Welcome to Midwives at Maternity Azur (ΜΑΜΑ)

Educating women and empowering midwives to increase skilled birth attendance and health facility delivery.

MAMA was established in recognition of the central importance of the role of the midwife in providing safe maternity care, and to reduce maternal and perinatal mortality and morbidity in Hoima and Kikuube districts in Western Uganda. We aim to empower and promote the advocacy of Ugandan midwives to improve all aspects of maternal and perinatal health, in particular by promoting skilled birth attendance and health facility delivery. We collaborate with our partners, Azur Health Centre, in Hoima town, supporting a team of Ugandan midwives to provide round-the-clock maternity services at Azur Health Centre and at the rural maternity clinics we have established in the remote villages of Runga and Kyarushesha.

 

Latest News

October 2021: Kyarushesha Building Project Completion

Simon and his team, ably overseen by Sofia and Esau, completed this project on track at the end of May, establishing permanent, purpose-built premises for our UKAid Direct-funded clinic in Kyarushesha. We moved in on 30 May, opening our doors the very next day. Huge thanks are due to The Northwood Charitable Trust, the Kitchen Table Charities Trust; an array of generous private donors; a series of ambitious fundraising activities undertaken by our supporters (Becks, Lucy, Duncan, Claire and Gillian); as well as those who wish to remain anonymous. In the first four months we have seen 1713 mothers for antenatal appointments and 532 people in outpatients; provided 214 people with family planning; delivered 189 babies; and made 98 emergency referrals to hospital. A report on the project completion can be found here

April 2021: Poster for Virtual International Day of the Midwife

The MAMA Trustees, in conjunction with our Ugandan colleagues, are delighted, once again, to have had a poster illustrating our work accepted for Virtual International Day of the Midwife (Wednesday 5th May 2021). This time it describes the work done by our clinic in Kyarushesha, funded by the UKAid Direct Small Charities Challenge Fund. This year’s theme is ‘Birth equity for all’, a vision to which MAMA wholeheartedly subscribes. 

April 2021: MAMA registers with Amazon Smile

MAMA are now registered with Amazon Smile so you can donate to us whilst you shop via this link

February 2021: Funding from the Kitchen Table Charities Trust

MAMA are absolutely delighted to receive the support of the Kitchen Table Charities Trust for a key aspect of our new Maternity Clinic building project in Kyarushesha, Uganda. Their generous grant will pay for pit latrines and wash bays, including one block specifically designed, with their help, to be disabled friendly; incinerator; kitchen; and medical waste/placenta disposal pits. Our own premises will allow us to expand and improve our services, with a larger labour ward; greater privacy for inpatients; an increase in our inpatient beds; and a larger outpatients department. Our current rental costs are a significant proportion of the monthly running cost, so this project aims to secure the clinic’s future sustainability. We truly do run the charity from our kitchen tables, so the relationship with this Trust seems especially fitting, and we want to say a huge thanks to them and all their supporters.

February 2021: Runga Clinic Move

In part due to the impacts of climate change, the waters of Lake Albert are rising, and were threatening to flood the premises we lease for our Runga clinic. Therefore, we made the difficult decision to relocate, and have invested in upgrading a different property further from the lakeshore. The money spent on the necessary improvements will cover the rent for the next five years. Thanks to an incredible amount of hard work from Sofia, Barongo and the rest of the team the move was completed on 17 February 2021, with minimal interruption to our clinic services.

October 2020: Grant from UK Aid Direct Small Charities Challenge Fund

In March 2020, thanks to a generous two-year grant from the UK Aid Direct Small Charities Challenge Fund, MAMA was able to open the doors of the new MAMA Grace Clinic in Kyarushesha, helping to address UN Global Goal 3. This followed on from three years of outreach clinics in the village and a year of work behind the scenes applying to UKAid and setting up the grant, which started in February 2020. Sofia is resident in Hoima for two years as our project manager overseeing the setup, together with our Ugandan partners from Azur. It has proven to be a great success despite both the Covid-19 pandemic and a much larger workload than anticipated. You can read the UKAid press release here.

Providing services to remote areas

Through MAMA, midwives are able to offer numerous services to women including intrapartum care, antenatal, postnatal and neonatal care, HIV and syphilis screening, treatment and counselling and family planning. Find out more in our featured articles below:

Health Projects – Pre-eclampsia

In October our health project addressed pre eclampsia. The project we delivered to 38 health centres across Hoima District and numerous women were educated on the warning signs of PET. Staff were given boxes of emergency medicines and equipment, and some training on how to manage the condition

Maternity Waiting Homes

Waiting homes are for expectant mothers to come and wait to go into labour in a designated area so they can receive care from a skilled birth attendant at delivery. And MAMA is happy to announce the opening of their maternity waiting homes, the first two in Hoima district.

Tonya Health Centre Refurbishment

MAMA helped to improve resourcing and facilities at Tonya’s Health Centre.

Further study for Josephine

MAMA funded Josephine, who was a junior midwife working at Azur and our Runga clinic, to return to school to study for her midwifery diploma. In 2019 Josephine returned to Azur Health Centre and our projects as a senior midwife.

Akiiki

“I am sitting on my sofa with a cup of coffee. I have to write a report about the new Outreach Clinic in Kaboya but I’m not sure where to start….it is not all about figures and statistics. Perhaps we should start from the beginning…”

Kangaroo care

Simple skin-to-skin ‘kangaroo’ care has been proven to improve the outcomes of neonates, especially those born too early, of low birth weight or who are sick.

Ugandan Volunteer Midwives

When a midwife or nurse qualifies and then gets employment, they are expected to work as a ‘volunteer’ for one year to pay back the government for their training. These midwives are only paid 50,000 Ugandan shillings a month (roughly £10).

Outreach Clinics

Holding outreach antenatal and family planning clinics in isolated settings has been a key way MAMA has reached isolated, deprived communities in Western Uganda. These outreach clinics have been invaluable in developing strong relationships with these communities and their leaders, as precursors to establishing our permanent facilities.

Caesarean section

Caesarean sections may be required as a result of babies becoming distressed during labour or if labour becomes obstructed due to a small pelvis, large baby or malposition of the baby. It might be indicated electively due to a history of previous Caesarean sections or uterine rupture, or if babies are in certain positions (for example lying sideways across the womb). At MAMA we support our colleagues at Azur Health Centre in performing these operations when needed, whilst remaining mindful to not perform them unnecessarily.

Neonatal care and admissions

Infection, breathing difficulty or prematurity are just some of the reasons why a baby may need to be transferred to the paediatric ward after birth. MAMA also supports the neonatal services at our partner hospital, Azur Health Centre IV in Hoima town.

Get involved.

MAMA encourages you, if you feel inspired by the work we do, to consider supporting us in one of the following ways.

Follow us on social media for the latest MAMA news: