Maximising contributions of midwives in Africa towards achieving MNH targets: Lessons learned.

African midwives are pivotal in enhancing continuity and care coordination throughout healthcare systems. They are a critical human resource in mitigating near misses, morbidities and mortality in Maternal and Neonatal Health (MNH). Thus, achieving the sustainable development goals (SDGs) necessitates robust midwifery policies and system strengthening across Africa. Given the critical role of midwives, this report reflects on the need for a coordinated regional approach to unify midwifery across the continent as a strategy towards impactful SDG achievements. The reflections are based on insights from a Ghana meeting aimed at unifying African midwives. Globalisation and Africanisation are both crucial for developing a harmonised sexual, reproductive, maternal, newborn and adolescent health system that improves the quality of life for African women and their families. Despite significant healthcare improvements, Africa faces challenges such as a shortage of skilled birth attendants, leading to high maternal and neonatal mortality rates. Achieving SDGs requires local solutions and fully integrating midwives into health systems. It also requires that midwives are purposefully and regularly engaged in global, regional and local policy discussions and decisions. To support this goal, the authors present an approach to ensure midwives in Africa are not only represented in these forums but also actively engaged in shaping, advocating for, and advancing relevant actions. We therefore recommend establishing a regional midwifery body to lead and coordinate these efforts.