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Could availing reproductive services alone reduce maternal mortality in Namibia?

I do not think so. One might ask why I do not think that way; the answer is as follows:

Namibia is a country where health care is accessible to all citizens in the public and private sectors, unlike in most parts of Sub-Saharan Africa. Family planning services, antenatal care, postnatal and other reproductive health-related services are easily accessible. Despite that, maternal mortality is claimed to be very high. The fact that those services are available should have aided in reducing maternal mortality, but the figures do not show that.

Therefore, I believe that in addition to the availability of preventative care, we need curative care such as attendance of labour and delivery by skilled health professionals who can identify and manage potential maternal health-related complications such as preeclampsia and antepartum haemorrhage.

Also, the health centre at the village level must be well equipped with an operation room that would enable the health care professional perform a caesarean section and possible hysterectomy.

One might ask who should be the health professional; my answer is the health professional could be a general practitioner, a nurse practitioner or a midwife. Of course, those professionals need to attend a dedicated short course on emergency obstetric care surgical skills. If there is a will, there is a way. I believe it is doable.

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