I should also add that those calculations are based on a study on the impact of universal midwifery coverage compare to current coverage in low HDI countries, so they are assuming an ideal scenario where the midwife is able to attend every birth in her area, in addition to any ante- and postnatal care within the midwifery scope of practice.
My estimate of 5000 births may be an optimistic one. A midwife in a busy city hospital may attend 1-3 births per shift, summing to >250 births per year, while a privately practicing midwife in a remote village may only attend 1-3 births per month, <36 per yer. Attending 5000 births in ~40 working years as a midwife would equate to an average of 125 births per year, and that may not be realistic for a midwives working in areas with the highest rates of OF.
I should also add that those calculations are based on a study on the impact of universal midwifery coverage compare to current coverage in low HDI countries, so they are assuming an ideal scenario where the midwife is able to attend every birth in her area, in addition to any ante- and postnatal care within the midwifery scope of practice.
My estimate of 5000 births may be an optimistic one. A midwife in a busy city hospital may attend 1-3 births per shift, summing to >250 births per year, while a privately practicing midwife in a remote village may only attend 1-3 births per month, <36 per yer. Attending 5000 births in ~40 working years as a midwife would equate to an average of 125 births per year, and that may not be realistic for a midwives working in areas with the highest rates of OF.