A relatively small number of disease and conditions account for a large share of health burden, and most of them can be prevented and treated with low cost interventions. However Maldives have a shortage of physicians, nursed and allied health workers, and much of the population lives a significant distance from a tertiary health care facility. So, access to medical care is a constant challenge for a substantial portion of the population. Very few health care providers are trained specifically in community health and safety, despite the presence of several strong medical programs within the country. Male’ Health Service Corporation Ltd (MHSC/MALDIVES) is the first health corporation formed in April 2010. MHSC was formed to provide health care needs within the country. (Approximately sixty percent of the population) However maternity care is one of the main leading forefronts (www.mhsc.com.mv). Lack of skilled health care professionals and the related difficulties in distribution of the necessary health care resources has resulted in the majority of births occurring in the tertiary hospital (IGMH). Moreover caesarean delivery rates are higher in the island hospitals due to the lack of skilled based midwives. (www.health.gov.mv) Furthermore, the vast majority of the population having little or no knowledge regarding health care issues can be attributed to the poor health care system in the country. Despite the difficulties in the field, with the gained knowledge and experience, I would like to strengthen the maternity care within the country.
Every woman should have the choice for a planned pregnancy, safe birth and healthy newborns. To deliver a maternity service that enables women to have a positive birth experience and gives midwives the satisfaction of providing quality care, it is important to consider the organizational structures and environment in which it is delivered. The aim of WHO strategy based in Maldives in the year 2005 was safe pregnancy, evaluation of health care workers and development of guidelines for reduction of maternal mortality (www.who.org.mv). Hence, this must be done in conjunction with the appropriate use of healthcare professionals’ skills. Some of the key factors include: improving the environment the care is given, strengthening multidisciplinary partnership. Policy development and strategy making are some other factors to be looked upon. Yet the importance of healthcare management in an organization is realized when the organization is fully staffed and is financially sound to invest in advanced equipments. A basic concept in health care management is to provide affordable health care services to an average person. For example to pay for health visits, drugs, caring of the elderly etc. My aim is to strengthen the midwives in the country. To enroll skilled based professionals in giving care to the pregnant women in a financially feasible budget, while educating the community respectively. To conclude I believe the organization will benefit as I believe myself worthy candidate for the health care management program.