Midwives are trained and equipped to deal with complications during childbirth. This is the norm in the western world but unfortunately does not exist in most rural parts of Africa.
Mothers and their babies are twice likely to die during childbirth because they lack proper equipment and resources.
In 2015, it was estimated that roughly 303,000 women died during pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings, and most could have been prevented. In Sub-saharan Africa, a number of countries halved their levels of maternal Mortality since 1990. Every region has advanced but the rural villages seems to still be unacceptably high.
Almost all maternal deaths can be prevented, as evidenced by the huge disparities found between the richest and the poorest countries.
Quality and acccessibility of medical care are the main determinants of the impact of treatment on maternal survival.
Retention of midwives especially in rural areas, is a major challenge for many African countries. They are often accommodated in the most awful insanitary conditions, with no running water. In a way, these health workers are the warriors on the front-line of health care, battling to ensure that women survive childbirth and that babies are born safely even in the most marginalised areas. Other mothers in the community are relied upon to play the roles of the midwives and nurses to care for a pregnant lady.
Regional efforts to improve midwifery have increased in various countries in Africa but the rural villages seem to be neglected. The few midwives who work there don't get paid salaries and they work and nurse patients in an uncompleted building and with lack of equipment.
Over 50% of African women report that being beaten by their husbands is justified if they either go out without permission, neglect the children, argue back, refuse to have sex.
Sadly this has become an accepted behaviour in Africa as poverty rises.
Women in the rural villages and their local communities need to be educated on the signs of domestic violence and actions to take to seek help.
Breast ironing practice involves ironing a girl's chest with hot objects to delay breasts from growing, so she does not attract male attention.
Mothers and mums to be need to be educated on the risks of carrying these out and encourage the local community and schools to be made part of curriculum.