Thank you for the question.
As I said earlier, the reasons are quite varied. The main reason there hasn't been a clear plan is that there is no recognition of the profession. Midwives aren't recognized for their work or their importance in the health care system as front-line professionals.
There is a significant lack of awareness of our work among the public and government bodies. There is still a lot of work to be done in this respect. There has never been a campaign or project to address this issue. Every time new services are introduced in the regions, everything has to be redone. This simple awareness work, which must be done on a daily basis, requires a great deal of time and energy from professional midwives.
All of this obviously has consequences and slows down, among other things, the development of the profession. There are a number of things that come into play, but I think essentially, as I mentioned, this is the one thing that needs to be improved.