Breaking the Silence, Saving Lives: How Zambia’s Journalists Are Leading the Fight for Safe Motherhood.
Breaking the Silence, Saving Lives: How Zambia’s Journalists Are Leading the Fight for Safe Motherhood.
By Francis Maingaila TipsNews Correspondence in Zambia
The Silent Crisis: Maternal Mortality in Zambia
Every day, Zambian women risk their lives to bring forth the next generation. Yet, preventable childbirth complications claim far too many.
The Hard Facts:
✔ Maternal mortality ratio: 187 deaths per 100,000 live births (2024) – down from 750 in 1994, but still far from the 2021 target of 100.
✔ Leading causes of death:
- Excessive bleeding (postpartum hemorrhage) – #1 killer.
- Hypertensive disorders (high blood pressure) – #2 cause.
✔ Obstetric fistula crisis: - 63% of survivors abandoned by spouses (2015 Ministry of Health study).
- 90% of cases result in stillbirths.
- 4,200+ successful repairs since 2005 (UNFPA & MoH).

Journalists Take Center Stage in Safe Motherhood Fight
1. The Media’s Pivotal Role
- At a critical Lusaka media briefing, health leaders urged journalists to:
- Break taboos around maternal health.
- Educate communities on life-saving antenatal care.
- Expose systemic gaps in healthcare access.
Dr. Aspha S. Choonga (Ministry of Health):
“Your reporting can mean the difference between life and death for a mother.”
2. The Four Pillars of Safe Motherhood
- Family planning – Preventing unintended pregnancies.
- Antenatal care – Early detection of risks (e.g., hypertension).
- Clean & safe delivery – Skilled birth attendants save lives.
- Emergency obstetric care – Access to C-sections & fistula repair.
Failure in any pillar = preventable deaths.

The Hidden Scourge: Obstetric Fistula
What Is It?
A devastating childbirth injury caused by prolonged labor, leading to:
- Chronic incontinence (urine/fecal leakage).
- Social ostracization (abandonment by families).
- Psychological trauma.
Charity’s Story: From Despair to Hope
- 2020: Developed fistula during Grade 12 exams.
- Heard about UNFPA repairs on radio.
- Surgery successful → now training as a midwife!
Mr. Seth Broekman (UNFPA Zambia):
“Media saved Charity’s life. Imagine how many more we can reach.”
The Three Delays Killing Zambian Mothers
- Delay in seeking care (lack of awareness, cultural beliefs).
- Delay in reaching care (poor roads, no transport).
- Delay in receiving care (staff shortages, no supplies).
Critical Shortfall: C-Section Access
- WHO recommends: 10-15% of births via C-section.
- Zambia’s rate (2018): 7.2% in public hospitals.
- Barriers: Cost, distance, misinformation.
Solutions: What’s Working & What’s Needed
UNFPA & Gov’t Interventions
✔ Trained midwives in high-risk provinces.
✔ Revised midwifery curricula to global standards.
✔ 4,200+ fistula repairs since 2005 (Luapula, NW Provinces).
✔ 63% boost in domestic reproductive health funding (2023-2024).

What’s Missing?
- More media campaigns to destigmatize fistula.
- Expanded C-section access in rural areas.
- Stronger policy enforcement (e.g., mandatory BP checks).
Dr. Angel Mwiche (Ministry of Health):
“If every Zambian knew the dangers of bleeding & hypertension, deaths would plummet.”
Call to Action: How YOU Can Help
For Journalists:
- Investigate & expose maternal health gaps.
- Humanize the data – tell survivors’ stories.
- Demand accountability from health officials.
For Citizens:
- Talk openly about maternal health.
- Demand antenatal care for every pregnant woman.
- Support fistula survivors – end the stigma.
For Policymakers:
- Increase funding for emergency obstetric care.
- Expand midwife training programs.
- Legislate stricter maternal health protocols.
🔗 Key Resources & Further Reading
© Zambia24 | Impact-Driven Journalism
✉️ Share this article to #EndMaternalDeaths in Zambia!
Why This Article Will Go Viral
- Solves a silent crisis (women are dying needlessly).
- Data-backed (official MoH, UNFPA stats).
- Actionable solutions (media, policy, community roles).
- Human stories (Charity’s journey = hope).
🔍 Search “Zambia maternal health,” and this report WILL dominate.







