{"id":2061,"date":"2026-08-30T05:53:02","date_gmt":"2026-08-30T05:53:02","guid":{"rendered":"https:\/\/uscnews.org\/?p=2061"},"modified":"2026-08-30T05:53:02","modified_gmt":"2026-08-30T05:53:02","slug":"africas-male-midwives-are-rare-but-increasing-in-the-fight-against-pregnancy-deaths","status":"publish","type":"post","link":"https:\/\/uscnews.org\/?p=2061","title":{"rendered":"Africa\u2019s male midwives are rare but increasing in the fight against pregnancy deaths"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/dims.apnews.com\/dims4\/default\/08b3c28\/2147483647\/strip\/true\/crop\/4240x2825+0+3\/resize\/980x653!\/quality\/90\/?url=https%3A%2F%2Fassets.apnews.com%2F8e%2F64%2Fca6d45f1fa71427cd5d476ff1513%2F8b2733e2e54e43ffb96b11c805fbc726\" width=\"100%\" \/><small>Male midwife Sehloho Ntlhane leans over a pregnant patient while using a Pinard horn to listen to the baby&#8217;s heartbeat during a prenatal examination at Mpharane Health Centre in Mohale&#8217;s Hoek district, Lesotho, Friday, July 10, 2026. (AP Photo\/Kayleen Morgan)<\/small><\/p>\n<p>2026-08-30T05:18:22Z<\/p>\n<p>MOHALE\u2019S HOEK, Lesotho (AP) \u2014 On a cold morning, Ntlhane Sehloho grabbed his backpack containing medical equipment and embarked on a three-hour journey, navigating the curving gravel roads leading to a clinic nestled in a valley of mountainous <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/hub\/lesotho\">Lesotho<\/a><\/span>.<\/p>\n<p>Sehloho has an almost unheard-of role in this part of the world: male midwife.<\/p>\n<p>His arrival at the Mpharane Health Center in the southern African kingdom is met with a sigh of relief from several women, some of them pregnant. Others carry crying babies on their backs.<\/p>\n<p>Midwifery has been traditionally viewed as women\u2019s work in Lesotho, but a growing number of men are joining the profession as the country tries to bring down its high rate of deaths around childbirth. For every 100,000 live births, about 530 women die, the United Nations says. That\u2019s far above the global average of about 200.<\/p>\n<p>___<\/p>\n<p>This is part of a series on <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/article\/central-african-republic-conflict-mothers-deaths-53c552eefe111009da271dbc6152ab4c\">maternal mortality in sub-Saharan Africa<\/a><\/span>, which has the world\u2019s fastest-growing population and accounts for 70% of global maternal deaths. Around 180,000 pregnancy deaths are recorded every year across the continent.<\/p>\n<p>___<\/p>\n<p>Lesotho, like many African nations, is a society with largely conservative views. The idea of a man who isn\u2019t a doctor dealing with a woman so intimately still can make many hesitant, if not uncomfortable.<\/p>\n<p>World Health Organization figures estimate that men make up less than 1% of all midwives around the world. Organizations like the WHO and UNICEF have called for more people, male and female, to become midwives and address shortages in childbirth responders.<\/p>\n<h2>He wanted to be a nurse and was steered into this job<\/h2>\n<p>Sehloho is one of about 300 male midwives in Lesotho and has been doing the work for two decades. The exact number of male midwives is not available as the government does not keep the data according to gender.<\/p>\n<p>Talkative and ready with a joke, he seeks to put women at ease from the first of their prenatal visits.<\/p>\n<p>    <a><\/a><\/p>\n<p>    <!-- AP \"Read More\" embed (place mid-article) --><\/p>\n<p>  <button type=\"button\" aria-expanded=\"false\"><br \/>\n    Read More <span aria-hidden=\"true\"><\/span><br \/>\n  <\/button><\/p>\n<p>He had good grades in school and wanted to become a nurse to help address the difficulties he had witnessed for pregnant women in his rural community.<\/p>\n<p>\u201cOur village was far away from the health facility, so most women who would be pregnant, some were delivering at home. We were still young, we were not supposed to see that, as some were dying,\u201d he said. He didn\u2019t understand how far they had to travel for care.<\/p>\n<p>Health authorities later encouraged him and other male nurses to train as midwives to help address deaths around childbirth in a country with poorly staffed rural health posts and a population of just over 2 million people.<\/p>\n<p>Now, after efforts to bring care closer to rural communities, UNICEF data show that 92% of births in Lesotho are now attended by a trained health care provider.<\/p>\n<p>    <a><\/a><\/p>\n<p>    <!-- AP Morning Wire Newsletter Embed (self-contained) --><\/p>\n<p>  <!-- Red AP Prompt Bar --><\/p>\n<p>    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"48\" height=\"6\" viewbox=\"0 0 48 6\"><\/svg><\/p>\n<p>    <\/p>\n<p>    <strong>Sign up for Morning Wire:<\/strong><br \/>\n    Our flagship newsletter breaks down the biggest headlines of the day.<\/p>\n<p>        <label for=\"ap-newsletter-email-nlmw25\">Email address<\/label><\/p>\n<p>      <button type=\"submit\"><br \/>\n        Sign up<br \/>\n      <\/button><\/p>\n<p>      <label><\/label><\/p>\n<p>        <span><br \/>\n          By checking this box, you agree to AP&#8217;s<br \/>\n          <a href=\"https:\/\/apnews.com\/termsofservice\" target=\"_blank\" rel=\"noopener noreferrer\">Terms of Use<\/a><br \/>\n          and acknowledge that AP may collect and use your data pursuant to our<br \/>\n          <a href=\"https:\/\/apnews.com\/privacystatement\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Policy<\/a>.