Midwives Saved His Mom's Life -- and Inspired Him to Pursue the Profession

Why It Matters

Closing the midwife shortage could avert millions of maternal and newborn deaths, directly impacting global health targets. The story illustrates how personal experience can drive systemic change in a critical, under‑resourced sector.

Key Takeaways

• Global shortage of nearly 1 million midwives, 47% in Africa.
• Ethiopia increased midwives from ~1,000 (2008) to over 20,000 today.
• Universal midwife coverage could prevent 4 million deaths each year.
• 2025 USAID aid cuts limited maternal drugs, worsening outcomes.
• Male students now make up roughly half of Ethiopia’s midwifery classes.

Pulse Analysis

Midwifery remains a linchpin of maternal and newborn health, yet the profession faces a stark global deficit. A February 2026 analysis estimates the world is short of almost one million qualified midwives, with Africa bearing nearly half of that gap. The Lancet Global Health’s 2020 model predicts that achieving universal midwife coverage could prevent 67% of maternal deaths, 64% of neonatal deaths and 65% of stillbirths—equating to more than four million lives saved annually. These figures highlight the cost of inaction and the potential payoff of scaling the workforce.

Ethiopia exemplifies both progress and persisting challenges. From just over 1,000 midwives in 2008, the country now fields more than 20,000, a surge driven by government initiatives and international support. The increase has translated into fewer maternal complications in urban hospitals, yet rural regions—home to over 80% of the population—still struggle with access. Notably, gender stereotypes are eroding; today roughly half of midwifery students are male, expanding the talent pool and reshaping cultural expectations.

Policy and funding remain decisive factors. The 2025 reduction in U.S. foreign aid, particularly cuts to USAID programs, stripped away essential supplies such as Rh‑immune globulin, jeopardizing outcomes for mothers and infants. Advocates like Tamru are mobilizing grassroots campaigns to raise awareness and attract new entrants, aligning with the International Day of the Midwife’s 2026 theme, “one million more.” Sustained investment, incentives for rural placement, and cross‑sector collaboration are essential to bridge the shortage and meet global health goals.