Gambia
The State of the World's Midwifery 2014
Countries and Territories
- 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)
121,000 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)
=
766,000
family planning visits
ANTENATAL
(pregnancies x 4)
=
485,000
routine visits
BIRTH
=
79,000
skilled birth attendance
POST-PARTUM
(births x 4)
=
317,000
routine visits
POSTNATAL
(newborns x 4)
Workforce availability (2012)
Country classification of star working in MNH
Time spent on MNH %
Midwives
79
100
Midwives, auxiliary
180
50
Nurse-midwives
97
100
Nurses
200
15
Nurses or nurse- midwives, auxiliary
132
50
Clinical o cers & medical assistants
na
na
Physicians, generalists
29
20
Obstetricians & gynaecologists
11
-
PRE-PREGNANCY
ANTENATAL
BIRTH
POST-PARTUM
POSTNATAL
ESTIMATED MET NEED=
27%
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
Grade 12 and above
Years of study required to qualify (rounded)
4
Standardized curriculum? Year of last update
Yes , 2012
Minimum number of supervised births in curriculum
-
Number of 2012 graduates/as % of all practising midwives
0 / na
% of graduates employed in MNH within one year
100
MIDWIFERY REGULATION
Legislation exists recognizing midwifery as an autonomous profession
Yes
A recognized definition of a professional midwife exists
Yes
A government body regulates midwifery practice
Yes
A licence is required to practise midwifery
Yes
A live registry of licensed midwives exists
Yes
Number of EmONC basic signal functions that midwives are allowed to practise (out of a possible 7)
7
Midwives allowed to provide injectable contraceptives/intrauterine devices
Yes /Yes
PROFESSIONAL ASSOCIATIONS 4
Year of creation of professional associations
1963
Roles performed by professional associations:
na = not applicable; - = missing data
Continuing professional development
Yes
Advising or representing members accused of misconduct
Yes
Advising members on quality standards for MNH care
Yes
Advising the Government onpolicy documents related to MNH
Yes
Negotiating work or salary issues with the Government
Yes
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?
0.17
million
CURRENT
0.14
million
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
41
%
MET NEED 2030
SCENARIO
62
%
MET NEED 2030
3
Efficiency improved by 2% per year until 2030?
CURRENT
41
%
MET NEED 2030
SCENARIO
52
%
MET NEED 2030
4
Attrition was halved in the next 5 years (2012-2017)?
6
%
leak
CURRENT
41
%
MET NEED 2030
3
%
leak
SCENARIO
50
%
MET NEED 2030
CURRENT TRAJECTORY
41
%
MET NEED 2030
WHAT IF... TRAJECTORY
97
%
MET NEED 2030
1. These health worker categories include the following country titles - Midwives: includes state enrolled nurse midwife; Auxiliary midwives: includes community nurse attendant midwife; Nurse-midwives: includes registered nurse midwife; Nurses: includes community health nurses; Auxiliary nurse-midwives: includes community health nurse midwife; Generalist physicians: includes generalist physicians; Obstetricians & gynaecologists: includes obstetricians & gynaecologists. Source: SoWMy 2014 or secondary sources (WHO Global Health Observatory; government policy documents).
2. Rural/urban SBA coverage is not available. Figure refers to rural/urban births only.
3. Information refers to the midwife cadre category.
4. National associations for midwifery and nursing.