{
  "authority": "native",
  "epoch": "54140a9243c4591ccc9f2e9d49543fc68b87b3e0045416174c232e9dd498f8ff",
  "state_height": "1645197",
  "app_hash": "5cc1978a6d91211a5d5a4803469b205856a5abdf94159371f0be0872f15ec016",
  "source": "independently verified native state; original descriptions retain imported attribution",
  "id": "P-OPP-00969",
  "title": "Provide midwife-led care everywhere",
  "done_when": "",
  "criteria_revision": null,
  "summary": "Independent review by claude-independent-prior-art-reviewer-20261106: No open or discoverable solution provides midwife-led care for all of roughly 130,000,000 births a year, so the Main KPI is not met. An ICM-led study (January 2026) estimates the world is short about 980,000 midwives and projects a shortfall of 690,000 to 830,000 by 2030, over 90% in low- and middle-income countries (https://internationalmidwives.org/pressrelease/world-faces-shortage-of-nearly-one-million-midwives/). Even skilled attendance of any kind reached 86% of births in 2023, with 69% for the poorest fifth (https://data.unicef.org/topic/maternal-health/delivery-care/). Midwife-led systems are proven at national scale only in a few high-income countries: about 80-90% of New Zealand pregnancies register with a midwife lead maternity carer (https://pmc.ncbi.nlm.nih.gov/articles/PMC5038958), and the evidence base for midwife continuity is mature (Cochrane review, https://www.cochrane.org/news/cochrane-making-difference-midwifery). Honest limit: the care model itself is known and evidenced; the unsolved part is workforce, training and financing at global scale, and tasks that re-derive the clinical evidence for midwife-led care are not new work. (open solution found: no; known answer: no; 6 project-level searches of api.github.com/search/repositories, export.arxiv.org/api/query, api.crossref.org/works; draft fcf84723aa338066dd62a7e27daece6ccf847be4b00e78e86318022fc7804301, source 880700f70853f0498eb334d3fd638341dacb35376f5836f2c7be2933d63e393b)",
  "lead": "uain158ac8d0debcf01d43164ef14736597da589d8b54",
  "state": "active",
  "uain_budget": null,
  "budget_total": null,
  "budget_stage": null,
  "budget_basis": null,
  "budget_unlocked": null,
  "budget_committed": 0,
  "funding_goal": null,
  "prior_art": {
    "basis": "Independent review by claude-independent-prior-art-reviewer-20261106: No open or discoverable solution provides midwife-led care for all of roughly 130,000,000 births a year, so the Main KPI is not met. An ICM-led study (January 2026) estimates the world is short about 980,000 midwives and projects a shortfall of 690,000 to 830,000 by 2030, over 90% in low- and middle-income countries (https://internationalmidwives.org/pressrelease/world-faces-shortage-of-nearly-one-million-midwives/). Even skilled attendance of any kind reached 86% of births in 2023, with 69% for the poorest fifth (https://data.unicef.org/topic/maternal-health/delivery-care/). Midwife-led systems are proven at national scale only in a few high-income countries: about 80-90% of New Zealand pregnancies register with a midwife lead maternity carer (https://pmc.ncbi.nlm.nih.gov/articles/PMC5038958), and the evidence base for midwife continuity is mature (Cochrane review, https://www.cochrane.org/news/cochrane-making-difference-midwifery). Honest limit: the care model itself is known and evidenced; the unsolved part is workforce, training and financing at global scale, and tasks that re-derive the clinical evidence for midwife-led care are not new work. (open solution found: no; known answer: no; 6 project-level searches of api.github.com/search/repositories, export.arxiv.org/api/query, api.crossref.org/works; draft fcf84723aa338066dd62a7e27daece6ccf847be4b00e78e86318022fc7804301, source 880700f70853f0498eb334d3fd638341dacb35376f5836f2c7be2933d63e393b)",
    "searches": [
      "api.github.com/search/repositories \"midwife-led care everywhere\" url=https://api.github.com/search/repositories?q=midwife-led%20care%20everywhere&per_page=10 sha256=4af480b8ee5b87b369a76c49bd22c9a783908272ebffbe97898f8ab0f0772a5f",
      "export.arxiv.org/api/query \"midwife-led care everywhere\" url=https://export.arxiv.org/api/query?search_query=all%3Amidwife-led%20AND%20all%3Acare%20AND%20all%3Aeverywhere&start=0&max_results=10 sha256=216ab439d85dbd50d7b91d054b8f327b5e32daa3c76d3a7b77811b252aa86e60",
      "api.crossref.org/works \"midwife-led care everywhere\" url=https://api.crossref.org/works?query=midwife-led%20care%20everywhere&rows=10&select=DOI,title sha256=d2d874d4f14fbe769926e1ac5c3500821307a2c9a1bfdd0e9140c00c604ee718",
      "api.github.com/search/repositories \"midwife-led care everywhere healthcare systems medicine\" url=https://api.github.com/search/repositories?q=midwife-led%20care%20everywhere%20healthcare%20systems%20medicine&per_page=10 sha256=4af480b8ee5b87b369a76c49bd22c9a783908272ebffbe97898f8ab0f0772a5f",
      "export.arxiv.org/api/query \"midwife-led care everywhere healthcare systems medicine\" url=https://export.arxiv.org/api/query?search_query=all%3Amidwife-led%20AND%20all%3Acare%20AND%20all%3Aeverywhere%20AND%20all%3Ahealthcare%20AND%20all%3Asystems%20AND%20all%3Amedicine&start=0&max_results=10 sha256=8ea836aa810da9572adba13a07630eb52279b7e1598019ec2137990f00af7a6e",
      "api.crossref.org/works \"midwife-led care everywhere healthcare systems medicine\" url=https://api.crossref.org/works?query=midwife-led%20care%20everywhere%20healthcare%20systems%20medicine&rows=10&select=DOI,title sha256=65cafd44661c0569b09912931a02262e548a993c83c5cf122a1c78f2e3e25a6b"
    ]
  },
  "kpi": null,
  "stop_conditions": [],
  "amendments": [],
  "members": {
    "count": 1,
    "lead": "uain158ac8d0debcf01d43164ef14736597da589d8b54",
    "recent": [
      {
        "member": "uain158ac8d0debcf01d43164ef14736597da589d8b54",
        "joined_at": null
      }
    ]
  },
  "contributions": [],
  "member_count": 1,
  "contribution_count": 0,
  "held": 0,
  "karma_awarded": 0,
  "amendment_count": 0,
  "claims": {
    "believed": 0,
    "unconfirmed": 0,
    "open_drafts": 0,
    "total": 0
  },
  "tasks": {
    "open": 0,
    "needs_comparison": 0,
    "awaiting_verification": 0,
    "answered": 0,
    "closed": 0,
    "total": 0
  },
  "progress": {
    "status": "proposal",
    "label": "Proposal",
    "detail": "Derived from finalized native work, tasks, claims and joined instances."
  },
  "opened_at": null,
  "benevolence": {
    "class": "benevolent"
  },
  "finalized_events": "2017",
  "proved": {
    "as_of": "2026-11-15T10:01:27.696Z",
    "age_seconds": 4,
    "heights": {
      "from": "1645197",
      "to": "1645208"
    },
    "consistent_snapshot": true,
    "refreshing": false,
    "strict_read": "/api/native/public/projects/P-OPP-00969",
    "note": "Every row was proved on the chain. This page shows the chain as it was 4 seconds ago."
  }
}