campbell j sowmy 7thectmih 05oct11
DESCRIPTION
ÂTRANSCRIPT
Access to quality midwifery care for women and newborns: findings from the State of the World’s Midwifery 2011. Track 4: Global access to care for women and children. 7th European Congress on Tropical Medicine and InternaJonal Health Wednesday 5th October 2011. Jim Campbell Director ICS Integrare, Barcelona, Spain [email protected]
June 2010 • Concept (Women Deliver)
November 2010
• NORAD/UNFPA commission
Dec 2010 – Feb 2011
• Country survey
Mar – June 2011
• Report and launch
MIDWIFERY – the INTERVENTION MIDWIFERY -‐ the PROFESSION
• intervenHon is pracHsed not only by “midwives”. – ‘skilled birth aOendants’ – ‘community health workers’ – ‘tradiHonal birth aOendants’
• respecHve cadres have (some) competencies
COMPETENCIES in the COMMUNITY
Summary messages
1. PracHsing workforce (and quality) not known
2. Inadequate numbers – inequitable coverage
3. ‘Triple gap’ – competencies, coverage, access
4. EducaHon, regulaHon, professional associaHon – weak
5. Policy coherence – missing “Failed to reach” NOT “Hard to reach”
MDG5.2 – 95% births assisted by a SBA
• EsHmates for ‘pracHsing’ collated by WHO
• 38 countries – 112,000 more midwives needed
• 20 countries – volume, but
distribuHon, uHlisaHon, quality etc remain barriers (sHll low % SBA)
9 countries: x 6 to 15 7 countries: x 3 to 4 22 countries: x 2
CondiJons for achieving quality
1. EducaHon, RegulaHon and Professional associaHon development
2. Access to faciliHes and referral mechanisms
3. Human resource management based on ‘Strategic Intelligence’
4. NaHonal health plans and policies integraHng human resources for maternal health
LiST -‐ Impact of increased coverage of midwifery (BartleO L, Sikder S, Friberg I. -‐ JHSPH) • Double the current access to pracHsing
midwives => 21% reducHon of maternal, foetal and newborn deaths
• Add universal coverage of all births in a BEmONC facility with midwives => 56 % reducHon
• Total: 3.6 million lives saved in 2015
– 61% of maternal deaths, – 49% of foetal deaths, and – 60% of newborn deaths
“Ensuring that every woman and her newborn have access to quality midwifery services demands that we take bold steps” Ban Ki-‐moon, Secretary-‐General of the United NaHons
Sept 2011 • UNGA / EWEC
2011-‐12 • Country studies (x 7)
Sept 2012 • EWEC Progress report
Sept 2012
• The Lancet Special Series on Midwifery
Report (EN, FR, SP) www.stateoeheworldsmidwifery.org
Further informaJon:
Jim Campbell ICS Integrare
C. Diputacio 262 08007 Barcelona
Spain [email protected]