Technical Report

10th Conference of the Global Network of WHO

Collaborating Centres, 28-29 July, 2014

Coimbra, Portugal

Annette Mwansa Nkowane

Technical Officer, Health Workforce Department

Health Systems and Innovations, WHO, Geneva, Switzerland

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Focus of presentation

Framework for collaborative action

The WHO progress report on nursing and

midwifery 2008-2012

The Global Forum of Government Chief

nursing and Midwifery Officers 2012 and 2014

Tools and publications

Conclusion

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The Strategic Directions for

Strengthening Nursing and midwifery

2011-2015

SDNM is an overarching framework for collaborative

action

Vision Statement

improved health outcomes for individuals, families

and communities through the provision of

competent, culturally sensitive, evidence-based

nursing and midwifery services.

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The Strategic Directions for Strengthening

Nursing and midwifery 2011-2015

http://www.who.int/hrh/resources/nmsd/en/

Strategic Directions for Nursing and

Midwifery

2011-2015

Contribution to the

strengthening of health systems and services

Nursing and Midwifery Policy and Practice

Nursing and Midwifery Education,

Training and Career

Development

Nursing and Midwifery Workforce

Management

Partnership for Nursing and Midwifery Services

Monitoring and Evaluation

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Nursing and midwifery progress report

2008-2012 Highlights progress between 2008 and 2012

in the five SDNM KARs

Acknowledges much more needs to be

done

WHOCCs have played a great part in WHO

headquarters achievements

http://www.who.int/hrh/nursing_midwifery/progress_report/en/

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Highlights of the 2008-2012 progress report

on strengthening nursing and midwifery

Nurse-led multidisciplinary and multiprofessional teams are growing,

complemented by medical officers and other specialists

Nursing and midwifery boards and councils are being established to

oversee regulation and legislation implementation.

Dynamic response to training in leadership skills at all levels of nursing

and midwifery education evident

Progress in career development is gradually improving with several

countries developing bridging programmes to upgrade nurses and

midwives from associate to bachelor’s degrees.

Fellowships to enhance faculty development are being awarded through

South-South and North-South partnerships/collaborations between

educational institutions.

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Future perspectives and best

practices

PHC and

People Centred Care

• Revitalizing PHC with improved and appropriate referral system support

• Maximize functional utilisation of HRH to address NCD crisis, palliative care, mental health within community based health service models

• Increase interdisciplinary, multi-professional, nurse-led teams and leadership skills

Policy

and Practice

• Implement recommendations from mapping and benchmarking to increase appropriate HRH workforce & education capacities

• Accelerate reliable data collection to inform policy, planning and research

• Empower nursing and midwifery workforces by clear role clarification, valid job descriptions and professional recognition

Education

and Career

• Competence based education and training available at all service and faculty levels

• Faculty development and accreditation through synergy partnerships

• Empower nurse leaders for decision making positions with the support to implement timely reforms and enhance public HRH investments

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Future perspectives and best

practices

Workforce Management

• Scale up actions to resolve HRH distribution imbalances

• Implement Positive Work Environments to improve motivation and retention

• Action innovative approaches to accellerate scale up of HRH capacities

Partnerships

• Improve networks to integrate internal and cross border partnerships to support capacities and faculty (South-South / North-South /Twinning)

• Enhance cross sector partnerships for Emergency and Disaster preparedness

• Explore synergy partnerships for grant awards and sustainable collaborative actions

Monitoring and Evaluation

• Improve utilisation and dissemination of information exchange through modern technologies and platforms i.e. open/distance learning programmes, web conferencing, Elluminate, GAVI forum

• Use common monitoring indicators to evaluate strategic directions to be better able to assess progress and gaps at national and sub-national level

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2012 GNMO Forum

Noncommunicable Diseases GCNMO Forum statement

Key commitments:

Policy and advocacy- NCDs in national policy and

strategies, Integration of NCDs into nursing and midwifery

actions, Advocacy on risk factors, screening and evidence-

based interventions

Education- NCDs emphasis, More collaboration with

WHOCCs, Increased access to CPD

Research- Prioritize nursing and midwifery research on

NCDs, work with partners on specific areas

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2012 GNMO Forum Report

http://www.who.int/hrh/nursing_midwifery/2012forum_

report/en/

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Publications: Enhancing nursing and

midwifery contribution to the prevention,

treatment, management of NCDs Highlights recent evidence on NCDs in general

Summarizes documented interventions involving

nurses and midwives

Suggests nursing interventions around advocacy

and policy, education and research

http://www.who.int/hrh/resources/observer12/en/

A collaborative effort between WHO and School of nursing, University of California, Los Angeles,

USA

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Draft publication

NCD Interventions Involving Nursing and

Midwifery List of Countries Noncommunicable

Diseases

Interventions

• Australia

• Brazil

• Japan

• Korea

• Mexico

• Hong Kong

• Tonga

• USA

• Botswana

• China

• Thailand

• Guatemala

• Chile

• Zambia

• Peru

• New Zealand

• Diabetes

• Hypertension

• Cancer

• Cardiovascular

Disease

• Dementia

• Life-style; healthy food

selections, exercise

• Self-management; phone-

based palliative care

(communication)

• Tobacco control

• Educational institutions;

professional programmes,

building research

• Community mobilization

• Community development

Committees

• Spiritual

• Environmental; Reduction

of household air pollutants,

and water sanitation

• Obesity clinics

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Global Forum 2014

Universal Health Coverage

Forum Statement:

http://www.who.int/hrh/nursing_midwifery/en/

Key areas in the statement

Leadership and management

Education and training

Collaborative partnerships

Forum report in publication process

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The Competencies

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Draft competencies

Global consultations (Dec. 2012)

Literature review and

informational consultations

Jun.-Dec. 2012

Technical review.

Group set up

Revision of the

competencies Final review Aug. 2013

Validation (AFRO and

EMRO)

Midwifery educators competencies

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Midwifery educators competencies

Identified competencies :

Ethical and legal principles of midwifery

Midwifery practice

Theoretical learning

Learning in clinical area

Assessment and evaluation of students

Organization and management

Communication leadership and advocacy

Research

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Midwifery Educator Core

Competencies Adaptation Tool

The tool aims to:

Assist Member States international midwifery consultants,

experts educationists to review, adopt and apply the

Midwifery Educator core competencies

Build consensus building for strengthening midwifery

Be a resource for non-midwifery healthcare provider

educationalists as well

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WHO Midwifery Educator Core

Competencies

Building Capacities of Midwifery Educators

This tool is a companion to the 2014 Midwifery

Educator Core Competencies Adaptation Tool to

maximize understanding and Midwifery Educator

Core Competencies 2014.

Designed to help countries put together short-term

programmes to update current and/or maintain the

competencies of midwife teachers.

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Other Education and Practice Tools

AFRO three distinct curricula for:

(i) general nursing; (ii) midwifery and (iii) integrated nursing

and midwifery curricula

EMRO: Standards for Nursing Education, Mental health

nursing and framework for specialization

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Interprofessional education and

collaborative practice

Case studies

http://www.who.int/hrh/resources/observer13

/en/

http://www.who.int/hrh/resources/observer/en/

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State of the World Midwifery 2011 and

2014

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Strategic support on old

and emerging agendas

e.g. MDGs and UHC and

dissemination of tools

and reports

Generation of evidence

including case studies

Much more collaboration

across regions

Way Forward

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