Women in Kasungu and Lilongwe routinely experience abuse and disrespect during maternity care at healthcare facilities, a finding revealed by the White Ribbon Alliance-led respectful maternity care project.Read More
To improve the health care needs of the people of Duma and Mayaki communities, the Niger State Government needs to look into the primary health care centers as this is in line with Government plans to revitalize one PHC in each of the 274 wards in the state. The plan is part of Government commitment to ensure that citizens have access to quality and affordable health care services.Read More
Advocacy efforts by White Ribbon Alliance Pakistan (WRA Pakistan) and other stakeholders has moved the Sindhi Government in Pakistan to consider a 25% budget increase to the health sector with a specific focus on improving nutrition, a key cause of maternal and newborn health complications.Read More
The provision of quality healthcare - maternal and other - is inherently dependent on consistent and affordable access to safe and effective drugs. Shortages in Malawi's antenatal clinics appear to be a major cause of concern for future mothers.Read More
Luseshelo Sinwinga, midwife, Safe Motherhood Coordinator, and Maternal Health Quality Team Leader, recalls an unfortunate but preventable maternal death. The focus is on the overwhelming burden of midwives and how this compromises quality maternal care.Read More
It is not enough to simply to develop resources in a community. It is necessary that the resources are accessible to the people, and participants feel comfortable using them. To ensure that mothers use professional maternity care, it is necessary for midwives, nurses, and doctors practice Respectful Maternity Care. Read more about the status of RMC in Malawi.Read More
Mtondera Munthali describes the positive effects of renovation at the Mzuzu Primary Health Care facility. The effects include privacy for mothers, the ability for male companions for mothers, and better organization fro the nurses.Read More
Luke Chiwala writes about the poor quality of service provided by some midwives in Northern Malawi and how it inhibits mothers from seeking professionally trained midwives and maternity care. This is an example of the importance of RMC.Read More
The working life of a midwife is quite unpredictable. You just never know the kind of complications or the number of deliveries you are going to handle that day. With a shortage of midwives, situations that would be considered ordinary can lead to stress or even death, due to a heavy workload.Read More
What are the consequences of anemia on the health of a fetus? What can happen to a mother in need if a blood transfusion is not done on time? Citizen Journalist Ella Kamanga shares the unfortunate story of one mother and child.Read More
White Ribbon Alliance Malawi's training aimed to equip midwives with knowledge on Respectful Maternity Care (RMC) so that they can be able to avert incidences of disrespect and abuse in maternity care. This will help to improve the usage of skilled birth attendants by all women.Read More
By Patricia Yosiaya, White Ribbon Alliance-Malawi, Citizen Journalist/Midwife
Clinical experience is an important component of midwifery education as it prepares students for their actual future midwifery career. During this time, midwifery students get real hands-on training on how to successfully help a mother to bring forth her bundle(s) of joy. As such, it must be acquired in an ideal environment with appropriate equipment to give students the opportunity to develop competency and confidence.
Because a well-trained, confident midwife plays a key role in reducing maternal and neonatal mortality, the midwifery workforce is critical in improving the performance of the total health system.
The recommended midwife-patient ratio by World Health Organization for developing countries is 1:175. Currently, the midwife-patient ratio for Malawi is 1:1,209. The long-standing shortage of midwives in Malawi has led to an increased intake of students by midwifery institutions now trying to meet the WHO standards and thereby improve maternal and newborn health around the country. This has created a ripple effect in the clinical area: the number of health facilities remains the same and yet these facilities are required to accommodate an increased numbers of students.
A case in point is Balaka District Hospital: it accommodates midwifery students from the colleges of Kamuzu College of Nursing, Malawi College of Health Sciences, Holly Family and St Luke's College with the same objectives to achieve at the end of their clinical allocation.
When the midwifery students arrive, they are a welcome relief to the health workers at the understaffed hospital. "We are there to cover shortages. When we are in the clinical area, they take us as staff, not students. We work for them and sometimes they relax and leave everything to us - we fail to achieve our objectives,” one of the students lamented.
However, another student feels that the qualified midwives do not deliberately allocate their duties to the students purposefully but are just forced to do so because they are understaffed. “They fail to guide the students due to pressure,” this student, who also preferred anonymity, says.
On top of having no guidance from qualified midwives and shouldering their workload, student midwives usually find that they have no resources such as urinary catheters, catheter bags, cotton wool and gauze that aid learning. ''We fail to conduct procedures according to standard operating procedures because of a lack of resources, and we internalize wrong skills and we end up failing examinations, '' a student said.
Midwifery students also feel that their lecturers are not supervising them enough to ensure they have perfectly grasped what they learn during clinical placements. The students also feel that it is unfair for the lecturers to simply shout at them when they make a mistake instead of demonstrating to them how things should be done.
''Lectures are not doing their job to the maximum. We learn on our own. When they come for supervision, they don't stay long, they mostly shout at us when we have made mistakes and they have no time to demonstrate right skills,” another midwifery student said.
While increasing the intake of students in midwifery institutions is a good step for Malawi to take in order to reduce maternal deaths and neonatal mortality, adequate support during clinical placement is extremely important because the lives and safety of patients cannot be exposed to this trial and error method of teaching.
Patricia was trained by White Ribbon Alliance as a citizen journalist. By equipping midwives with the skills and confidence to tell the stories of mothers, citizen journalists shine a light on vital maternal and newborn health issues, and ultimately, improve the health and lives of mothers and babies in their own communities.
In Malawi, partner-accompanied expectant mothers are attended to first in antenatal clinics and do not have to wait their turns in the queue. This is done in order to encourage - and appreciate - the men who are heeding the call by health advocates to actively participate in the affairs of their pregnant spouses.Read More
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