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
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Strengthening Nursing and MidwiferyA Global Study, WHO, 1997
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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
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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
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The Implications of the Strategy on Nursing and Midwifery
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Background to Recent Midwifery Developments
2010 2011 2012 2013 2014
First Global Midwifery
Symposium. Washington
DC
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SoWMy 2014 in the Headlines
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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.
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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
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WPRO Countries (China, LaoPDR, Vietnam)
Country Briefs: Overview
Current need
Future need
Effective coverage
today
Availability
Accessibility
Quality
Future availability
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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
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Publications on Midwifery Education
WHO is supporting implementation of midwifery core competencies and
accompanying tools
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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]
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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.