SoWMy 2014 Presentation to Share-Net International Netherlands - - PowerPoint PPT Presentation

SoWMy 2014

Presentation to Share-Net International Netherlands Amsterdam, 25 June 2014

A message from Ban Ki-moon

The midwifery workforce, within a supportive health system, can support women and girls to prevent unwanted pregnancies, provide assistance throughout pregnancy and childbirth, and save the lives of babies born too early. I fully support the Midwifery 2030 vision articulated in this

• report. This vision is within reach
• f all countries, at all stages of

economic and demographic transition.

SoWMy 2014: Key findings

Effective coverage

Midwifery workforce is AVAILABLE? Midwifery workforce is ACCESSIBLE? Midwifery workforce is ACCEPTABLE? Midwifery workforce provides QUALITY CARE?

AVAILABILITY ACCESIBILITY ACCEPTABILITY QUALITY

• A midwife is available in
• r close to the community
• As part of an integrated

team of professionals, lay workers and community health services

• Woman attends
• A midwife is available
• As needed
• Financial protection

ensures no barriers to access

• Woman attends
• A midwife is available
• As needed
• Providing respectful care
• Woman attends
• A midwife is available
• As needed
• Providing respectful care
• Competent and enabled to

provide quality care.

CRUDE COVERAGE EFFECTIVE COVERAGE

Source: Campbell J. SoWMy 2014

Availability

• The availability of the midwifery

workforce can only be measured by reference to full-time equivalent not headcount.

• Midwifery education must be actively

managed to ensure that the future workforce meets the needs of future populations.

• A career as a midwife is perceived to

be more attractive than other professions open to people with a similar level of education, but not in all countries.

• Midwives’ salaries are among the

lowest for health-care professionals in low- and lower-middle-income countries.

Accessibility

• Most countries deploy their midwifery

workforce using facility-based planning or workforce to population ratios; these may be inconsistent with needs and access to care.

• Human resource information systems linked

to facility GIS codes would enable new insights into people’s ability to access a skilled and competent health-care provider.

• Countries are urged to develop a “minimum

guaranteed benefits package” for SRMNH.

• 70 of the 73 responding countries have a

national “minimum guaranteed benefits package”, but there are gaps in the essential interventions.

• Many countries will face significant challenges

to ensure universal coverage, especially for the poorest 40%.

Source: WHO and World Bank, SoWMy 2014

Acceptability

Quality

• Key challenges for quality midwifery education

include the inadequacy of secondary education, lack of teaching staff, poor quality equipment, lack

• f opportunities for practical training and lack of

classroom space.

• The number of births a midwife conducts under

supervision prior to graduation varies across countries, and may be insufficient to meet competency requirements.

• Nearly all responding countries have at least one

regulatory body, but many lack legislation recognizing midwifery as a regulated profession, clearly described midwifery competencies and education standards, and effective regulatory processes.

• Nearly all countries reported having at least one

professional association open to midwives.

• 75% of countries said the SRMNH workforce

targets in their HRH plans was linked to the national SRMNH or health plan.

Country briefs

Kenya Case Study

Kenya Case Study

Projected outflows + Projected Inflows to 2030

Kenya Case Study

Kenya Case Study

Chad Case Study

Chad Case Study

Projected outflows + Inflows From 2012 to 2030

Chad Case Study

Chad Case Study

PLANNING AND PREPARING ENSURING A HEALTHY START SUPPORTING A SAFE BEGINNING CREATING A FOUNDATION FOR THE FUTURE

The Midwifery2030 vision – key points

• 1. All women of reproductive age, including adolescents,

have universal access to midwifery when needed.

• 2. Governments provide and are held accountable for a

supportive policy environment.

• 3. Governments and health systems provide and are held

accountable for a fully enabled environment.

• 4. Data collection and analysis are fully embedded in

service delivery and development.

• 5. Midwifery care is prioritized in national health

budgets; all women are given universal financial protection.

The Midwifery2030 vision – key points (cont.)

• 6. Midwifery care is delivered in collaborative practice

with health-care professionals, associates and lay health workers

• 7. First-level midwifery care is close to the woman and

her family with seamless transfer to next-level care.

• 8. The midwifery workforce, in communities, facilities

and hospitals, is supported through quality education, regulation and effective human and other resource management.

• 9. All healthcare professionals provide and are

accountable for delivering respectful, quality care.

• 10. Professional associations provide leadership to their

members to facilitate quality care through collaboration