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Delivering hope, one baby at a time: A midwife's account

Midwife Solange Ahidjo provides a glimpse into the maternity ward of MSF’s clinic in Aboutengue camp, eastern Chad, where thousands of Sudanese refugees have sought shelter.

MSF midwife Solange Ahidjo stands in front of MSF's maternity unit in Aboutengue camp, eastern Chad, where she has been working for a year.

MSF midwife Solange Ahidjo stands in front of MSF's maternity unit in Aboutengue camp, eastern Chad, where she has been working for a year. | Chad 2024 © MSF

The war in Sudan has sparked the world’s largest displacement crisis, uprooting more than 12 million people including more than 3 million who have fled to other countries such as Chad and South Sudan. More than 700,000 Sudanese refugees and asylum seekers are sheltering in Chad alone, where living conditions are poor and access to health care and other needs is extremely limited. Doctors Without Borders/Médecins Sans Frontières (MSF) is responding in camps throughout eastern Chad, providing vital services including maternal health care. Here, an MSF midwife working in the maternity ward of MSF’s clinic in Aboutengue camp describes her work supporting expecting and new mothers, as well as providing assistance during childbirth. 
By Solange Ahidjo, MSF midwife


January 2024 marks my one-year anniversary with MSF. My role is to support women at every stage of their pregnancy, from before delivery to postpartum care. This includes assisting those facing potential obstetric or gynecological complications and, most importantly, being there during childbirth.  

At the maternity unit in this camp, I work alongside seven other midwives and seven midwife assistants. We have eight postpartum beds, six observation beds, and three delivery beds.  

As a woman who has given birth myself, I understand their pain—I know what they’re going through ... It’s not always easy, but I am proud of the work I do.

On average, we witness approximately 30 births per week—around four to five babies born per day—but there are days when we attend seven or eight deliveries. I’ve never really counted, but there are always so many babies born here. In 2024 alone, we managed nearly 1,000 births.  

Outside the maternity ward, as part of outpatient care, a dedicated team of midwives and their assistants provide prenatal and postnatal consultations to pregnant women. Additionally, a small core team of midwives operates our mobile clinic around the camp. We also support survivors of sexual violence by providing essential medical care and offering psychosocial support based on their needs.  

Solange checks on Dar-ul Salam, the mother of a newborn baby, during a consultation at the MSF maternity unit in Aboutengue camp, Chad.
Solange checks on Dar-ul Salam, the mother of a newborn baby, during a consultation at the MSF maternity unit in Aboutengue camp. | Chad 2024 © MSF

Women supporting women—this is how I see it  

The women who come to the maternity unit trust us deeply, confiding their anxieties about the future. Around 80 percent of our patients are Sudanese women who fled the war in 2023 and have been living in the camp ever since. We do everything we can to reassure them and support them in any way possible.  

Ekhbal breastfeeds her newborn baby in the maternity unit at MSF's clinic in Aboutengue redugee camp.
Ekhbal breastfeeds her newborn baby in the maternity unit at MSF's clinic in Aboutengue redugee camp. | Chad 2024 © Nicolò Filippo Rosso

As a woman who has given birth myself, I understand their pain—I know what they’re going through.  

It’s not always easy, but I am proud of the work I do. Each time I attend a birth, I feel a profound sense of pride. I love my profession deeply, and I want to continue practicing it every day for the rest of my life.  

First baby of 2025 in Aboutengue clinic

Rachida's baby boy was born at 1:20 a.m. on January 2 in MSF’s maternity ward in Aboutengue camp, the first to be born there this year.

"Since the beginning of my pregnancy, I have been attending prenatal consultations with the MSF team in Aboutengue camp. I visited the clinic five times and was given information about the progress of my pregnancy. I was also given cereals and oil to improve my health, as recommended by the midwife during the consultations.

At my last appointment, the midwife told me that I was already nine months pregnant and advised me to go to the maternity ward if I felt any pain. In the late hours of January 1, I began to feel abdominal pain...

... When I arrived at the maternity ward, a midwife examined me and told me that I would be giving birth in a few hours. Although I was in pain from the contractions, I received constant support throughout this difficult time.  

At around 1:00 a.m. on January 2, I gave birth to a baby boy. The midwives told me that I was the first woman to give birth there in 2025 and that my baby was the first newborn of the year in the MSF maternity ward in the camp.

I am happy and I thank MSF team for taking such good care of me and my baby.” 

A woman holds the first baby boy in Aboutengué

Sudan crisis response