strengthening midwifery who wpro meeting on ending newborn mortality & morbidity tokyo, japan...
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Strengthening Midwifery
WHO WPRO Meeting on Ending Newborn Mortality & Morbidity
Tokyo, JAPANSeptember 21-25, 2015
Strengthening Nursing and MidwiferyA Global Study, WHO, 1997
Source: Pattinson R, Kerber K, Buchmann E, et al, for The Lancet’s Stillbirths Series steering committee. Stillbirths: how can health systems deliver for mothers and babies? Lancet 2011; published online April 14. DOI:10.1016/S0140-
6736(10)62306-9.
If intervention in pregnancy and at birth reached all
families by 2015: 1.4 million newborn
deaths averted (43%)
1.1 million stillbirths prevented (45%)
201,000 maternal deaths averted (54%)
Care at Birth Gives a Triple Return on Investments by Also Reducing
Stillbirths and Maternal Deaths
0
500000
1000000
1500000
2000000
2500000
Stillbirths Maternal deaths Neonatal deaths
Dea
ths
ave
rted
The Strategic Directions for Strengthening Nursing and Midwifery 2011-2015
Key Result Areas:
1.Strengthening health systems and services 2.Nursing and midwifery policy and practice 3. Education, training and career development4. Nursing and midwifery workforce management5. Partnership for nursing and midwifery services
The Implications of the Strategy on Nursing and Midwifery
Background to Recent Midwifery Developments
2010 2011 2012 2013 2014
First Global Midwifery
Symposium. Washington
DC
SoWMy 2014 in the Headlines
State of World Midwifery 2014
• SRMNH data/workforce projections for each of 73 "Countdown countries"
• Midwives can provide 87% of the needed essential care for women and newborns, when educated and trained to international standards.
• Midwives most effective when they work within a functional health system and enabling environment.
• Also, a supportive team of auxiliaries, physicians and specialists is essential in order to ensure coverage of services to women and newborns across the whole continuum of care.
State of World Midwifery 2014
• The report puts forward a vision of Midwifery2030, a pathway for women's health and for midwifery policy and planning through the end of 2030.
• It promotes women-centered and midwife-led care to achieve the goal of universal health coverage for all women
• Tools for determining midwifery needs
WPRO Countries (China, LaoPDR, Vietnam)
Country Briefs: Overview
Current need
Future need
Effective coverage
today
Availability
Accessibility
Quality
Future availability
Midwifery Education & Training
• National recognition of need for midwives• Quality midwifery education/training curriculum
– Role of ICM and constituent bodies– Educational institution -vs- health institution
location– Theoretical knowledge and competency– On site supervision; minimum case
requirements • Registration, recognition of qualifications
Publications on Midwifery Education
WHO is supporting implementation of midwifery core competencies and
accompanying tools
Midwifery as a Profession
• Recognition by national legislation• Career structure, remuneration, recertification • Collegiality with other MNH professionals• Access to/for women, babies & their families• Professional associations• Increasing numbers and quality necessary for
national and global attainment of SDGs in Western Pacific Region
[Note: Launch of AMA (Asian Midwifery Alliance) imminent]
Conclusion
• Developing and strengthening human resources for health means recognizing that midwifery services play a vital role in improving health service delivery.
• Midwives provide services close to mothers, their newborns, children and families.
• The global HRH strategy offers an opportunity to strategically recommend the future work of midwifery post-2015 development agenda in 2016 at the WHA.
• SoWMY, a strong foundation to improve access, acceptability, availability and quality of midwives and midwifery services.