Midwifery crisis in Africa: the introduction of the human resources information systems

Abstract

Background Each year, 2.7 million newborns die during their first day of life: a number that equals the entire population of Namibia. In the “Year of Nursing and Midwives”, this article highlights the importance of skilled birth attendants: researchers estimate a 56% of maternal, fetal and neonatal deaths reduction in case of midwife assisted delivery. Methods Authors propose an integrative review involving a mapping exercise of the literature. The search included peer reviewed research and discursive literature on variables to assess the capacity of HRH. Results Research shows that steps to recognize and support this working relationship require multipronged approaches to address imminent training, resource and infrastructure deficits, as well as broader health system strengthening. Central Africa Republic, Côte d'Ivoire, Democratic Republic of Congo, Ethiopia, Liberia, Madagascar, Rwanda, Sierra Leone, Uganda and Tanzania all experience a midwife density per 1000 population lower than 1. Improved service provision may be associated with development of supervision systems like the introduction of a human resources information system to help mobilise domestic resources. This review also looks at the level and the relative importance of each revenue. Conclusions Given issues such as shortages and poor retention of human resources for maternal and newborn health service delivery in low resources settings, international organizations should focus on strengthening capacity of midwives at community and facility level as a realistic measure to at least halve maternal and perinatal mortality. Information systems may contribute to the development of national and local policies in the country, which address the human resources needs of the health care system to meet regional and national demands. References World Health Organization. The World Health Report 2006-working together for health. UNFPA, ICM, WHO. The State of the World-s Midwifery (SoWMy) 2014. Key messages Information systems may contribute to the development of national and local policies in the country. international organizations should focus on strengthening capacity of midwives at community and facility level.