The role of the church with regards to maternal health : a case study of the church of Central Africa Presbyterian, Synod of Livingstonia

[摘要] ENGLISH ABSTRACT: Many women in Sub-Saharan Africa, and Malawi, in particular, die during childbirth due to preventable and treatable complications that develop during pregnancy and childbirth. This study is motivated by the need to reduce the maternal mortality ratio in Malawi, which higher in comparison to other countries in Southern Africa. Therefore, the study aims to interrogate the role the Church of Central Africa Presbyterian (CCAP), Synod of Livingstonia plays or can play to reduce maternal mortality. The study is undertaken within the field of Theology and Development with a focus on the intersection between gender, health and theology. The study discusses development approaches and discourses; the historical perspectives of issues of women in development and how it has shifted from Women In Development (WID); Women And Development (WAD) to Gender and Development (GAD). It placed maternal health within the Gender and Development approach. It further explains how the global initiatives on maternal health and the Millennium Development Goals and the Sustainable Development Goals have brought awareness of maternal health as a developmental issue. The initiatives have assisted governments and non-governmental organisations to put strategies that would assist in reducing maternal mortality and it has been noted that Faith-Based Organisations play a crucial role in the health sector in most countries in Africa, including Malawi. The findings indicate that maternal health mirrors the disparities between developed countries and developing countries, between the rich and the poor, between the educated and the uneducated, between the urban and the rural women. Maternal deaths are caused by preventable and treatable complications that develop during pregnancy and childbirth, however, these complications result from socio-cultural, religious, economic and political factors. Above all, maternal mortality is perpetuated by gender inequality in societies. Further the study analysed the role of the Church of Central Africa Presbyterian, Synod of Livingstonia with regards to maternal health using Mercy Oduyoye's four theological themes as the theological lens. It has been noted that the Synod of Livingstonia is playing a crucial role in the education and health sectors in Malawi. However, the Synod of Livingstonia regard maternal health as a health issue and women's issue and therefore does not tackle maternal health at different forums. This study concludes that maternal health is a socio-cultural issue, a developmental issue, a gender issue, an economic and political issue that needs to be tackled through the collaboration of the government and churches and the communities in general. Denominations such as the CCAP, therefore, has a crucial role to play in addressing this challenge and the study concludes with recommendations to the Synod of Livingstonia as to how it could assist in issues of maternal health.

[发布机构] Stellenbosch University