Saturday, 11 April 2020

Midwives : health heroes for women, adolescent girls and newborns



Midwives : health heroes for women, adolescent girls and newborns
5 May 2016
International Day of the Midwife 2016
Statement by Dr. Babatunde Osotimehin, Executive Director, UNFPA, The United Nations Population Fund
5 May 2016
On this International Day of the Midwife, UNFPA, the United Nations Population Fund, salutes the contribution of midwives to saving the lives of women, adolescent girls and newborns, sometimes under very difficult circumstances, in hard-to-reach communities, in humanitarian emergencies, and in fragile and conflict-torn countries.
Well-trained and supported midwives working in communities are uniquely positioned to provide the compassionate, respectful and culturally sensitive care a woman needs during pregnancy and childbirth. Midwifery is equally important for newborns during the critical first month of life, and is a significant contribution to sexual and reproductive health in general.
Midwives are, therefore, essential to achieving the Sustainable Development Goals. In the past 25 years, the world has almost halved maternal deaths, but every year, some 300,000 women still die during pregnancy and childbirth, and almost 3 million babies do not survive their first four weeks of life. A vast majority of these largely preventable deaths take place in developing and crisis-affected countries. If deployed in larger numbers, trained midwives could avert approximately two thirds of these deaths. Significant investments in midwifery are essential if the world is to achieve its ambitious goals of reducing maternal and newborn deaths.
UNFPA is helping train and support thousands of midwives in more than 100 countries. A recent survey estimated that in 57 of these countries, UNFPA has trained 66,000 midwives over the past seven years. These critical health-care providers can help more than 11 million women to give birth safely each year, but much more needs to be done.
On this International Day of the Midwife, we at UNFPA renew our commitment to working with global partners and countries to strengthen midwifery skills and capacities. We call on countries to acclaim and reward midwives who are working in challenging and hard-to-reach areas, where their services are most needed. We also urge countries to invest in quality training, good working conditions, decent salaries, adequate workforce policies and possibilities for professional growth.
Midwives are our heroes and the backbone of sexual and reproductive health. Let us support them and the women and newborns at the heart of their care

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Wednesday, 8 April 2020

The World Health Week



 As the world celebrates the World Health Week, the Midwife in Action's Association

 (MAA Vyara Uheke) in Burundi  takes this opportunity to send heart felt THANK YOU message to every nurse and midwife in Burundi. During this time where the whole globe is fighting to combat the spread of the deadly Covid-19 pandemic, nurses and midwives are on the forefront of response. They are playing a critical role in keeping the world and nations healthy by rendering respectful and quality care and treatment. Covid-19 is sweeping the world, but women are still pregnant and babies are still being born. The effect of Covid-19 in our fragile healthcare system and working conditions especially for midwives is worrisome.

While we are celebrating the wonderful work you have demonstrated, we emphasise and encourage you to continue performing your work with diligence and compassion. The ethical guidelines for health professionals in Burundi as a guiding tool indicates that as professionals, we have a moral obligation duty, which we acquired by being, qualified and licensed as professionals. Moreover, as professionals working in specific institutions or settings, we have the acquired duties specific to our particular institutionalised role or position. These duties are further circumscribed in our employment contracts, job descriptions, conventional expectations and similar guidelines. 

