OBGYN — A proposal from the University of Michigan to eliminate preventable maternal and perinatal mortality in Africa.
Preventable maternal and perinatal mortality are tragic, unresolved global problems. Two thirds of maternal deaths occur in sub-Saharan Africa (SSA), where health workers and midwives cannot resolve them alone. Sustainability must be embedded in national contexts providing modern obstetric care, which is blatantly absent in many SSA countries. Midwives are essential, yet only in collaboration with obstetricians can complicated emergencies be solved. The Ghana-University of Michigan 25-year partnership led to training and retention of over 140 obstetricians, resulting in improved outcomes and national policy. We will solve the problem of maternal and perinatal morality by activating collaborators from 30 universities and ministries of health across sub-Saharan Africa and the US to replicate the Ghana-Michigan model. Each will deliver OBGYN care from day one and implement self-sustaining teaching, certification, and policy systems to reduce maternal and perinatal mortality by 75% and create the context that will eventually lead to its elimination.