QUALITY HEALTHCARE ASSURANCE: THE ESSENCE OF MIDWIVES AT PRIMARY HEALTH CARE SECTOR

Yesterday, Today, and Tomorrow, Maternal and Child health remain a global concern. The importance of women in contribution to the society, economy and safer world cannot be underemphasized. The care of mothers and child through their reproductive means is important.

A midwife is saddled with the responsibilities of ensuring safe deliveries, providing antenatal education, identifying risk during pregnancy, labour and puerperium etc.

A midwife is trained to practice at the Tertiary, Secondary and Primary level of Healthcare Sector in a bid to ensure that there is no distinction of care between urban/rural setting.
Nigeria, categorically has a very poor record regarding maternal and child health outcomes. The burden of the statement above is evident with reports of maternal mortality and morbidity rate in rural settings. The National Primary Heath Care Development Agency ( NPHCDA) established the Midwives Service Scheme(MSS) in 2009 to mobilize midwives to selected Primary Heath Care (PHC) facilities to increase the coverage of skilled birth attendant (SBA), to reduce maternal, newborn and child mortality.

The MSS was established to provide basic essential obstetrics care(BEOC) and progress has been accomplished in the implementation of the MSS initiative .

The Primary Heath Care Board (PHCB) is established to provide health care delivery to individuals, families and communities that may not be covered by tertiary health care service due to distance and some other factors. It becomes a reality that the concept of PHCB is to provide health care services to rural populace that could not benefit from higher health care facilities cited in urban area. Consequently, it becomes pertinent and ethical for a midwife to accept and discharge their statutory responsibilities in any health care setting that they may be assigned to achieve Sustainable Development Goal. Competent hands like amiable midwives are needed in all health care settings.

Over the years, there has been reduction in the number of registered midwives employed by the PHCB and deployed to rural areas because of the misconception that “Midwives are not ready to practice in rural settlement” thus leaving the objectives of clientcare to absent Midwives in the primary healthcare centres.

Midwives say NO to this misconception:
– If Midwives could spend service months/year in rural settlements and agree to be deployed to rural areas without absent irregularities, despite little or no remuneration, why can’t Midwives be employed to practice in rural settlement?

OR
-What then, is the essence of the 1 year mandatory service after school?
-What is the essence of deployment for community posting during the course of training? These measures were put in place so as to help midwives gather experiences, easily identify the problems peculiar to rural areas and subsequently provide solutions.
-If midwives are not posted to rural areas, We leave the health of the public to the consequences of quackery and the resulting effect will be a burden of global concern.

Midwives appeal to state and federal monitoring boards to reconsider the safety of women and children by operating with standard guidelines of care delivery.

Midwives need rural deployment to:
-Reduce maternal mortality and morbidity to zero
-Reduce fetal, neonatal, infant and child mortality and morbidity to zero
-Provide adequate family planning services to prevent complications of unwanted pregnancy and deliver comfortable birth spacing methods at each family door step in the rural areas.

Safe Birth assured!…..Right to life!

SIGNED:

Concerned Midwives

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Updated: July 29, 2019 — 5:52 pm

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