Key Findings State of the Worlds Midwifery Report

Asia Regional Meeting Prevention & Management of PPH and PE/E & Special Care for Newborns 3-6 May 2012 Dhaka

Presentation by: Geeta Lal Coordinator Midwifery Programme UNFPA

Why Midwives and others with midwifery competencies ? Key care providers for MNH Core to MDGs 4, 5 and 6 Central to UNSG Global Strategy for Women and Children (2010) Every Woman, Every Child A profession marked by insufficient investment, few career opportunities, performing a key task with little health system support, little recognition and respect. An area where relatively modest investments can save many lives, pregnant women, mothers and newborns

A report long overdue !

First ever midwifery report since 1976 30 partners led by UNFPA as follow-up to the Symposium on Strengthening Midwifery (Women
Deliver, Washington, DC, June 2010)

Contributions: UN H4+, NGOs, Academic institutions, multi and bilateral donors Aligned with the UN-SG Strategy for Women and Children Health Launched at ICM Triennial Congress, Durban 2011

 Based on survey findings from 58 countries representing approx 60% of all global births; 91% of all maternal deaths and 82% of newborn mortality.
Among the 38 countries most desperately in need of midwives, 22 countries need to double their midwifery workforce by 2015 and 7 triple or quadruple it. 9 countries (Cameroon, Chad, Ethiopia, Guinea, Haiti, Niger, Sierra Leone, Somalia, Sudan) need to dramatically scale up midwifery by a factor of between 6 and 15.

Part 3

Part 2

Midwifery around the world

#s,skills, policy, ERA

State of Midwifery
analysis of survey findings

Moving Forward

Part 4

Country Profiles

Part 1

THREE KEY FINDINGS EMERGING FROM THE REPORT

The triple gap of competencies, coverage, and access

(38 countries have severe shortage, others have distribution and quality gaps) The triad ERA (Education-Regulation-Association) and its role on Quality of Care (must improve on all grounds)

Policies lack coherence. Disconnect between needs and policy frame, reality and knowledge, strategies and investments, patientsrights and response

Leading to call for Action: BOLD STEPS...

Series of BOLD Steps!

Governments

Regulatory Bodies

Educational Institutions

Professional Associations

NGOs, Donors, UN etc

Joint UNFPA-ICM Programme

Investing in midwives

Launched in 2008 now covers 30 countries Goal: To strengthen midwifery services in high priority countries. Key Pillars: Education, Regulation, Association + Advocacy

22 Country Midwife Advisors (mostly national, some international) and 4 ICM advisors technically supporting midwifery Global Programme Coordinator Strategic Positioning and Advocacy

Taking forward findings/ key recommendations of the Report

Progress since Launch

Very high global visibility towards midwifery 26 National Launches Govts recognize added value Increasing national commitments towards midwifery towards SGs Strategy 28 to date High Burden Country Initiative 8 countries Lancet Series on Midwifery (2013) More National strategies on midwifery e.g Bangladesh and Afghanistan; direct entry progs, competency based education; ToT, Innovative partnership with Intel to increase training access and coverage
.. More by Pashtoon

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