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Embedding equity in health systems: Lessons from 'Remi Ejiwunmi on midwifery models at Trillium Health Partners

Midwife ‘Remi Ejiwunmi, Vice President of the future Shah Family Hospital for Women and Children, shared reflections at Minofest 2026, the Racialized Reproductive and Maternal Health Conference held at North York General Hospital, on why midwifery is key to designing equitable health systems.   This year’s theme explored how data is used in perinatal and reproductive health care, raising important questions about who it serves and excludes, and how systems can be redesigned to better support marginalized communities. For Black and racialized families in Canada, these are urgent, lived realities.

Cuts to the Interim Federal Health Program beginning May 1, 2026

Effective May 1, 2026, the federal government is introducing co-payments for health-care essentials like medication, mental health support and vision care to the Interim Federal Health Program (IFHP) for eligible beneficiaries. While doctor visits and hospital care will remain fully covered under the IFHP with no co-payments required, the potential impact of harm as a result of other increased costs can still be significant. The IFHP provides health-care coverage for victims of human trafficking and family violence, protected persons under Canadian law, resettled refugees and refugee claimants, including many who are receiving care from midwives.

ESW 2025: Year in review

Midwives are required to have specialized skills and training to handle emergencies that occur in both community and hospital settings. The AOM’s Emergency Skills Workshop (ESW) is a comprehensive, high-quality, College of Midwives of Ontario–certified course, designed and taught by midwives, for midwives.   The ESW program experienced a year of meaningful growth and innovation. In Ontario, recertifications rose by an impression 27%, reflecting strong engagement and a continued commitment from midwives to the ESW’s midwife- and client-centred emergency obstetric curriculum. 

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Ontario midwives practice in clinics in 100 communities across Ontario, from Attawapiskat to Windsor, Belleville to Kenora. Approximately 20% of all births in the province are attended by midwives. You don't need a referral from a doctor to have a midwife, and midwifery care is covered by the health-care system.

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