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Strengthening Women-Led Institutions and Networks in Yemen

Feb 22 2008

The Yemeni Midwives Association (YMA) has established itself – and its nearly 1,000 members – as a key player in supporting the midwife profession and enabling midwives to improve delivery of reproductive health (RH) and family planning (FP) services to reduce high maternal and child mortality and morbidity. The Association is also crucial in changing health outcomes for women by providing them with the health care they want.

Creation of a national midwives association in Yemen gives women an active voice in improving maternal and child health outcomes. Credit: Cheri RassasTo better understand the needs of its members, the YMA surveyed midwives in five governorates and linked survey data to existing health sector geographic information systems. The Association is using this information to analyze gaps in RH and FP services to better target their assistance. It intends to lobby the government for midwife positions in districts without sufficient providers and provide the necessary business skills and tools to effectively deliver RH/FP services in a sustainable manner by operating community-based private practices from the midwives’ homes or other service delivery points such as closed health units.

Yemen has the least favorable health indicators in the Middle East with a maternal mortality rate of 365/100,000 live births, an infant mortality rate of 76/1,000, and a fertility rate of 6.2 children per woman. Combating these indicators is compounded by women’s preference to be seen by a female provider, of which there are very few, especially in rural areas.

Health Systems 20/20 conducted a rapid needs assessment to determine midwife training needs. As a result of the assessment, supervised training workshops are conducted by the Association for midwives in a targeted governorate supported by 20/20 project through a grant agreement between the Association and the project that focused on life-saving procedures during the prenatal period, labor and delivery, and the postpartum period, as well as family planning and counseling. The Association intends to scale-up the training to other governorates as possible.

Read more about Health Systems 20/20 work in Yemen

Source: Health Systems 20/20