The State of the World's Midwifery 2014
Pays et territoires
- Afghanistan
- Angola
- Azerbaijan
- Bangladesh
- Benin
- Bolivia, Plurinational State of
- Botswana
- Brazil
- Burkina Faso
- Burundi
- Cambodia
- Cameroon
- Central African Republic
- Chad
- China
- Comoros
- Congo
- Congo, the Democratic Republic of the
- Côte d'Ivoire
- Djibouti
- Egypt
- Eritrea
- Eswatini
- Ethiopia
- Gabon
- Gambia
- Ghana
- Guatemala
- Guinea
- Guinea-Bissau
- Haiti
- India
- Indonesia
- Iraq
- Kenya
- Korea, Democratic People's Republic
- Kyrgyzstan
- Lao People's Democratic Republic
- Lesotho
- Liberia
- Madagascar
- Malawi
- Mali
- Mauritania
- Mexico
- Morocco
- Mozambique
- Myanmar
- Nepal
- Niger
- Nigeria
- Pakistan
- Papua New Guinea
- Peru
- Rwanda
- Sao Tome and Principe
- Senegal
- Sierra Leone
- Solomon Islands
- Somalia
- South Africa
- South Sudan
- Sudan
- Tajikistan
- Tanzania, United Republic of
- Togo
- Turkmenistan
- Uganda
- Uzbekistan
- Viet Nam
- Yemen
- Zambia
- Zimbabwe
What women and newborns need (2012)
0 PREGNANCIES A YEAR = HOW MANY EPISODES OF CARE
Number and distribution of pregnancies (2012)
0
<0.09
0.10-0.19
0.20-0.49
0.50-0.99
1.00-1.49
1.50-1.99
2.00-2.49
2.50-10.00
>10.00
APPROX
PRE-PREGNANCY
(all women of reproductive age)
=
0
family planning visits
ANTENATAL
(pregnancies x 4)
=
0
routine visits
BIRTH
=
0
skilled birth attendance
POST-PARTUM
(births x 4)
=
0
routine visits
POSTNATAL
(newborns x 4)
Country classification of star working in MNH
Time spent on MNH %
Midwives
Midwives, auxiliary
Nurse-midwives
Nurses
Nurses or nurse- midwives, auxiliary
Clinical o cers & medical assistants
Physicians, generalists
Obstetricians & gynaecologists
PRE-PREGNANCY
ANTENATAL
BIRTH
POST-PARTUM
POSTNATAL
ESTIMATED MET NEED=
%
workforce time available
workforce time needed
Estimate of met need (national aggregate) based on available data
Geographic accessibility
Number of births with a skilled birth attendant (SBA) 2
Accessed a SBA
Did not access a SBA
No data on rural/urban SBA
MIDWIFERY EDUCATION 3
Minimum high-school requirement to start training
Years of study required to qualify (rounded)
Standardized curriculum? Year of last update
,
Minimum number of supervised births in curriculum
Number of 2012 graduates/as % of all practising midwives
/
% of graduates employed in MNH within one year
MIDWIFERY REGULATION
Legislation exists recognizing midwifery as an autonomous profession
A recognized definition of a professional midwife exists
A government body regulates midwifery practice
A licence is required to practise midwifery
A live registry of licensed midwives exists
Number of EmONC basic signal functions that midwives are allowed to practise (out of a possible 7)
Midwives allowed to provide injectable contraceptives/intrauterine devices
/
PROFESSIONAL ASSOCIATIONS 4
Year of creation of professional associations
Roles performed by professional associations:
na = not applicable; - = missing data
Continuing professional development
Advising or representing members accused of misconduct
Advising members on quality standards for MNH care
Advising the Government onpolicy documents related to MNH
Negotiating work or salary issues with the Government
PROJECTED NUMBER OF PREGNANCIES BY YEAR: URBAN VS. RURAL
ESTIMATES AND PROJECTIONS TO 2030
WHAT IF... Estimates of met need based on available data.
1
The number of pregnancies was reduced by 20% by 2030?
millions
CURRENT
millions
SCENARIO
Immediate increase in met need for pregnancy, birth, post-partum/postnatal care. Acceleration in met need for pre- pregnancy services from 2028 onwards.
2
The number of midwife, nurse and physician graduates doubled by 2020?
CURRENT
%
MET NEED 2030
SCENARIO
%
MET NEED 2030
3
Efficiency improved by 2% per year until 2030?
CURRENT
%
MET NEED 2030
SCENARIO
%
MET NEED 2030
4
Attrition was halved in the next 5 years (2012-2017)?
%
leak
CURRENT
%
MET NEED 2030
%
leak
SCENARIO
%
MET NEED 2030
CURRENT TRAJECTORY
%
MET NEED 2030
WHAT IF... TRAJECTORY
%
MET NEED 2030
1.
2.
3.
4.