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International Confederation of Midwives

International Confederation of Midwives ICM/UNFPA, Investing in Midwives Program: Key Midwifery Achievements, Asia

ICM/UNFPA, Investing in Midwives Program: Key Midwifery Achievements, Asia

in Midwives Program: Key Midwifery Achievements, Asia Strengthening Midwifery Globally Pashtoon Azfar

Strengthening Midwifery Globally

Pashtoon Azfar

International Confederation of Midwives, ICM

Regional Midwife Advisor/ Asia

Investing in Midwives' Programme

International Confederation of Midwives

Vision

a world where every childbearing woman has access to a midwife's care for herself and her newborn

Mission To strengthen member associations and to advance the profession of midwifery globally by promoting autonomous midwives as the most appropriate

caregivers for childbearing women and in keeping birth normal,

in order to enhance the reproductive health of women, and the health of their newborn and their families

the reproductive health of women, and the health of their newborn and their families Strengthening Midwifery

Strengthening Midwifery Globally

International Confederation of Midwives

International Confederation of Midwives The sole voice representing midwives globally

Umbrella organisation of professional midwifery associations

An accredited non-governmental organisation

 108 Member Associations  250,000 midwives  98 countries  4 regions Africa Americas
 108 Member Associations
 250,000 midwives
 98 countries
 4 regions
Africa
Americas
Asia
Europe

Strengthening Midwifery Globally

International Confederation of Midwives

Pillars of Midwifery

International Confederation of Midwives Pillars of Midwifery E D U C A T I O N

E

D

U

C

A

T

I

O

N

A

S

S

O

C

I

A

T

I

O

N
N

ICM ESSENTIAL COMPETENCIES

Strengthening Midwifery Globally

International Confederation of Midwives

ICM Documents

Global Standards, Competencies & Tools -Global Standards for Midwifery Education -Global Standards for Midwifery

Global Standards, Competencies & Tools

-Global Standards for Midwifery Education -Global Standards for Midwifery Regulation -Competencies -Member Association Capacity Assessment Tool (MACAT)

ICMGlobalStandardsCompetenciesandTools/tabid/911/Default.aspx

ICMGlobalStandardsCompetenciesandTools/tabid/911/Def ault.aspx Strengthening Midwifery Globally

Strengthening Midwifery Globally

Overview

International Confederation of Midwives

Brief description of the ICM/UNFPA initiative

Snap shot of the main country level achievements

Highlight key regional and international level key achievements

Challenged

Recommendations

Way forward

level key achievements • Challenged • Recommendations • Way forward Strengthening Midwifery Globally

Strengthening Midwifery Globally

International Confederation of Midwives

Countries Involved

Current

Afghanistan

Bangladesh

Nepal

Pakistan India

 Bangladesh  Nepal  Pakistan  India Strengthening Midwifery Globally In the process of

Strengthening Midwifery Globally

In the process of

involvement

Timor-Leste

Vietnam

International Confederation of Midwives

Country level few highlights: Afghanistan

Afghanistan Midwives Association (AMA) is now a formal partner of Ministry of Public Health (MoPH)

AMA

and

international level Developed National

Policy and Strategy for Nursing

and Midwifery Services Post basic BSc and direct entry BSc Midwifery will begin this year

building

enormous

providing

to

capacity

at

opportunities

midwives

both

national

Afghanistan Midwives and Nurses Act, approved from MoPH, now under process of approval from Ministry

from MoPH, now under process of approval from Ministry of Justice and Parliament Strengthening Midwifery Globally

of Justice and Parliament

Strengthening Midwifery Globally

International Confederation of Midwives

Country level few highlights: Bangladesh

Country has 180 trained midwives and 73 faculty

A two-day strategic planning workshop held in May 2011 to finalize the road map to train 3000 midwives in order to fulfil the Honourable Prime Minister’s pledge. Roadmap developed according to the ICM Global standards for education.

BNC Act is under amendment for the inclusion of

midwifery as a distinct profession

Midwifery Society has increasing membership

The curriculum for the 3-year Direct Entry Program

 The curriculum for the 3-year Direct Entry Program have been finalized and in the process

have been finalized and in the process for approval.

Strengthening Midwifery Globally

International Confederation of Midwives

Country level few highlights: India

Membership

of

Society

of

increased to >6000

Midwives

India

(SOMI)

As part of advocacy and to improve visibility SOMI organized an innovative event midwives carrying a lamp travelled throughout India (27 cities) and finally on International Day of the Midwife handed the lamp over to

the President of India. Chapters organized walk for safe motherhood. At the ICM Congress in Durban, Society of Midwives India (SOMI) sent in a bid to host the 31 st ICM Congress

Society of Midwives India (SOMI) sent in a bid to host the 31 s t ICM

Strengthening Midwifery Globally

International Confederation of Midwives

Country level few highlights: Nepal

Curriculum for Direct Entry Midwifery drafted

for

maternal health with focus on Midwifery workforce. A three-day desk review workshop conducted with support from UNFPA Nepal

Conducted

feasibility

study

on

human

resources

Midwifery Association, involved in various policy influencing settings on Reproductive Health and Safe Motherhood

Regular

capacity

building

activities

for

midwives

by

Midwifery Society

Motherhood  Regular capacity building activities for midwives by Midwifery Society Strengthening Midwifery Globally

Strengthening Midwifery Globally

International Confederation of Midwives

Country level few highlights: Pakistan

Midwives capacity building has been a forefront function

of Midwifery Association.

