Lives of pregnant women and newborns at risk as funding cuts impact midwifery support

But despite their critical role, UN support for midwifery is under serious threat due to severe funding cuts.

Each year, three-quarters of all maternal deaths occur in just 25 countries, the majority of them located in sub-Saharan Africa and South Asia, according to the UN reproductive health agency, UNFPA

Midwives are often the first and only responders delivering life-saving care to pregnant women and their newborns in crisis settings, where the risk of dying during pregnancy or childbirth doubles.

Funding cuts are now forcing UNFPA to scale back its support for midwifery. In eight of the affected countries the agency will only be able to fund 47 per cent of the 3,521 midwives it had intended to support in 2025.

On the frontline

In times of crisis, women often lose critical access to vital maternity services. Coming to the rescue in the direst of circumstances and serving as a lifeline to pregnant women, “midwives save lives,” said Natalia Kanem, Executive Director of UNFPA.

UN support for midwives in humanitarian settings includes training, providing supplies and equipment and in some cases transportation for mobile health clinics. All this is having to be cut back amid the funding cuts. 

When crises strike and systems break down, midwives step up,” said UNFPA, marking International Day of the Midwife.

Funding cuts

Amid a global shortage of nearly one million midwives, rising death rates among women and newborns in conflict zones and fragile contexts are now being reported following budget cuts.

“We’re lacking everything, from blood bags to medicines. With the support of UNFPA and other partners, we can still provide services – but for how long?said Fabrice Bishenge, Director of Kyeshero General Hospital in eastern DR Congo.

Deaths during childbirth in fragile and conflict-affected settings now account for 60 per cent of all maternal deaths globally. Worldwide, deep funding cuts only exacerbate this trend. In Yemen, for instance, over 590,000 women of childbearing age are expected to lose access to a midwife.

© UNICEF/Mukhtar Neikrawa

The waiting room of a maternity hospital in Herat Province, Afghanistan.

New initiative

In light of the current funding crisis, UNFPA and partners recently launched the Global Midwifery Accelerator — a coordinated initiative to scale up midwife-led care in countries with the highest maternal mortality rates.

The initiative sets out a cost-effective roadmap focused on saving lives and strengthening national health systems, even in the most fragile contexts.

Making an urgent call for greater funding, training, and advocacy for midwifery, UNFPA stressed that universal midwife-led health coverage could avert two-thirds of maternal and newborn deaths, reduce healthcare costs, and lead to more productive workforces. 

UN warns of rising deportations of Haitian mothers and newborns from Dominican Republic

According to the UN migration agency, IOM, recent weeks have seen an increase in the deportation of women, including those who are pregnant or breastfeeding, as well as children and newborn babies. 

The agency has emphasised the heightened risks these groups face being returned to Haiti, where access to basic services remains severely limited.

On Tuesday alone, IOM staff at the Belladère border crossing in Haiti received 416 deportees, including 11 pregnant women and 16 women who are still breastfeeding.

Meeting the needs

“While IOM teams are not present during the deportation process itself, their efforts focus on the needs of deportees upon arrival, many of whom arrive in precarious and highly vulnerable conditions, often without any resources,” said UN Spokesperson Stéphane Dujarric, speaking in New York.

He explained that IOM provides immediate humanitarian assistance, including food, water, and hygiene kits, as well as first aid, medical referrals, and psychosocial support.

Special attention is given to maternal health, and temporary places to live are arranged for women who are breastfeeding when necessary, he added.

Worsening conditions

Mr. Dujarric also updated on the situation in Haiti, where rising violence and recent funding cuts are undermining essential services and worsening the humanitarian situation, particularly in the Centre Department.

Escalating violence on the part of armed groups has triggered mass displacement, with more than 51,000 people, over half of them children, fleeing recent attacks. Many are now stranded at makeshift sites or seeking safety in other regions. 

No safety inside hospitals

He noted that the University Hospital of Mirebalais – a major referral facility with about 300 beds – has suspended operations following a wave of insecurity in the area. 

“Armed attacks, a mass prison break and the destruction of public infrastructure forced the hospital to gradually shut down. Before its closure, it served nearly 850 patients each day, including through maternal care and advanced cancer treatment,” he said.

Meanwhile, two other hospitals in the area – St. Therese in Hinche and Albert Schweitzer Hospital in Artibonite – are now coming under increased strain and face critical shortages, including oxygen and emergency medical kits. 

Since the closure of the University Hospital in Mirebalais, they have treated more than 200 patients for gunshot wounds, strokes, suspected cholera and malnutrition. 

“St. Therese alone has received more than 3,500 internally displaced people – tripling its outpatient caseload,” Mr. Dujarric said.

The UN Children’s Fund (UNICEF) and humanitarian partners are working to relieve pressure on the health system in Centre Department.

Mobile clinics are being deployed to reach 30,000 people in host communities and displacement camps, in coordination with the Haitian authorities and the Catholic charity Caritas.

Humanitarians are seeking $908 million to support nearly four million people in Haiti this year. Only six per cent of the funding, $57 million, has been received to date

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