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Strengthening Midwifery Geeta Lal UNFPA Programme Coordinator 10 June 2011 UNFPA, New York

Strengthening Midwifery Geeta Lal UNFPA Programme Coordinator 10 June 2011 UNFPA, New York. Background. Every Year 350,000 maternal deaths 2m newborns die 2.6m still births. Why Midwifery? Launch of UNFPA/ICM Joint Programme

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Strengthening Midwifery Geeta Lal UNFPA Programme Coordinator 10 June 2011 UNFPA, New York

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  1. Strengthening Midwifery GeetaLal UNFPA Programme Coordinator 10 June 2011 UNFPA, New York

  2. Background • Every Year • 350,000 maternal deaths • 2m newborns die • 2.6m still births • Why Midwifery? • Launch of UNFPA/ICM Joint Programme • Goal- To improve/increase provision of midwifery services in low-income priority countries • Focus Areas: • Education and Accreditation • Regulation • Associations • Policy level Advocacy

  3. Coverage & Capacity Building • 2010 –22high maternal mortality countries • 17 countries –directly under UNFPA/ICM Prog • Synergies - remaining 5 countries • In 2011 –expansion to 28-30 countries • 25 under UNFPA/ICM umbrella • 20 UNFPA Country Midwife Advisors and 5 regional advisors providing TA for capacity building at national level

  4. Results

  5. GLOBAL VISIBILITY International Day of the Midwife Results: • Increased national stakeholder commitments • Improved policy environment (regulatory frameworks, field level supervision)around midwifery

  6. Midwifery Symposium at Women Deliver Major Global Midwifery Movement and Partnership

  7. Missing DATA

  8. The report includes findings from 58 highest maternal mortality countries representing 91% of the global burden of maternal mortality and 82% of newborn mortality. • The key findings • triple gap in midwifery skills, coverage and uneven access; • lack of standardization in education and training • lack of regulation of this workforce and weak policy frameworks.

  9. Needs Assessments MHTF Output 2 • NA/Gap Analysis completed in 14 countries – Baseline Data • Results: • National Midwifery Strategies and Action Plans developed for N. Sudan, Bangladesh, Uganda; • Afghanistan – curriculum for direct entry midwifery is being devised • Identified midwifery schools are being strengthened • Advocacy with Government for policy revisions • Resource mobilization (e.g Ethiopia)

  10. Midwifery EducationResults: MHTF Output 4

  11. Education Results National curricula based on all 7 essential competencies developed and now implemented in 13 countries Higher Degrees in Midwifery (career path) Examples: Ethiopia: Accelerated Midwifery Training prog – 1634 diploma nurses being trained in midiwfery Uganda: Masters Prog at MakerereUniv Bachelors Direct Entry Programmes- Cambodia, Ghana, Bangladesh, Haiti ICM Global education standards finalized in 2011 !!

  12. Results - Association • ICM tool (MACAT) for assessing association capacity finalized! • Associations in 17 countries now • New Midwifery associations - Nepal, Bangladesh, S. Sudan • Guyana - new constitution • Ethiopia and Uganda - 5 year Strategic Plans • Increases in membership • Efforts underway in Djibouti, Zambia • Trainings in communication, leadership and advocacy

  13. Results in Regulation • Global ICM Standards finalized – Biggest achievement!! • 8 countries now have a Midwifery Council/Board • In Afghanistan, Cote D’Ivoire and Djibouti – Councils planned for 2011 • In Burkina Faso 5 regional branches of the Midwifery Council have been established • Afghanistan –Midwifery Council to be formed in 2011 • Zambia – intense advocacy campaign by General Nursing Council to include midwifery in its name and mandate

  14. Biggest Challenges GLOBAL ADVOCACY- A MUST!!! • Supportive policy environment and Stakeholder ownership/Government commitment • Recognition in countries of the role that midwives play • Midwifery as a distinct profession from nursing • Implementation of regulatory standards • Resources – financial, material and human • Programme sustainability

  15. Future Workplan • Programme Scale up • Advocacy – e.g Durban • Partnerships • On-going strengthening – Education, Association & Regulation • Further capacity building of country midwife advisers • Dissemination of Global Standards and dissemination • Detailed Programme Guidance for scale up • Launch and Dissemination of findings of State of the World Midwifery Report

  16. Strategic Vision • Governments recognize role midwives play in saving maternal and newborn lives • National Governments commit resources towards midwifery. • Partnerships THANKYOU

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