A group of organizations focused on improving maternal and child health has urged the federal government to swiftly implement and broaden the reach of the E-MOTIVE strategy across the country. They highlight its promise in reducing maternal mortality rates, with a particular focus on preventing postpartum hemorrhage (PPH) cases.
The AIM-MNCNH consortium, spearheaded by ACEPHAP in partnership with MWAN, Pathfinder International Nigeria, and CCSI, stated that implementing these innovations is crucial if Nigeria aims to enhance maternal and neonatal health outcomes effectively.
They emphasized the alarming impact of maternal deaths in Nigeria, where more than 1,000 women perish for every 100,000 live births, postpartum hemorrhage being the primary culprit.
They pointed out that PPH is both preventable and treatable, which makes the implementation of effective response strategies such as E-MOTIVE all the more critical.
During the observance of the International Day of the Midwife on Tuesday, the consortium raised an appeal highlighting that numerous midwives provide care under difficult and inadequately supported circumstances, especially within remote and challenging-to-access areas.
The theme for this year’s campaign, ‘Midwives: Vital in Each Maternal Emergency – First responders Battling Postpartum Bleeding’, was selected to highlight Nigeria’s urgent requirement to tackle maternal mortality and underscore the critical part played by midwives as key life-saving professionals.
The organization stated, “In under-resourced regions, midwives frequently serve as the sole trained professionals during delivery. They remain awake throughout the night supporting women in labor, adjust when medical systems falter, and rescue lives in circumstances no healthcare provider ought to face.”
They highlighted the efficacy of the E-MOTIVE strategy, which is an evidence-backed, World Health Organization-approved method shown to decrease severe postpartum hemorrhage by as much as 60 percent. This underscores its importance in their ongoing advocacy initiatives.
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The team clarified that the clinical care package includes prompt detection of hemorrhage, uterine massage, provision of oxytocin medications, use of tranexamic acid to reduce heavy bleeding, delivery of intravenous fluids to sustain circulatory function, along with comprehensive assessment and immediate intervention during adverse events.
The group recommended that the Federal Ministry of Health along with the National Primary Health Care Development Agency (NPHCDA) implement this approach across all maternal health centers and expand its rollout countrywide.
They additionally emphasized the importance of increased funding for midwifery, encompassing pelatihan programs, equitable distribution, reasonable compensation, and opportunities for professional growth that allow midwives to excel and take leadership roles within healthcare systems.
Dr. Amina Aminu Dorayi, the Senior Country Director for Pathfinder International Nigeria, emphasized that midwives serve as more than healthcare providers; they act as essential supports for life. “It’s impossible to honor them adequately without providing the necessary resources, safeguards, and backing so they can perform their roles effectively,” she stated.
Reiterating this point, MWAN National President, Professor Rosemary Ogu, emphasized the significance of expanding the E-MOTIVE program and providing midwives with the essential resources needed to carry out their duties efficiently. “It’s crucial that we all take on the role of advocates for improving maternal healthcare,” she stated emphatically.
The organization similarly urged contributors and developmental allies to back localized, expandable innovations aimed at enhancing maternal health outcomes and bolstering supply chains for crucial equipment utilized in the E-MOTIVE method.
It was recommended that communities select competent birth attendants and promptly seek medical assistance during delivery, whereas families were counseled to identify warning indicators and assist healthcare providers in their regions.
The media was additionally tasked with increasing public consciousness and holding institutions responsible by bringing attention to midwives’ experiences and concerns related to maternal healthcare.
Babafunke Fagbemi, Executive Director of CCSI, noted, “Midwives aren’t asking for praise. They are asking for tools, policy backing, and protection. With collective action, 2025 could mark a turning point in Nigeria’s fight against preventable maternal deaths.”
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