Midwives For Haiti works to reduce maternal mortality in Haiti by training skilled birth attendants. They operate four key programs: training 16-20 midwives per year, running mobile prenatal clinics in 21 villages monthly seeing 600 women, supporting midwife salaries at a hospital, and employing matrons for outreach. Their efforts have resulted in 53 graduates working in birth centers and hospitals attending 10,000 births annually. However, Haiti still only has 270 skilled birth attendants of the estimated 5000 needed to properly serve its population. Continued support is needed to scale up midwifery training and coverage of prenatal care and safe deliveries.
10. Why Women Die
Pregnancy related high blood pressure seizures
Eclampsia
Bleeding after delivery – Postpartum hemorrhage
Infection leading to Sepsis
Obstructed labor – Cesarean Deliveries not available
Unsafe Abortion – Spontaneous and Elective
11. Maternal Mortality
Worldwide there are 264,000 maternal deaths each year.
One woman dies in childbirth every 2 minutes
That is the equivalent of 2 jumbo jets crashing each
day
Largely from PREVENTABLE causes
14. What Does It Take to Save the
Lives of Mothers and Babies?
1. Skilled birth attendants
2. Transportation
3. Well-staffed and equipped medical
centers
15. Skilled Birth Attendants
Save Lives
For the 250,000 births/year in Haiti at least 5000
skilled birth attendants are needed
Approximately 100 Obstetricians in Haiti
Less than 100 University trained nurse-midwives
Plus the 71 graduates of the Midwives For Haiti program
270/5000 as of 2014
16. Skilled Birth Attendant
a midwife, physician, obstetrician, nurse, or other health
care professional who provides basic and emergency
health care services to women and their newborns
during pregnancy, childbirth and the postpartum period.
Birth attendants are trained to be present at ("attend")
childbirth, whether the delivery takes place in a health
care institution or at home, to recognize and respond
appropriately to medical complications, and to
implement interventions to help prevent them in the first
place including through prenatal care.[1]
17. Skilled Birth Attendant Vs
Midwife- the Difference
Per ICM a Midwife:
1) Is educated in a program recognized by the country
it is in and that fits the Framework of the ICM Global
Standards for Midwifery Education.
2) Meets Essential Competencies for Basic Midwifery
Practice
3) Practice scope covers pregnancy, labor, birth,
postpartum, prevention and detection of complications
4) Counsels and teaches health to women and
communities
18. Four Programs of
Midwives For Haiti
1. Training Skilled Birth Attendants- 16-20/year
2. Mobile prenatal clinics in 21 villages each
month seeing an average of 600 women/month
3. Support of salaries of midwives at Ste. Therese
Hospital
4. Matron Outreach Program
52. 2014
53 Graduates working in 11 birth centers and 3
hospitals in Haiti
Doing about 60,000 prenatal visits/year
Attending 10,000 births/year
The numbers for some ripple effects are not available:
Family planning, breastfeeding support, prevention and
treatment of diarrhea in infants, empowerment through
education.