Anne Phoya
{{Short description|Malawian midwife}}
{{Infobox person
| name = Ann(e) Phoya
| image = Dr Anne Phoya, Chair of the Malawi Scotland Partnership (sq cropped).png
| image_size =
| caption = Dr Anne Phoya
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| known_for = Malawian midwives advocate
| education = Catholic University of America
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| occupation = midwife, nurse, leader
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| nationality = Malawian
}}
Anne Phoya or Ann Phoya is a Malawian public health nurse and midwife. She was President of the Malawian Association of midwives and she became the chair of the Malawi Scotland Partnership.
Life
Phoya trained as a public health nurse and midwife. She was a Fulbright Scholar and in 1993 she graduated from the Catholic University of America in Washington, DC.{{Cite web |title=Dr. Ann Phoya {{!}} Plenary Speakers |url=https://icasa2023.saafrica.org/programme/plenary/Dr-Ann-Phoya.php |access-date=2025-06-10 |website=icasa2023.saafrica.org}}
After a long career in public health, she retired in 2013 and worked for four years for the University of North Carolina's Malawi Program. She led their Safe Motherhood Project which was underwritten by the Bill and Melinda Gates Foundation.
In 2014 she became the President of the Malawian Association of Midwives. The judge Esme Chombo led the Special Law Commission on Abortion which reported in 2015 recommending the decriminalisation of abortion. Phoya was one of the ten commissioners. The more liberal approach they recommended extended the circumstances where abortion could be permitted that included rape and incest. It did not include financial considerations. Phoya noted that this would be a significant relaxation because Malawi was a poor country so many could use this as justification.{{Cite web |date=2015-07-18 |title=Malawi reforms abortion laws to legalise termination of pregnancy |url=https://www.nyasatimes.com/malawi-reforms-abortion-laws-to-legalise-termination-of-pregnancy/ |access-date=2025-06-10 |website=www.nyasatimes.com |language=en-GB}} The change to the law was not made even though unsafe abortions are estimated to cause between 6 and 18% of all maternal deaths.{{Cite news |last=Pensulo |first=Charles |date=2021-02-25 |title=Malawi MPs debate bill to liberalise abortion laws as churches oppose |url=https://www.theguardian.com/global-development/2021/feb/25/malawi-mps-debate-bill-to-liberalise-abortion-laws-as-churches-oppose |access-date=2025-06-11 |work=The Guardian |language=en-GB |issn=0261-3077}}
Phoya spoke out about the poor state of midwifery in Malawi. She said that the government trained nurses and midwives but they failed to retain them. The midwives lacked essential tools.{{Cite web|date=2016-05-06 |title=UNFPA says midwives important to achieve SDGs in Malawi |url=https://www.nyasatimes.com/unfpa-says-midwives-important-to-achieve-sdgs-in-malawi/ |access-date=2025-06-10 |website=www.nyasatimes.com |language=en-GB}} At one labour room she visited in 2016 there was no mains electricity or water. The midwife therefore arrived with a bucket of water to be used to wash equipment during a birth. Phoya was quoted as summarising the situation on International Day of the Midwife in 2016 as "pathetic".{{Cite web |date=2016-05-06 |title=Malawi mark Day of the Midwife amid falling healthcare: MP Lunguzi says govt ‘failing to employ nurses it trained’ |url=https://www.nyasatimes.com/malawi-mark-day-of-the-midwife-amid-falling-healthcare-mp-lunguzi-says-govt-failing-to-employ-nurses-it-trained/ |access-date=2025-06-10 |website=www.nyasatimes.com |language=en-GB}} In 2018 the Association of Malawian Midwives launched a International Confederation of Midwives initiative called 10,000 Happy Birthdays in the capital, Lilongwe. It planned to train 1,500 new midwives in Malawi.{{Cite web |last=ICM |date=2018-10-30 |title=Launch of 10,000 Happy Birthdays Continuation Project in Malawi |url=https://internationalmidwives.org/launch-of-10000-happy-birthdays-continuation-project-in-malawi/ |access-date=2025-06-10 |website=International Confederation of Midwives |language=en-GB}} Phoya continued to advocate for better midwife conditions as President until 2020.
File:Ann Phoya MaSP Chair and D Hope Jones.jpg
Phoya became the chair of the Malawi Scotland Partnership and in 2019 and 2022 she was in Edinburgh reporting at the Scotland Malawi Partnership AGM.{{Cite web |title=Annual gathering and AGM with special guests Lazarus and Minister Ben Macpherson |url=https://www.scotland-malawipartnership.org/events/annual-gathering-and-agm-with-special-guests-lazarus-and-minister-ben-macpherson |access-date=2025-06-10 |website=www.scotland-malawipartnership.org |language=en-GB}}{{Cite web |title=SMP Annual Gathering, AGM & a (very Malawian!) St Andrew’s Day celebration |url=https://www.scotland-malawipartnership.org/events/scotland-malawi-partnership-annual-conference-and-agm-and-a-very-malawian-st-andrews-day-celebration |access-date=2025-06-11 |website=www.scotland-malawipartnership.org |language=en-GB}}
During the COVID-19 pandemic in Malawi she was involved with the Organized Network of Services for Everyone’s Health Activity. She reported that some midwives were demanding PPE before they cared for mothers but Phoya felt that they had to persevere. They were having to separate those who were infected from those who were not. The need to identify the contacts of COVID-19 patients was a difficult task.{{Cite web |last=Team |first=W. D. G. |date=2020-06-11 |title=Addressing the Challenge of COVID-19 in Malawi and Kenya |url=https://msh.org/blog/addressing-the-challenge-of-covid-19-in-malawi-and-kenya/ |access-date=2025-06-10 |website=Management Sciences for Health |language=en-US}}
At the beginning of 2025 there was a renewed debate about the possibility of bringing in compulsory national health insurance. This was encouraged by the reduction in American subsidies which would hit health. Phoya support for the idea was quoted with her support. She said that it would also assist in funding healthcare workers.{{Cite web |last=Chimjeka |first=Rebecca |date=2025-01-31 |title=Make health insurance mandatory—Parliament |url=https://times.mw/make-health-insurance-mandatory-parliament/ |access-date=2025-06-10 |website=The Times Group |language=en-US}}
Publication
- Setting Strategic Health Sector Priorities in Malawi (et al){{Cite web |title=Setting Strategic Health Sector Priorities in Malawi {{!}} DCP3 |url=https://www.dcp-3.org/resources/setting-strategic-health-sector-priorities-malawi |access-date=2025-06-11 |website=www.dcp-3.org}}
References
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