2014 Partners' Forum

30 JUNE - 1 JULY | Sandton Convention Centre, Johannesburg, South Africa

Session 3E: Equitable access to quality midwifery

The equitable access to quality midwifery session opened with a review of the objectives from Dr Luc de Bernis, UNFPA, who also provided an overview of the recently launched State of the World’s Midwifery 2014 report and associated Lancet midwifery series. Ms Petra ten-Hooper Bender, Integrare, presented the key findings from the two products, noting that at the core of the State of the World’s Midwifery 2014 report is the concept of ‘effective coverage’ which includes the dimensions of service availability, accessibility, acceptability, and quality. The report underscores that achieving effective coverage of childbirth services requires a comprehensive approach to midwifery training, deployment, retention and supervision that will ensure there are sufficient numbers of midwives with the skills needed to provide high quality care to all women. Attaining universal access to skilled delivery care also means countries must ensure well-functioning referral and supply chain systems are in place. Ms ten-Hooper Bender explained that the report includes two page profiles for 73 of the 75 Countdown countries which can be used, “to stimulate policy discussion on the midwifery work force and how well a country is doing in addressing the need for skilled birth attendants.” Dr de Bernis expanded on the use of the country profile tool for evidence-based decision making, and described how population dynamics place differing pressures on country health systems – countries where population growth is escalating and where fertility levels remain high will face increasing demand for services.

Following the presentations, Dr de Bernis asked each of the panelists their perception of the added-value of the State of the World’s Midwifery report and to reflect on how countries can best address their human resource challenges. Ms Frances Ganges, Chief Executive of ICM, emphasized how the new report has raised the profile of midwives and has provided needed evidence on shortages of this cadre across many high burden countries. She also stressed the importance of capacity building of health care professional associations so that they can effectively lobby and advocate for high quality midwifery care. Honorable Ahmad Jan Naeem, Deputy Minister of Afghanistan, explained how his country successfully introduced and rapidly scaled up community midwives as a key strategy for reducing maternal and newborn mortality. He cautioned that some of the gains Afghanistan has achieved in recent years could be in jeopardy as external resources for health start to decrease. The Honourable Minister of Health of Guinea concurred about the importance of the report and country profiles for stimulating needed dialogue on midwifery, and described the programs and incentives his country has put into place to increase the deployment of skilled midwives to the rural areas. Dr Eckhart Buchmann,, obstetrician practicing in South Africa, stressed the importance of strengthening partnerships between midwives and obstetricians – noting that both are essential to improving the quality of care and for making sure care is affordable.

Dr de Bernis closed the session after a brief question and answer session when audience participants and panelists discussed the importance of making sure midwives focus equally on the care of the mother and the care of the baby, strengthening individual health care professional associations as well as collaborations between them, and to better link training programs to evidence about skill needs on the ground.

  1. About the 2014 Partners’ Forum
  2. The 2014 Partners’ Forum begins: Now it is in our hands
  3. Plenary 1: Healthy women and children at the centre of development
  4. Session 1A: “Fast-track” countries share stories of success
  5. Session 1B: Building a Future Where Children Survive and Thrive
  6. Session 1C: Delivering Immunisation Together: Hitting the MDGs and health goals beyond 2015
  7. Session 1D: Every Mother, Every Newborn: Ensuring Quality of Care at Birth
  8. Plenary 2: Health: A model of Accountability for Post-2015
  9. Session 2A: Better data for better policy making, programming and accountability
  10. Session 2B: The Every Woman Every Child health model of accountability in the post 2015 era
  11. Session 2C: Accountability for RMNCH: The African perspective and prospects
  12. Session 2D: Countdown to 2015: Fulfilling the health agenda for women and children
  13. Session 2E: Addressing the Nutrition needs in a Post-2015 Agenda
  14. Plenary 3: Equity – leave no one behind
  15. Session 3A: Ending Preventable Maternal Mortality
  16. Session 3B: Bridging the Digital Divide: Making Mobile and ICTs a Reality for All
  17. Session 3C: Integrating services for HIV/AIDS and RMNCH to promote equitable access to quality care for women and children
  18. Session 3D: Universal Health Coverage and Sexual and Reproductive Health and Rights: Common Goals, Shared Challenges
  19. Session 3E: Equitable access to quality midwifery
  20. Plenary 4: Leveraging Investments for Health and Sustainable Development
  21. Session 4A: Scaling-up Innovations: New ways of dealing with unfinished business
  22. Session 4B: Investing in Adolescent and Youth as Agents of Change
  23. Session 4C: Mobilization of resources to RMNCH investments for reaching 2035 targets
  24. Session 4E: Getting It Right: Sexual and Reproductive Health and Rights and Family Planning in the Post-2015 Agenda
  25. Plenary 5: Our Common Vision – Delivering health and development for women and children beyond 2015
  26. Youth engagement at the 2014 Partners' Forum
  27. Private sector leaders reflect on post-2015 priorities and commitments to newborns
  28. World leaders: Women and children must be central to new 2030 global poverty goals