Yemen’s fragile healthcare system: Training midwives to improve much-needed care for mothers and children

Yemen’s healthcare system has been devastated by years of civil war and ongoing conflict. The country is facing a major healthcare crisis, with only 50% of health facilities fully functioning, and those that remain open lack qualified health staff, basic medicine, and medical equipment [1]. 

The healthcare system in Yemen was already struggling before the outbreak of the civil war in 2015. However, the conflict has worsened the situation, with hospitals and clinics being targeted and destroyed, and medical supplies and personnel being blocked from entering the country. There are an estimated 24 million people – out of a population of 32 million – who need some form of humanitarian assistance, of which 13 million people are in urgent need of aid [2].

The situation has been further exacerbated by the economic crisis in the country, with many families unable to afford the cost of healthcare and a critical lack of healthcare workers. As a result, many are forced to go without diagnosis or treatment.

Lack of access to healthcare has resulted in serious consequences, with outbreaks of diseases such as cholera and diphtheria. The country has also seen a significant increase in maternal and infant mortality rates [2]. Many women die during pregnancy or delivery due to a lack of adequate health workers.

Training midwives to strengthen maternity care in Yemen

In response, Philips Foundation and Save the Children have combined their efforts to increase access to maternity care in the country. Save the Children has had a presence in Yemen since 1963. The organization runs a comprehensive program to assist Yemeni children (and their parents) in need. 

“Mortality rates of expectant mothers are still too high,” says Pim Kraan, CEO of Save the Children. “This partnership with Philips Foundation helps us provide much-needed medical assistance to community centers in Yemen by providing mobile ultrasound services in the country.”

The project will enable midwives to better assist expectant mothers both at home and in their villages, by equipping nine rural community centers across the country with Philips mobile ultrasound technology and training 17 local midwives.

On average more than a thousand expectant mothers will be reached per month. Given that each clinic currently supports approximately 120 expectant mothers per month, we expect that the nine clinics will be able to scan an additional 13,000 patients within a year.

“The knowledge gained by midwives can have a lasting impression on mother and child care for underserved communities in Yemen,” says Margot Cooijmans, Director of the Philips Foundation. “Each midwife is linked to a chief physician in each of the village’s community centers so that they can continue to learn.”

Mobile ultrasound technology plays a crucial role in improving maternal health by allowing midwives to detect potential complications early and intervene in a timely manner with the support of a trained physician. This enables midwives to take measures to address these problems and increase the likelihood of a healthy birth.

In addition, mobile ultrasound is portable, making them easy to transport to remote areas where access to healthcare is often limited. This means that more women in Yemen will have access to the vital healthcare they need during pregnancy and childbirth, while the training provided by Philips and Save the Children will help to build the capacity of local healthcare facilities.

Philips Foundation and Save the Children

Partnerships like this one play a crucial role in healthcare, as they bring together different organizations and stakeholders to address healthcare challenges and the health of patients. One key benefit of partnerships in healthcare is the ability to leverage the strengths and expertise of different organizations and have a greater impact.

In India, for example, Philips Foundation, Save the Children and local enterprise ZMQ, successfully developed low-cost innovative approaches for the prevention, diagnosis, and management of childhood pneumonia – a disease still accounting for 14% of all deaths of children under five years old [3]. The program helped provide pneumonia care to approximately 110,000 children. The lessons have since been adopted by local authorities to address pneumonia among children in underserved areas.

By working together, Philips Foundation and Save the Children can pool their resources and knowledge to reach more people in need of care and more effectively address health challenges in underserved communities.

[1] WHO (2022). Yemen crisis
[2] UN OCHA (2022). Yemen humanitarian needs overview 2022
[3] WHO (2022). Pneumonia in children