Abstract
Midwifery in Africa is faced with a variety of challenges. Our colleagues in many countries must regularly deal with maternal death without being offered professional psychological support. Moreover they are forced to work in non-conductive environments which reduce demand–response capacity. Adaptation of midwifery education to national context and evidence-based procedures is a complex issue that requires multi-faceted interventions. The challenges of belonging to a low status profession include financial hardships as well as disrespect from the population and the other key member of the maternal health care team. The ‘brain drain’ (exodus to western countries) and ill health/death due to HIV/AIDS leaves the continent with a huge deficit of midwives. Last but not least a major part of the community does not have access to skilled maternal health care and midwives do not have sufficient support and medical back up to take on the challenge.
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