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International Confederation of Midwives

ICM/UNFPA, Investing in Midwives Program: Key Midwifery Achievements, Asia


Pashtoon Azfar International Confederation of Midwives, ICM

Regional Midwife Advisor/ Asia


Investing in Midwives' Programme
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International Confederation of Midwives

Vision a world where every childbearing woman has access to a midwife's care for herself and her newborn Mission To strengthen member associations and to advance the profession of midwifery globally by promoting autonomous midwives as the most appropriate caregivers for childbearing women and in keeping birth normal, in order to enhance the reproductive health of women, and the health of their newborn and their families

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International Confederation of Midwives

International Confederation of Midwives The sole voice representing midwives globally


Umbrella organisation of professional midwifery associations An accredited non-governmental organisation 108 Member Associations 250,000 midwives 98 countries

4 regions

Africa

Americas
Asia Europe
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Pillars of Midwifery
E D U C A T I O N R E G U L A T I O N A S S O C I A T I O N

ICM ESSENTIAL COMPETENCIES

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ICM Documents

Global Standards, Competencies & Tools

-Global Standards for Midwifery Education -Global Standards for Midwifery Regulation -Competencies -Member Association Capacity Assessment Tool (MACAT) http://www.internationalmidwives.org/Documentation/ ICMGlobalStandardsCompetenciesandTools/tabid/911/Default.aspx

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Overview

Brief description of the ICM/UNFPA initiative


Snap shot of the main country level achievements Highlight key regional and international level key achievements Challenged Recommendations Way forward

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Countries Involved
Current
Afghanistan Bangladesh Nepal Pakistan

In the process of involvement


Timor-Leste Vietnam

India

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Country level few highlights: Afghanistan


Afghanistan Midwives Association (AMA) is now a

formal partner of Ministry of Public Health (MoPH) AMA providing enormous capacity building opportunities to midwives both at national and international level Developed National Policy and Strategy for Nursing and Midwifery Services Post basic BSc and direct entry BSc Midwifery will begin this year
Afghanistan Midwives and Nurses Act, approved from

MoPH, now under process of approval from Ministry of Justice and Parliament
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Country level few highlights: Bangladesh


Country has 180 trained midwives and 73 faculty A two-day strategic planning workshop held in May

2011 to finalize the road map to train 3000 midwives in order to fulfil the Honourable Prime Ministers pledge. Roadmap developed according to the ICM Global standards for education. BNC Act is under amendment for the inclusion of midwifery as a distinct profession Midwifery Society has increasing membership The curriculum for the 3-year Direct Entry Program have been finalized and in the process for approval.

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Country level few highlights: India


Membership of Society of Midwives India (SOMI)

increased to >6000
As part of advocacy and to improve visibility SOMI

organized an innovative event midwives carrying a lamp travelled throughout India (27 cities) and finally on International Day of the Midwife handed the lamp over to the President of India. Chapters organized walk for safe motherhood. At the ICM Congress in Durban, Society of Midwives India (SOMI) sent in a bid to host the 31st ICM Congress
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Country level few highlights: Nepal


Curriculum for Direct Entry Midwifery drafted
Conducted feasibility study on human resources for

maternal health with focus on Midwifery workforce. A three-day desk review workshop conducted with support from UNFPA Nepal Midwifery Association, involved in various policy influencing settings on Reproductive Health and Safe Motherhood Regular capacity building activities for midwives by Midwifery Society

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Country level few highlights: Pakistan


Midwives capacity building has been a forefront function

of Midwifery Association. Establish a country working group for the Development of Midwifery. UNFPA hired a deputy registrar for midwifery in Pakistan Nursing Council (PNC) PNC Act is under amendment for the inclusion of midwifery as a distinct profession. Revision Of CMW curriculum

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Country level few highlights: Timor-Leste


Gaps related to Association have been identified and the

interventions to address the gaps are planned for 2012

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Regional and international Level Highlights


In November 2011, the ICM/UNFPA program held a

workshop on Standards Orientation /Dissemination and Educational Harmonization for about 40 midwifery leaders in the Asia-Pacific Region in India Formed regional level working group for the establishment of Regional Resource Centre (RRC) South Asia Midwifery Association (SAMA) meeting was organized in South Africa, Durban State of worlds midwifery report launched in most of the countries

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Regional and international highlights


Global Celebration of International Day of Midwives

(IDM) in Countries under the slogan: The World Needs Midwives Now More Than Ever
Participation in various high level meetings to share

midwifery related experiences from Asia e.g. In New York

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Challenges for midwifery in Asia


Inadequate visibility of the midwifery profession remains

a challenge in many countries Limited supportive policy environment for the midwifery profession exists in several countries Lack of strong regulatory mechanism in most countries Political instability in some countries prevents smooth running of activities High level advocacy with politicians and key public officials is critically needed to keep momentum for strengthening midwifery Lack of strong coordination and harmonization among partners working to strengthen midwifery services

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Recommendations
Strong partnership and coordination among NGOs,

Government and donors needs to be encouraged and maintained Ongoing support and sharing of information is necessary at all levels to ensure the progress of activities with tangible outcomes Provision of higher education opportunities and career frameworks for existing midwives Different models of midwifery care need to be introduced for example midwifery led birthing centers Strong advocacy is still needed starting from higher level to grass root level.

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Way Forward
Follow up studies on the high-burden countries identified in
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the State of Worlds Midwifery report National midwifery strategic planning workshop in Pakistan Strengthening/initiation of partnerships at the national and regional levels Follow up of the implementation of action plans by countries from Gap Analysis Planning for joint evaluation in the future Midwifery situational analysis for the new countries like Timor-Leste, Vietnam and so on Establishment of Regional Resource Centre (RRC)

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Conclusion The overall goal is to develop strong and accountable midwives who offer women in Asia quality care based on evidence based practices and which will contribute to reducing maternal and newborn deaths

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Thank You
International Confederation of Midwives
Laan van Meerdervoort 70 2517 AN, The Hague Netherlands Telephone: +31 (0)70 306 0520 Fax: +31 (0)703 555 651 info@internationalmidwives.org www.internationalmidwives.org
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