Nigeria: A Day in the Life of a Midwife With a Mission to Save Mothers

Hafsat Muhammad Alto is a dedicated midwife in Kura Local Government Area (LGA). She works tirelessly at Gundutse Primary Healthcare (PHC) to provide care for pregnant women. This Level 2 PHC facility is crucial for maternal and child healthcare. However, it is not yet part of the Basic Health Care Provision Fund (BHCPF).

Gundutse PHC serves over 40 patients daily. Many women travel up to 8 kilometers to reach it, often on foot or by motorcycle. Rising food costs and poor antenatal compliance increase maternal risks. Limited health education also affects women in hard-to-reach areas with bad roads.

Hafsat often responds to emergencies. She recalled a recent case: "A woman came in bleeding heavily. We rushed her to the LGA's general hospital. She survived." Unfortunately, not all cases have happy endings.

One woman resisted facility delivery but later arrived at Hafsat's home in distress. Despite Hafsat's efforts and an emergency transfer, both mother and baby died. "We did our best," she said quietly, "but the delay cost their lives."

In addition to emergencies, Hafsat provides family planning services. "Every day, I see about 15 women at home," she shared. They prefer privacy and feel safe discussing their concerns with her.

Sulaiman Salisu Kura, Chair of the Kura Ward Development Committee (WDC), praised Hafsat's work. He said, "Women like Hafsat are invaluable." Their selfless service reflects cultural and religious values.

Despite her dedication, Hafsat faces many challenges. Facilities are understaffed, and maternal anaemia rates are high. The lack of referral systems and limited transport options strain services further. Without BHCPF support, maintaining essential supplies and staff training is difficult.

The Nigeria Health Sector Renewal Plan (2023-2026) prioritizes improved maternal healthcare and community engagement. Hafsat’s work exemplifies this vision but highlights the need for systemic investment.

Policymakers must prioritize including Gundutse PHC in BHCPF funding. They should improve emergency transport systems as well. Investing in training for health workers like Hafsat will enhance healthcare quality.

"Saving mothers shouldn't depend on personal sacrifice," says Hafsat. "We need support to make safe delivery the rule, not the exception."