Midwives Service Scheme

Midwives Service Scheme (MSS)  Shiri ne na ƙasa a fannin lafiya da Gwamnatin Tarayyar Najeriya ta ƙaddamar a shekarar 2009.   Manufarsa ita ce rage yawan mace-macen mata masu juna biyu da yara ta hanyar tura ƙwararrun ungozoma zuwa ƙauyuka inda samun sabis na lafiya yake da wahala. Hukumar Cigaban Kiwon Lafiya ta Farko ta Ƙasa (NPHCDA) ce ke kula da wannan shiri ƙarƙashin Ma’aikatar Lafiya ta Tarayya.

 Tarihi 
Najeriya tana daya daga cikin mafi girman mutuwar uwaye da jarirai a duniya. A cewar Hukumar Lafiya ta Duniya (WHO), yawancin waɗannan mutuwar ana iya hana su tare da kasancewar ƙwararrun ƙwararrun likitoci yayin daukar ciki da haihuwa. Dangane da waɗannan ƙalubalen, an gabatar da MSS a matsayin albarkatun ɗan adam don shiga tsakani na kiwon lafiya da nufin inganta sakamakon lafiyar uwa, jarirai, da yara (MNCH), musamman a yankunan karkara marasa kulawa.

 Manufofin 
Babban manufofin MSS sun hada da:

 Ƙara damar samun ƙwarewar haihuwa a yankunan karkara da al'ummomin da ba su da kyau.
 Rage mutuwa uwaye, jarirai, da yara.
 Karfafa tsarin kiwon lafiya na farko a Najeriya.
 Samar da damar daukar ma'aikata ga masu juna biyu da ma'aikatan kiwon lafiya na al'umma.

 Tsarin da aiwatarwa 
An tsara MSS a matsayin hadin gwiwa tsakanin Gwamnatin Tarayya, Gwamnatocin Jiha, da Yankunan Karamar Hukumar (LGA). Shirin ya dauki sabbin masu cancanta, marasa aikin yi, da masu juna biyu da suka yi ritaya waɗanda aka tura zuwa Cibiyoyin Kula da Lafiya na Firamare (PHCs) a yankunan karkara da aka zaɓa a duk faɗin ƙasar.

Kowane PHC mai shiga yawanci yana karɓar ƙungiyar da ta ƙunshi:

 Masu juna biyu huɗu
 Wani ma'aikacin fadada kiwon lafiya na al'umma (CHEW) 
 Mataimakin kiwon lafiya guda ɗaya

Wadannan ma'aikatan kiwon lafiya suna juyawa kwata-kwata don kula da ɗaukar hoto da sarrafa gajiya. Gwamnatin tarayya tana da alhakin biyan kuɗin masu juna biyu, yayin da gwamnatocin jihohi da kananan hukumomi ke ba da masauki da sauran tallafin kayan aiki.

 Nasarorin da aka samu 
Tun lokacin da aka kafa ta, MSS ta ba da gudummawa ga:

 Inganta damar samun kulawa kafin haihuwa da sabis na isar da ƙwarewa a yankunan karkara.
 Ƙara amfani da ayyukan kiwon lafiya na uwa da yara.
 Rage mutuwar uwaye da jarirai a cikin al'ummomin da ke halarta.
 Ƙarfafa albarkatun ɗan adam don kiwon lafiya a matakin firamare.

 Ƙalubalen 
Duk da nasarorin da ta samu, shirin ya fuskanci kalubale da yawa, ciki har da:

 Kudin da ba daidai ba da jinkirin biyan kuɗi.
 Rashin wadata a wasu wuraren kiwon lafiya.
 Rashin sa ido da hanyoyin kimantawa masu kyau.
 Haɗin kai na yau da kullun daga wasu gwamnatocin jihohi da kananan hukumomi.

 Gyara da ci gaba 
A cikin shekaru masu zuwa, an yi kira ga sake fasalin da ƙarfafa MSS don tabbatar da dorewa da tasiri. Gwamnatin Najeriya, tare da hadin gwiwar abokan hulɗa na ci gaba kamar UNICEF, WHO, da Bankin Duniya, suna ci gaba da bincika hanyoyin inganta makircin da daidaita shi da manyan manufofi na Universal Health Coverage (UHC) da Sustainable Development Goals (SDGs).

 Dubi kuma 

 Bayanan da aka ambata