World's Midwifery Country Survey Respondents
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THE STATE OF THE WORLD’S MIDWIFERY 2011 MIDWIFERY OF THE WORLD’S THE STATE Coordinated by UNFPA Supported by: 605 Third Avenue THE STATE OF THE New York, NY 10016 www.stateoftheworldsmidwifery.com WORLD’S MIDWIFERY 2011 DELIVERING DELIVERING HEALTH, HEALTH, SAVING AFRICAN DEVELOPMENT BANK GROUP SAVING LIVES LIVES ISBN: 978-0-89714-995-2 E/4,000/2011 CONTRIBUTORS AND ACKNOWLEDGEMENTS PROJECT COORDINATOR: Vincent Fauveau Cristina Puig, Juliette Puret, Ulrika Rehnstrom, Severin Ritter von Xylander, Narjis Rizvi, Catherine Schenck-Yglesias, Della ASSISTANT COORDINATOR: Mihaela Minca Sherratt, Shegufta Sikder, Amani Siyam, Jeffrey Smith, Prakin In spite of unfortunate EDITORIAL COMMITTEE: Sabaratnam Arulkumaran, Agneta Suchaxaya, Cherly Tam, Huyen Thi Thanh Le, Joyce Thompson, Bridges, Catherine Carr, Vincent Fauveau, Helga Fogstad, Kadidiatou Toure. Nicole Vidal, Tara Wignadasan, Dan Wilde, tragedies and suffering, Bjarne Garden, Peter Johnson, Laura Laski, Bridget Lynch, Sachiyo Yoshida, Micol Zarb. maternity is also beautiful. Viviana Mangiaterra, Mario dal Poz, Hamid Rushwan. Country contributions: Many thanks to the heads of the UNFPA Ex-oficio: Jim Campbell, Rupa Chilvers, Laura Guarenti, It has been celebrated through country offices, their staff, and the 436 people that coordinated, Petra ten Hoope-Bender, Rima Jolivet, Blerta Maliqi, Zoë completed, and verified responses to the State of the World’s the ages in folk cultures, Matthews, Joanne McManus, Mihaela Minca, Nester Moyo, Midwifery country survey. A full list of the names of those that Annette Mwansa Nkowane. contributed is available on page 156 of this report. religions and art. Midwives ADVISORY GROUP: Marie Ahouanto, Hirotsugu Aiga, Francesco BACKGROUND PAPERS: Hirotsugu Aiga, Sharon Arscott-Mills, are often represented. Aureli, Jean Barry, David Benton, Yves Bergevin, Nouria Brikci, Sabaratnam Arulkumaran, Associação Portuguesa dos Mickey Chopra, Sadia Chowdhury, Frances Day-Stirk, Marjolein Enfermeiros Obstetras, Pashtoon Azfar, Wame Baravilala, Jean Dieleman, Carmen Dolea, Andres de Francisco, Frances Ganges, Barry, Monire Bassir, Juliet Bedford, Hilda Bonilla, Rita Borg Alexandra Gilpin, Gulin Gedik, Leora Hanser, Sennen Hounton, Xuereb, Maina Boucar, Viviane Brunne, Fiona Campbell, Jim Marian van Huis, Katja Iversen, Anneka Knutsson, Abigail Kyei, Campbell, Catherine Carr, Irene Cerejeira, Edina Chiwawa, Sheila Geeta Lal, Elly Leemhuis de Regt, Mengjia Liang, Sverre Lie, Clow, Colegio de Obstetras del Perú, Rita Columbia, Rachel Matthews Mathai, Anders Molin, Jo Nicholls, George Pariyo, Cummings, Sheena Currie, Blami Dao, Jemima Dennis-Antwi, Celia Pett, Helen de Pinho, Charlene Reynolds, Ellen Rosskam, Carmen Dolea, Grace Edwards, John Eyers, Shamsul Farooq, Eva Schoening, Theresa Shaver, Della Sherratt, Jeffrey Smith, Vincent Fauveau, Howard Friedman, Sylvia Fung, Frances Ganges, Mary Ellen Stanton, David Taylor, Kadidiatou Toure. Meena Ghandi, Atf Ghérissi, Eleni Hadgigeorgiou, Pascale LEAD WRITERS AND EDITORS: Jim Campbell, Vincent Fauveau, Hancart, Petra ten Hoope-Bender, Sennen Hounton, Laura Hurley, Petra ten Hoope-Bender, Zoë Matthews, Joanne McManus. Julia Hussein, Rachel Ibinga Koula, International Confederation of Midwives, International Council of Nurses, Sue Jacob, Yannick EXTERNAL REVIEWERS: Luc de Bernis, Karen Odberg Jaffré, Rima Jolivet, Julie Key, Shona Kirtley, Ana Labandera, Pettersson, Khama Rogo, Harshad Sanghvi. Geeta Lal, Sandra Land, Joy Lawn, Wim van Lerberghe, Debrah COUNTRY SURVEY, DATA ANALYSIS AND TECHNICAL Lewis, Mengjia Liang, Sverre Lie, Helen Lugina, Gaynor Maclean, SUPPORT: Coordination: Jim Campbell, Rupa Chilvers, Vincent Saramma Mathai, Zoë Matthews, Pamela McQuide, Nester Fauveau, Mihaela Minca. Technical contributions: Dinesh Moyo, Catherine Murphy, Mary Namusisi, Ana Nordfjell, Tonia Agrawal, Moazam Ali, Shan Ambalanath, Teresa Attina, Narimah Occhinero, Judith Oulton, Neil Pakenham-Walsh, Niki Panayiotou, Awin, Linda Bartlett, Lucy Basten, Heli Bathija, Jacqueline Bell, George Pariyo, Alain Prual, Ellen Rosskam, Boniface Sebikali, Luc de Bernis, Maina Boucar, Agneta Bridges, Maurice Bucagu, Gloria Seguranyes, Ukende Shalla, Alice Sham, Vinit Sharma, Flavia Bustreo, Aferdita Bytyqi, Catherine Carr, Nidhi Chaudhary, Della Sherratt, António Manuel da Silva, Chu Sing, Jeffrey Smith, Maureen Dariang, Bremen deMucio, Marjolein Dieleman, Sarah Julie Spero, Debra Stevenson, Barbara Stilwell, Pey Leng Tang, Dobson, Thinlay Dorji, Kristina Engelin, Ingrid Friberg, Kathleen Frédérique Teurnier, Kadidiatou Toure, Mehmet Hulki Uz, Nicole Fritsch, Judith Fullerton, Atf Ghérissi, Wendy Graham, Sunanda Vidal, Raquel Wexler, Tamara Windau, Sarah Williams, Tana Gupta, Pandora Hardtman, Marie Agnes Heine, Christopher Wuliji, Nathalie Zammit, Aoua Zerbo. Herbst, Jef Heuberger, Sennen Hounton, Louise Hutton, Julia COMMUNICATIONS AND MEDIA: Leyla Alyanak, Jim Campbell, Hussein, Rachel Ibinga Koula, Monir Islam, Peter Johnson, Rima Mary Kay Carver, Deb Clark, Vincent Fauveau, Frances Ganges, Jolivet, Kate Jowett, Ardi Kaptiningsih, Tigest Ketsela, