MIDWIVES AT MATERNITY AZUR (MAMA)
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Mission Statement
Educate women and empower midwives to increase skilled birth attendance and health facility delivery. Despite enormous progress in reducing the maternal mortality ratio from 687 to 343/100,000 live births between 1990 and 2015, maternal health in Uganda lags behind both national and international targets, and is negatively impacted by marked poverty levels; geographical inaccessibility; lack of transport; and gender inequality. We are a midwifery-centred maternal health charity that aims to reduce maternal and neonatal morbidity and mortality in Hoima and Kikuube districts, by increasing access to skilled birth attendance and health facility delivery. We target the three delays described as contributing to adverse outcomes in pregnancy and childbirth: the woman, and her family’s, decision to seek care; economic and physical accessibility of care; and the quality of the care available once accessed. Our goals • Comprehensive health education of women and their families throughout pregnancy; • Improving physical and economic access to skilled birth attendance and health facility delivery, through the establishment of remote maternity facilities and outreach antenatal clinics, together with the provision of reliable emergency transportation; • Providing safe, high quality maternal healthcare at our facilities, achieved through both formal and bedside clinical education of the midwives, clinical officers, doctors and health support workers, coupled with reliable supply of resources; • Ensuring sustainability of our maternal healthcare services through close collaboration with our Ugandan colleagues. Our values • Place women and their families at the centre of our focus; • Empower and promote the advocacy of the local Ugandan midwives; • Work with our Ugandan colleagues to establish locally run and led sustainable maternal healthcare facilities; • Remunerate local staff and suppliers fairly and in line with local rates, to ensure retention of well trained, committed staff as well as sustainability of our services.
About This Cause
MAMA was established in 2017 in recognition of the central importance of the role of the midwife in providing safe maternity care, and to reduce maternal and perinatal mortality and morbidity in Hoima and Kikuube districts in Western Uganda. We aim to empower and promote the advocacy of Ugandan midwives to improve all aspects of maternal and perinatal health, in particular by promoting skilled birth attendance and health facility delivery. We collaborate with our partners, Azur Health Centre, in Hoima town, supporting a team of Ugandan midwives to provide round-the-clock maternity services at Azur Health Centre and at the rural maternity clinics we have established in the remote villages of Runga and Kyarushesha. Any maternal death is a travesty, and has wide-reaching negative consequences impacting on the health, education and financial stability of her family left behind. We target the United Nations’ Sustainable Development Goal 3.1 to reduce the global maternal mortality ratio to 70 by 2030. Our work seeks to directly reduce maternal mortality, by tackling all three of the critical delays described by Thaddeus, S. et al. (1994) that prevent women accessing timely reproductive healthcare (health education, access to healthcare and quality of care once accessed).