The Labour Act of Burundi stipulates that every employer or person in charge of premises where employees are employed must, without charge to the employees provide employees with adequate personal protective clothing and equipment if reasonably necessary; provide employees with the necessary information and training to work safely and without a risk to their health. This should be the time where we call on the government and the Ministry of Health  to ensure that our nurses and midwives have access to Personal Protective Equipment  at all times. We are also urging all private health care facilities to ensure that the frontline responders have access to Personal Protective Equipment . It is important that nurses and midwives are given proper training on how to effectively and efficiently make use of the Personal Protective Equipment
This vicious virus causes fear and anxiety among nurses and midwives. Listen to the words of advice from our Lead Midwife Advisor at the International Confederation of Midwives, Ann Yates, “nurses and midwives, take no chance with Personal Protective Equipment, take your time and plan carefully how you put on and how you remove your Personal Protective Equipment. Mistakes of donning and doffing could be costly! Our message to the general public is simple, stay home and protect us to save lives!
As the Midwifery Association in Burundi, we assure you that we are with you during this catastrophic times. We will continue to support you behind scenes and are ready to step in where necessary. Above all, we thank you for your continuous dedication to the professions. We salute each and every nurse or midwife who will be bidding friends and families goodbye to spend their days and nights in the health facilities carrying out their professional duties and remain in isolation thereafter to prevent the possible spread of the virus.
We encourage you to raise your voices if you find the working conditions unfavourable and posing risks to your lives and the lives of those under your care. We would be at your doorsteps to respectfully advocate for all of you, to seek to redress and engage in conversations with the relevant authorities and assist you all in every possible way.
Continue excelling, leading and innovating by doing more with the limited resources you have at your disposal. 
To conclude, we are hoping that the government of the Republic of Burundi will finally realise the importance to invest in Nurses and Midwives. We leave you with the wise words of an Aristotle “where the needs of the world and your talents cross, there lies your vocation”! Happy World Health Week….!

                                               HARUSHIMANA Augustin   M.A.A Legal Representative 

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Friday, 27 March 2020

MIDWIFE IN ACTION'S ASSOCIATION IN IDM 2019

"Midwives: Defenders of Women's Rights"


Burundi celebrated Friday, May 17, 2019, the International Day of the Midwife, 2019 edition under the theme: "Midwives: defenders of women's rights".
The Assistant to the UNFPA Representative in Burundi paid tribute to the midwives for the work already done to reduce maternal, newborn and child mortality.
He stressed that the insufficiency and poor distribution of practitioners in matters of health and reproduction constitute a bottleneck to set up quality services, one of the axes of the Sustainable development goals.
The Permanent Secretary at the Ministry of Public Health and the Fight against AIDS Jean Baptiste Nzorironkankuze said that despite the efforts made by the Government such as free health care for pregnant women and children under 5 years, the establishment of referral hospitals and supervision of midwives, the maternal and infant mortality rate remains high in Burundi compared to Africa and the World.
Dr. Juma Ndereye, Director of the National Reproductive Health Program in his presentation, indicated that the midwives contribute to the reduction of maternal and infant mortality in the health care structures especially that the number of gynecologists is very reduced in Burundi because 'there are only 24 gynecologists and 24 pediatricians present in the country where even almost all of them are in Bujumbura.
He noted that midwifery graduates totaled 1,319 in 2019, but only 192 have jobs in care structures or in NGOs. On behalf of the Association of Midwives, Dr Juma ndereye is asking the government to hire them, because he says only 15% work in care structures or NGOs.

The President of the Association of Midwives of Burundi Mrs. Nkanira Bernadette stressed that all these problems encountered by midwives are linked to the lack of a regulatory and regulatory framework specific to the profession of midwives (order of midwives of Burundi )
The other problem is related to the lack of equipment and medicines because, according to Ms. Nkanira Bernadette, the knowledge necessary for the exercise of their profession is sufficient to contribute to the reduction of maternal and infant mortality. there is a Young Midwives Association which has been created `` The Midwife in Action's Association (MAA Vyara Uheke) '' ( https://web.facebook.com/MAABURUNDI )  to contribute to the remarkable reduction of maternal mortality. starting with community health by equipping families with the knowledge to reach maternity with all the information necessary to eradicate all preventable maternal-fetal mortality
Regarding the question of why the maternal and infant mortality rate remains high in Burundi, Dr. Juma Ndereye clarified that it is due to hemorrhage, infection and hypertension.
He asked each pregnant woman to approach the health facilities because when these diseases occur there are medicines and qualified personnel to solve this problem.
Augustin HARUSHIMANA,Burundian Midwife