Oxfam Scotland call for action on maternal mortality

10 March 2008

The peril of giving birth: over half a million women die each year

Nurse Melifa Mphasa, age 43, listens to the pregnant belly of patient Modeste in the labour ward at Bwalia Bottom Hospital in Lilongwe, Malawi. credit: Abbie Traylor SmithAs the world marked International Women's Day Oxfam Scotland highlighted the shocking conditions for millions of women giving birth. The agency also called for G8 Governments to increase the amount and quality of the aid they provide to poverty reduction, including meeting the promises they made at Gleneagles in 2005. The call comes further to a House of Commons International Development Committee report that recommended addressing the huge shortage of midwives worldwide and increasing the availability of emergency obstetric care to all women.

In sub-Saharan Africa women still face a one in sixteen chance of dying in pregnancy or childbirth during their lifetime. Niger, one of the poorest countries in Africa, is the most dangerous place to give birth with women facing an astonishing one in seven chance of dying.

Every year over half a million women in developing countries die from complications in pregnancy or childbirth, most of them needlessly. In 2000 world leaders committed to reducing maternal mortality by three quarters as part of the eight "Millennium Development Goals" to end extreme poverty. Eight years on, Oxfam argues, there is no evidence that this rate is declining.

Oxfam Scotland Campaigns Manager, Eilidh Whiteford, commented: " It is unacceptable that in this day-and-age, so many women in poor countries are still dying in pregnancy and childbirth. Leaders must address this urgently. It is crucial that they live up to their promises, and give the support and money needed to improve health systems and to save millions of women's lives."

The aid agency is calling on rich countries to increase the amount and the quality of aid they provide to poverty reduction. In 2005 at Gleneagles, the G8 promised to increase overall annual aid levels by $50 billion by 2010. Oxfam has shown that on current trends, the G8 is likely to miss the target by a staggering $30 billion. The agency calls on the richest countries to live up to their promises when they next meet in July in Japan.

Specifically, Oxfam says that more funding is needed for health, a sector where there is still a shortage of more than 4 million doctors and nurses. This includes hundreds of thousands of midwives who could save thousands of women's lives every day.

Oxfam points to the fact that these midwives are key to reducing the number of maternal deaths. Niger, the country with the highest maternal mortality rate in the world, has just one midwife for every 33,500 people. By comparison, Sri Lanka has one midwife for every 1800 people, and also has one of the lowest maternal mortality rates in the developing world.

Eilidh Whiteford continued, saying: " The evidence shows that a strong health system that is accessible to everyone, including the poorest, is what is needed to reduce maternal mortality. It's time to see rich countries put their money on the table, and show that they are serious about keeping their promises and saving women's lives.


" In many parts of the world, what ought to be a wondrous event in a woman's life can be equivalent to a death sentence. This is nothing short of an emergency, and we must address it right now."

Oxfam is also calling on Scots to back the campaign for Health & Education For All by going to www.oxfam.org.uk/forall


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