The Role of Medical Midwives in Serviço Nacional Ambulância e Emergência Médica (SNAEM) Timor-Leste: Needs and Challenges

Abstract

 In Timor-Leste, medical midwives play a crucial role in the Serviço Nacional Ambulância e Emergência Médica (SNAEM), particularly in responding to maternal and neonatal emergencies. As the first point of contact in pre-hospital and emergency settings, midwives provide life-saving interventions, manage obstetric emergencies, and facilitate timely referrals to higher-level facilities. However, despite their essential role, midwives face significant challenges, including gaps in specialized emergency training, limited medical resources, and systemic barriers within the emergency medical service framework. This study aims to assess the role of midwives in SNAEM, identify the specific training and resource needs, and explore the challenges hindering effective service delivery. This review provides an insight how SNAEM handle obstetrician issue. The study also highlights challenges in communication, workforce capacity, and infrastructure that affect the timeliness and efficiency of emergency care. To address these challenges, the study proposes strategies to improve midwifery services within SNAEM, including enhanced training, better resource allocation, and stronger referral systems. Addressing these issues will enhance maternal and neonatal survival rates and strengthen the role of midwives in Timor-Leste’s emergency medical services