One in three of these municipalities could nevertheless offer maternity check-ups by a midwife in cooperation with other municipalities or hospitals. As of 31 December last year, 16 per cent of the municipalities could not offer maternity check-ups by a midwife, preliminary statistics from the "Municipal health service personnel and operations" survey show.
Starting 1 January 1994 municipalities (local governments) in Norway were required to offer maternity check-ups by a midwife employed by a maternal and child health centre. Two years after the reform 24 per cent of the municipalities had not hired a midwife.
Midwives accounted for 220 man-years in municipal health services in 1996. The corresponding figure for 1995 was 200 man-years, up from 90 man-years in 1987. Despite the increase in input the midwife service has relatively few practitioners. The majority of Norway's 435 municipalities have less than one full-time equivalent midwife. Most small municipalities have no need to hire full-time midwives. Part of the reason many municipalities still do not offer midwife services, is the difficulty of getting applicants to apply for part-time positions.
Weekly Bulletin issue no. 26, 1997