1 / 9

Turning a corner on the road to maternal health; A New Vision for Midwifery in Sudan

Turning a corner on the road to maternal health; A New Vision for Midwifery in Sudan . Dr. Lamia Eltigani Elfadil Mahmoud National Reproductive Health Director Federal Ministry of Health, Sudan. Sudan... the largest country on the African Continent.

bryant
Download Presentation

Turning a corner on the road to maternal health; A New Vision for Midwifery in Sudan

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Turning a corner on the road to maternal health; A New Vision for Midwifery in Sudan Dr. Lamia EltiganiElfadilMahmoud National Reproductive Health Director Federal Ministry of Health, Sudan

  2. Sudan... the largest country on the African Continent... • MM - 1107/ 100,000 LB; Neonatal 82/1000 LB • Sudan pioneer in midwifery – started in 1921; now 38 midwifery schools • 13,800 village MWs all over the country • Various categories of midwifery cadres • 80.6% of deliveries occur at home • 49% of deliveries attended by trained providers • EmOC coverage 79%, but of questionable quality • Policy- a midwife for every village (deployment) • Non- employment of village midwives

  3. Too many challenges….. • Village MWs versus SBAs • Only 56.4% of villages covered with VMWs • Poor condition of schools (physical)- teaching material, schools not functioning at full capacity • Donor dependance of schools • Tutor competencies (state level) • Untill recently, no standardization of curricula • Job security & recognition

  4. Window of Opportunity Timely moment for new initiatives: • Growing global movement to support midwifery • Government commitment to midwifery • Collaborative national effort and ownership • Academy of Health Sciences & universities • Formulation of the National Midwifery Association • International midwifery advisor (3 for Sudan) • Launching of Sudan Midwifery Strategy on the International Day of the Midwife

  5. National Midwifery Strategy; framework for scaling up midwifery Training Education Access equity Supervision support Policy, legal regulation Midwifery services Enabling Environment Stewardship Funding Monitoring Evaluation Image attractiveness

  6. What have we done? Adoption of 2 new pathways for midwifery training; • 4 yrs BSc curriculum, started on 18th October 2009 (national) • 2 yrs midwifery technician curriculum, piloted in 5 schools (states with highest MM) • What’s new? • Higher entry educational level • Revised curriculum, aligned to WHO standards for SBAs • Improved training environment

  7. Lessons learned • Advocacy, advocacy, advocacy • Inclusion of midwives into the formal health system is a MUST • Recruiting candidates from remote villages is a challenge • Availing core teams of competent trainers in the states • A regulatory framework for midwifery must be initiated • Supportive supervision to VMWs • Close monitoring of implementation process

  8. Sudan needs midwives now more than ever….

More Related