Welcome to MAMA.

Midwives At Maternity Azur is a UK registered maternal health charity that empowers and advocates for Ugandan midwives towards improving maternal and neonatal outcomes in and around Hoima in Western Uganda through educational training, building infrastructure and service provision.

Empowering midwives

MAMA was created in dedication to the ‘role of the midwife’.  Our aim is to empower and promote the advocacy of local Ugandan Midwives towards improving maternal health in Western Uganda.  We base ourselves at The Princess Alexandria Hospital formally known as Azur Clinic in Hoima, three hours north west of Kampala, Uganda. There we support the 9-midwife team who cover 1500 deliveries per year as well as local outreach clinics provided by the midwives in Antenatal, Postnatal, Family Planning, HIV screening and Health Education.

deliveries per year


public donations that go to charity

districts that we serve

total number of outreach clinics

Latest news

Mama’s written a publication ‘Reducing the distance to walk: establishing a remote maternity facility in Runga, Hoima District, Uganda’ latest publications published in the African Journal of Midwifery in June 2020. We’re very proud of this summary; a lot of years work and sustainable impact.

AJM Journal

Remembering Grace

It is with great sadness at the end of last year we announced the death of Emvikia Grace. Grace passed away in Kampala on Saturday 15th December after a short illness.

Grace was our most senior and respected midwife in Azur Clinic and has been in post since the buildings were first opened in 2007. She was the first midwife to be employed to open the then new maternity wards and lead the team of midwives. Originally in charge of the maternity wards and all that this encompassed, she was able to share her knowledge and skills with many midwives who have passed through Azur, some still there, and always there until very recently to support them out of hours with emergencies or difficult decisions. In the last couple of years she had moved to the family planning side of things and led the new cryotherapy services at Azur.

One of Grace’s passions was for those communities and villages which were unable to access good quality maternity services. She worked hard to ensure mothers and their babies received the best possible care, and it was often her experience and quick referrals which saved lives and achieved better outcomes around the time of delivery. Grace was a key person behind our connection with Runga. It was one of those remote villages in Hoima District where Grace was part of the first team to offer regular antenatal care through outreaches, before MAMA was in a position to have our permanent clinic there. Grace went from one of the midwives visiting every eight weeks to being part of a team who now offers maternity services every day if the week, she was well respected amongst the village leaders, as we as the families who attended the clinic to the point where mothers would make excuses to attend on of her clinics when she was in Runga!

Grace was a very skilled midwife, this was evident in her ability to identify a mother in obstructed labour almost as she walked through the door, before she had even examined the mother! And if Grace made a referral from Runga to Azur the whole of Hoima would know and on one occasion news even reached the U.K. when two of the U.K. midwives were talking on FaceTime! Grace could be heard in the background on the MAMA phone repeatedly asking for an update on where the vehicle was, and then later how the mother and baby was.

Many of you who have volunteered with MAMA will have met and worked alongside Grace, others would have heard us talking about her on our return from Uganda, and each of you will be aware of the huge respect we hold for her. You will know of her wicked sense of humour and her ability to have the most amazing food waiting for us at the end of a long shift! She took care of us as she did her family. Many of you will also know of Grace’s knack of snagging a bargain in many of the villages where we held outreach clinics, she always managed to come home with fresh produce, whether it be fish attached to our windscreen, chickens under our seats or a bunch of matooke on the roof rack!

It has been an honour to have known Grace both personally and professionally, she will be sorely missed by the MAMA family. She was an amazing midwife, friend and mentor who will be remain in our hearts.


Providing services to remote areas

Through MAMA midwives are able to offer numerous services to women including intrapartum care, educational conferences, funding, antenatal, postnatal and neonatal care, HIV and syphilis screening, treatment and counselling and family planning.

Find out more in our featured articles below:


“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…”

New Vehicle for MAMA

An incredible donation sees MAMA equipped with new vehicle, essential for collecting referred women who develop complications in their labour or delivery.

Caesarean section

Caesarean sections are sometimes done because the mother has had previous section, or maybe because there was a problem in her labour and the baby needed to be delivered urgently.

Neonatal care and admissions

Infections, breathing difficulties or premature births are just some of the reasons why a baby may need to be transferred or readmitted to the paediatric ward for further care.

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.

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

Vaginal deliveries

Vaginal deliveries is where the mother delivers her baby herself with support from the midwife. In Uganda only 50% of mothers are cared for by a skilled birth attendant, which could be a midwife, a care assistant, or a doctor.

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 usually paid 50,000 shillings a month which is around £10.

Further study for Josephine

Josephine, one of our junior midwives, has gone back to school for a year to study for her diploma with financial support from MAMA.

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.

The word ‘midwife’ means ‘with woman’.
When you support the woman, you support the whole family.

Get involved.

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

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