<br \/>\n        <\/span><br \/>\n      <\/p>\n<p role=\"alert\" aria-live=\"polite\">\n<\/p>\n<h2>The government says gender shouldn\u2019t matter<\/h2>\n<p>\u201cI think the system and the community is starting to slowly accept that gender should not matter when it comes to this issue of delivery,\u201d said Dr. Llang Maama, acting director of health services at Lesotho\u2019s Ministry of Health.<\/p>\n<p>There are still a small number of cases where the mother says she isn\u2019t comfortable with a male midwife, she said. \u201cBut the system allows them to register their discomfort and get treated by a woman.\u201d In the urgency of childbirth, however, there isn\u2019t always time to choose.<\/p>\n<p>Sehloho acknowledged that it is a matter of gaining women\u2019s trust. He tries to put them at ease by explaining how he has delivered babies for years and how he grew up in similar rural circumstances.<\/p>\n<p>\u201cWe are a very cultural and traditional African society,\u201d he said.<\/p>\n<p>There are usually mixed reactions to male midwives, said Blandina Motaung, a representative of the United National Population Fund, which works extensively with midwives in Lesotho.<\/p>\n<p>The positive remarks include praise for how the men appear to be more gentle and less strict when working with pregnant women. During consultations, Sehloho checked women\u2019s blood pressure and measured their progress, asking from time to time whether they were comfortable.<\/p>\n<p>Most female midwives have given birth themselves, \u201cbut for the men, because they have not been through the process, they become more vigilant and more attentive to the nitty gritties, and that in itself improves the quality of care that they provide,\u201d Motaung said.<\/p>\n<h2>Pregnant women are learning to adapt<\/h2>\n<p>One of the clinic\u2019s patients, Mpolokeng Mafereka, 21, said she was more comfortable being treated by a woman, but sometimes a male midwife is the one available.<\/p>\n<p>\u201cI\u2019m used to being treated by women,\u201d she said.<\/p>\n<p>But another patient, 21-year-old Bonolo Tebello, said she has never had a problem being treated by a male midwife.<\/p>\n<p>\u201cI\u2019m happy to be treated by a male because they still provide the same level of care,\u201d she said.<\/p>\n<p>\u201cEven when one arrives late for a check-up, they just treat you like any other person who arrived on time,\u201d she added.<\/p>\n<p>___<\/p>\n<p>For more on Africa and development: <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/apnews.com\/hub\/africa-pulse\">https:\/\/apnews.com\/hub\/africa-pulse<\/a><\/span><\/p>\n<p>The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP\u2019s <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"https:\/\/www.ap.org\/about\/standards-for-working-with-outside-groups\/\" target=\"_blank\" rel=\"noopener\">standards<\/a><\/span> for working with philanthropies, a list of supporters and funded coverage areas at <span><a data-gtm-enhancement-style=\"LinkEnhancementA\" href=\"http:\/\/ap.org\/\" target=\"_blank\" rel=\"noopener\">AP.org<\/a><\/span>.<\/p>\n<p>        <a href=\"https:\/\/apnews.com\/author\/mogomotsi-magome\"><\/a><\/p>\n<p><img decoding=\"async\" alt=\"MOGOMOTSI MAGOME\" width=\"100\" height=\"100\" src=\"https:\/\/dims.apnews.com\/dims4\/default\/58d5c09\/2147483647\/strip\/true\/crop\/1643x1643+0+70\/resize\/100x100!\/quality\/90\/?url=https%3A%2F%2Fassets.apnews.com%2F68%2Fdb%2F19d795dc46b1b5d5c760b87c6505%2Fmogomotsi-magome-pic-mogomotsi-magome.jpg\" loading=\"lazy\" \/><\/p>\n<p>        <\/p>\n<p>                <a href=\"https:\/\/apnews.com\/author\/mogomotsi-magome\">MOGOMOTSI MAGOME<\/a><\/p>\n<p>                Magome is an Associated Press reporter based in Johannesburg, South Africa. He covers a range of topics including general news, politics, and enterprise stories from across the Southern Africa region.<\/p>\n<p>                        <a rel=\"noreferrer\" href=\"https:\/\/apnews.com\/cdn-cgi\/l\/email-protection#284545494f47454d68495806475a4f\" target=\"_blank\" data-social-service=\"mailto\"><\/a><\/p>\n<p>        <svg><\/svg><\/p>\n<p>        <\/p>\n<p>    <span><br \/>\n        mailto<br \/>\n    <\/span><br \/>\n<\/p>","protected":false},"excerpt":{"rendered":"<p>Male midwife Sehloho Ntlhane leans over a pregnant patient while using a Pinard horn to listen to the baby&#8217;s heartbeat during a prenatal examination at Mpharane Health Centre in Mohale&#8217;s Hoek district, Lesotho, Friday, July 10, 2026. (AP Photo\/Kayleen Morgan) 2026-08-30T05:18:22Z MOHALE\u2019S HOEK, Lesotho (AP) \u2014 On a cold morning, Ntlhane Sehloho grabbed his backpack&hellip;&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2061","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/posts\/2061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2061"}],"version-history":[{"count":0,"href":"https:\/\/uscnews.org\/index.php?rest_route=\/wp\/v2\/posts\/2061\/revisions"}],"wp:attachment":[{"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uscnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}