HelpMum is training traditional birth attendants to mitigate maternal mortality

The Anambra state government’s Antenatal and Delivery Program mandates government-owned hospitals and Primary Healthcare Centers (PHCs) to offer free antenatal care and delivery services, to close the gap in care and curb maternal mortality rates. The program has helped strengthen the maternal care capacity at 329 PHCs throughout the state and has served over 60,000 women.

With its focus on research and the launch of the Safer Baby Bundle, Australia is ahead of the curve in preventing stillbirths. The Safer Baby Bundle includes evidence-based practices to prevent stillbirths including helping pregnant patients quit smoking, regularly monitoring fetal growth and movement and encouraging safe pregnancy practices like sleeping on one’s side. Since the launch of these strategies, the country sees about six stillbirths a day, whereas the U.S. experiences about 60 stillbirths each day.

The Boresha afya ya mama na mtoto (improve the health of mother and child) program works to reduce maternal and infant mortality rates by connecting mothers with community health volunteers. These volunteers provide important education on topics like antenatal care and also help to increase access to immunization services. When the group formed in 2018, 531 women died during childbirth or pregnancy, but as of 2023, that number has dropped to 344 thanks to the program’s initiatives.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

The Niger State Primary Healthcare Development Agency has recruited 200 midwives, assigning at least one to healthcare facilities across the state, in an effort to address high rates of maternal and infant death during childbirth. There are currently 266 midwives distributed among facilities, helping aid in midwife retention and increase access to care.

The state Ministry of Health in partnership with other local organizations is providing educational, medical outreach for pregnant women to discuss malaria, maternal mortality and the importance of having regular medical checkups, while providing necessary resources to increase their access to care.

Three hospitals throughout Mississippi rank at the top for having the lowest number of C-sections in first-time, full-term pregnancies. The hospitals achieved this by making midwife care a regular part of the birthing experience, despite not having a midwifery certification program in the state.

RestoringVision addresses the global shortage of reading glasses by tackling supply and demand challenges. On the demand side, they partner with local NGOs and governments to provide vision screenings and free initial glasses, particularly for those in regions who either don’t know reading glasses are an option or don’t realize they’re losing their vision. On the supply side, they work to build retail networks and educate employers about productivity benefits, as workers receiving glasses show productivity increases up to 32%.

The Safer Hands Health Initiative (SHI) aims to reduce maternal mortality across the country by educating and empowering birth attendants, healthcare centers and pregnant women to use safe delivery practices. SHI partners with medical boards and area hospitals to provide free training for birth attendants and also provides sterile birthing kits to expectant mothers. So far, SHI has trained over 200 birth attendants and has distributed more than 10,000 birthing kits.

In an effort to combat high rates of maternal mortality and healthcare disparities among pregnant Black women, MLK Community Hospital offers combined care from certified nurse midwives and obstetricians to ensure a safe, healthy birth. Midwifery offers more sensitive and individualized care and is also linked to fewer C-sections and preterm births. At MLK Community Hospital, 14% of its first-time, low-risk births involved a C-section, compared to 23% of such births across the state.