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El Mundo Necesita Mas Obstetrices, Obstetras, Matronas, Midwives... Hoy Mas Que Nunca! STATE OF THE WORLD’S MIDWIFERY REPORT 4TA CONFERENCIA REGIONAL DE LAS AMERICAS DE PARTERIA PROFESIONAL DE ICM QUITO, ECUADOR BRIDGET LYNCH PAST PRESIDENT, ICM


Partnership for Maternal Newborn and Child Health (PMNCH)  Established 2007  International Board  UN agencies: WHO, World Bank, UNiCEF, UNFPA  ,Donor countries,  Low resource countries  Academics and researchers  Non-government organizations  Professional associations: • ICM - Midwives • FIGO – Obstetricians • IPS - Pediatricians


Partnership for Maternal Newborn and Child Health (PMNCH)  Global advocacy to improve maternal, newborn and

child health  

Advocacy Identifying basic interventions to save lives and improve the health of mothers, newborns and children globally

 WORKING TOGETHER TO ACHIEVE THIS WORK


Midwifery Symposium (2010)  PMNCH 2008  Call for 350,000 more midwives to achieve MDGs 4 and 5  Global Midwifery Symposium in Washington, DC  Global partners gathered to review global standards for midwives:: Education  Regulation  Association  Global competencies 


The State of the World Midwifery Report (2011)  Result of a Global Call to Action issued at the

Symposium on Strengthening Midwifery (2010)

 Goal: Increase women’s access to quality

midwifery services  Collaborative effort of 30 international agencies and organizations  Analyzes data on midwifery from 58 target countries 58% of births in the world 91% of the maternal and newborn morbidity and mortality Biggest issue: Poor data and few skilled birth attendants


The State of the World Midwifery Report (2011)  UNFPA Led  Collaborative effort of 30 international agencies and

organizations  Report:  Analyzes data on midwifery from 58 target countries 58% of births in the world 91% of the maternal and newborn morbidity and mortality

 Biggest issue: Poor data and few skilled birth

attendants in countries with highest maternal and newborn morbidity and morality


The State of the World Midwifery Report (2011)  Call to action:  Urges all governments to:  Recognize midwifery as a distinct profession  Promote a career in midwifery  Posts at national policy level  Core to the provision of maternal and newborn services  Promote midwife- led units  Invest to improve data and human resource management


The State of the World Midwifery Report (2011) Calls for governments to develop: 1. Regulatory body 1. 2. 3.

protect the title of Midwife license midwives establish scope of practice

2. Educational programs ďƒˇ

aligned with ICM global standards and ICM competencies

3. Professional associations 3. 4. 5.

Advocating strong midwifery services raising midwives profile and status collaborating with women and other professional organizations


What Does this Report Mean For Midwives in the Americas? The first time in history that global agencies have identified the need for a strong midwifery profession. THE TIME IS NOW! ď‚— To develop a Vision for midwifery in each country ď‚— To develop a Strategic Plan to achieve the Vision


ICM VISION

Every woman in the world has access to a midwife’s care.


Vision: At the National Level....  Who decides the vision for midwifery?  Doctors?  Government?  Women?  Midwives?

Where do you want the midwifery profession to be in 20 years?


Vision: At the National Level....

 What do you want for your scope of

practice?  Where do you want to be working?   

Hospitals? Midwife led birthing centres? Home?

 How do you develop an in dependant

regulatory body?


Develop Your Foundational Principles...

Autonomy Working with women ď‚Ą

Other principles?


Develop a Strategic Plan

How will you achieve your goals? How will you work together? How will each of you participate in the decision making process that effects your future and the future of the profession? How will you work with women and governments to achieve your goal?


Midwives in the Americas.. Central to midwifery in the world. South America has the largest autonomous group of midwives in the world. You have passion, history and strong leaders. Your work and committment today will shape the future!!!


Thank you! Gracias! Merci!

State of the world’s midwifery report  
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