marie-anne’s story

Dakar,  Senegal

« I have been teaching at the National School of Health and Social Development in Dakar for 13 years »

“We are faced with two major problems. On the one hand, the quality of the training because many private schools do not meet the training standards. On the other hand, trained midwives are not hired either by the public service or private institutions. At the national policy level, the budget does not allow the hiring of midwives.

We are facing a total paradox with structures without midwives. And midwives without work.

To change, the government would have to have a policy to recruit midwives and establish them locally. For the areas served, it is necessary to arrive at a pecuniary loyalty system with a distance allowance.

Conditions met mean: quality training, complete technical platform, consideration of socio-cultural factors In some areas, a woman does not have the means to go for treatment, she stays at home because we do not want her pregnancy is discovered, she cannot go to FP because it would be associated with a life of vagrancy… these are very important factors for the care of women and the reduction of mortality.”

©Sophie Garcia / UNICEF



Improving access to competent obstetrical personnel is one of the strengths of the French Muskoka Fund. More than 30,000 health personnel (doctors, nurses, midwives, CHWs) have received support, thanks to the action of the agencies.

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