In Africa, mothers die because there are not enough midwives to take care of them.

Esther Madudu, 32, is an Amref Health Africa-trained midwife employed by the Government of Uganda.  Esther is the face of the Stand Up for African Mothers campaign.  She is a committed, passionate, enthusiastic woman.  Working in a very remote health facility, Esther symbolises midwives who work under conditions such as and worse than hers.  She has been working for almost 12 years starting off at a maternity home in Kumi District, Eastern Uganda before joining Kumi District Hospital.

Esther currently works at Tiriri Health Center IV in Katine District where she has worked for close to four years.  The health centre, located just outside Tiriri trading centre in Katine, is the main facility for seven sub-counties that make up Soroti County.  The health centre is a mini hospital which has 34 beds and sees up to 100 outpatients a day, including referrals.

There are two midwives at the health centre, two clinical officers and two medical doctors.  The midwives duties include prenatal services among them examination of mothers, counselling of HIV-positive mothers, nutritional education, teaching mothers how to prevent the transmission of HIV to their children; maternity services, including delivery; and postnatal care.  Besides all the other duties, the midwives deliver 45 to 50 babies every month.

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