Establish a country working group for the Development of Midwifery.

UNFPA hired a deputy registrar for midwifery in Pakistan Nursing Council (PNC)

PNC Act is under amendment for the inclusion of midwifery as a distinct profession.

Revision Of CMW curriculum

for the inclusion of midwifery as a distinct profession.  Revision Of CMW curriculum Strengthening Midwifery

Strengthening Midwifery Globally

International Confederation of Midwives

Country level few highlights: Timor-Leste

Gaps related to Association have been identified and the interventions to address the gaps are planned for 2012

have been identified and the interventions to address the gaps are planned for 2012 Strengthening Midwifery

Strengthening Midwifery Globally

International Confederation of Midwives

Regional and international Level Highlights

In November 2011, the ICM/UNFPA program held a workshop on ‘Standards Orientation /Dissemination and Educational Harmonization’ for about 40 midwifery leaders in the Asia-Pacific Region in India

Formed

establishment of Regional Resource Centre (RRC) South Asia Midwifery Association (SAMA) meeting was organized in South Africa, Durban ‘State of world’s midwifery report’ launched in most of the countries

the

regional

level

working

group

for

report’ launched in most of the countries the regional level working group for Strengthening Midwifery Globally

Strengthening Midwifery Globally

International Confederation of Midwives

Regional and international highlights

Global Celebration of International Day of Midwives (IDM) in Countries under the slogan: “The World Needs Midwives Now More Than Ever”

Participation in various high level meetings to share midwifery related experiences from Asia e.g. In New York

high level meetings to share midwifery related experiences from Asia e.g. In New York Strengthening Midwifery

Strengthening Midwifery Globally

International Confederation of Midwives

Challenges for midwifery in Asia

Inadequate visibility of the midwifery profession remains a challenge in many countries
Limited supportive policy environment for the midwifery profession exists in several countries
Lack of strong regulatory mechanism in most countries
Political instability in some countries prevents smooth running of activities
High level advocacy with politicians and key public officials is critically needed to keep momentum for strengthening midwifery
Lack of strong coordination and harmonization among partners working to strengthen midwifery services

coordination and harmonization among partners working to strengthen midwifery services Strengthening Midwifery Globally

Strengthening Midwifery Globally

International Confederation of Midwives

Recommendations

Strong partnership and coordination among NGOs, Government and donors needs to be encouraged and

maintained

Ongoing support and sharing of information is necessary at all levels to ensure the progress of activities with tangible

outcomes

Provision of higher education opportunities and career frameworks for existing midwives

Different models of midwifery care need to be introduced for example midwifery led birthing centers

Strong advocacy is still needed starting from higher level to

grass root level.

 Strong advocacy is still needed starting from higher level to grass root level. Strengthening Midwifery

Strengthening Midwifery Globally

International Confederation of Midwives

Way Forward

Follow up studies on the high-burden countries identified in the State of World’s Midwifery report National midwifery strategic planning workshop in Pakistan Strengthening/initiation of partnerships at the national and regional levels Follow up of the implementation of action plans by countries from Gap Analysis Planning for joint evaluation in the future Midwifery situational analysis for the new countries like Timor-Leste, Vietnam and so on Establishment of Regional Resource Centre (RRC)

so on Establishment of Regional Resource Centre (RRC)        

Strengthening Midwifery Globally

Conclusion

International Confederation of Midwives

The overall goal is to develop strong and accountable midwives who

offer women in Asia quality

care based on evidence based practices and which

will contribute to reducing

maternal and newborn deaths

based practices and which will contribute to reducing maternal and newborn deaths Strengthening Midwifery Globally

Strengthening Midwifery Globally

based practices and which will contribute to reducing maternal and newborn deaths Strengthening Midwifery Globally

International Confederation of Midwives

International Confederation of Midwives Thank You International Confederation of Midwives Laan van Meerdervoort 70 2517

Thank You

International Confederation of Midwives

Laan van Meerdervoort 70 2517 AN, The Hague Netherlands

Laan van Meerdervoort 70 2517 AN, The Hague Netherlands Strengthening Midwifery Globally Telephone: +31 (0)70 306

Strengthening Midwifery Globally

Telephone: +31 (0)70 306 0520 Fax: +31 (0)703 555 651 info@internationalmidwives.org www.internationalmidwives.org