Join the conversation online: @WellbeingAfrica @ACNMmidwives #Midwives4All #MidwivesMatter

1. ‘The Midwife as a Game Changer’- Why midwives must be at the heart of the post-2015 Sustainable Development Goals Join the conversation online: @WellbeingAfrica @ACNMmidwives #Midwives4All #MidwivesMatter

2. Maternal and Child Mortality – Nigeria and the World (UNICEF – 2015)

3. The Millennium Development Goals (Image courtesy of the UN)

4. Global Reduction in Mortality

5. As a result of the Millennium Development Goals, 17,000 fewer children die each day than in 1990. Yet, this is far short of the targets laid out in the MDGs, with less than one-third of all countries achieving or on track to meet the goals on child health. Maternal mortality is preventable, and yet, approximately 800 women die everyday from pregnancy and childbirth causes. 2015 is a critical year for the future of sustainable development and midwives are key to success of development. http://www.un.org/millenniumgoals/childhealth.shtml

6. The Sustainable Development Goals

7. The Sustainable Development Goals

8. (UN – Sustainable Development) • Sustainable Development Goal 3 – ‘Ensure healthy lives and promote wellbeing for all, at all ages’ • Reduce global mortality ratio to less than 70 per 100,000 live births • End preventable deaths of newborns and children aged under-five

9. Midwives as Game Changers Midwives play a key role in saving the lives of millions of women and newborn infants and providing high-quality care for both. 14% of Nigerian mothers give birth without any assistance A 25% increase in midwife coverage, from current baseline estimates, would lead to a 50% reduction of maternal mortality (Lancet Midwifery Executive Summary 2014) #Midwives4All #MidwivesMatter

10. Midwives as Game Changers – The 5 C’s

11. Visit to the office of the Lesotho Prime Minister with the President and CEO of the ICM and representatives of the Lesotho midwives association, July 2014

12. Training, Recruiting, and Retaining Midwives Only 40% of Nigerian women give birth with a skilled birth attendant present – (Nigeria Demographic and Health Survey, 2013)

13. Access in Rural Areas - WBFA Maternity Referral Centres Reduce infant mortality through enhancing the capacity and services and ensure women in rural areas can easily access antenatal, intrapartum and postnatal care

14. Funding Midwifery Care - WBFA Alaafia Universal Health Coverage Fund

15. Resources - Midwives Mama Kits (Safe Delivery Kits) A critical tool which contains essential items used by midwives to assist in the safe delivery of babies.

17. Patient Data and Records – WBFA Personal Health Record The Personal Health Record is a tool that ensures effective delivery, evaluation and monitoring of sustainable effective public health strategies in maternal newborn and child health. • Features of PHR: • A comprehensive all in one health document for each mother and child from pregnancy until the child is 5 • Stores valuable data for planning and monitoring of healthcare delivery e.g. birth registration • Facilitates access to perinatal care • Supports nutrition, immunization and disease prevention and control initiatives

20. Patient Data and Records - Maternity Notes

21. Midwifery Education – WBFA Partnerships • WBFA forged partnership to work to deliver a ‘skills and drills’ training package for Emergency Obstetric Care and Early Newborn Care in Kwara State (EmONC). • Programmes include: • Service training for 80-100% of midwives, doctors and community health extension workers • Setting up skill labs • Upgrading the capacity • Upgrading the capacity of one skill lab in a pre service midwifery institute

22. “If you want to go fast, go alone. If you want to go far, go together.” Mrs Toyin Ojora Saraki, Global Goodwill Ambassador for Midwives