conditions. In South Africa, for example, rural areas often face a severe shortage of midwives, leading to higher maternal mortality rates. The study warns that without investment in midwifery education and infrastructure, progress could stall.

“We need to ensure that midwives have the tools and support they need,” said Dr. Njoroge. “This includes better pay, regular training, and improved access to medical supplies.” The report also called for stronger policies to integrate midwives into national health systems, ensuring they are seen as essential healthcare professionals.

How Pais Matters for African Development

The rise of midwives, or "Pais" as they are known in some regions, is a key factor in achieving the Sustainable Development Goals (SDGs), particularly SDG 3, which focuses on good health and well-being. By prioritising midwife-led care, African nations can improve maternal health outcomes, reduce inequality, and foster economic growth through a healthier population.

“When women have access to quality care during pregnancy and childbirth, they are more likely to stay in school, work, and contribute to their communities,” said Professor Mwanaidi Kofi, a public health expert. “This has a ripple effect on development across the continent.”

Looking Ahead: A Call for Investment and Policy Reform

Experts are urging African governments and international partners to invest more in midwifery training and infrastructure. The study recommends increasing the number of midwives by 50% in the next decade and ensuring they are integrated into national health plans. This would not only improve health outcomes but also create jobs and boost economic resilience.

“The time to act is now,” said Dr. Njoroge. “Investing in midwives is an investment in the future of Africa.” As the continent continues to grow, the role of midwives will remain central to achieving sustainable development and improving the lives of millions of women and children.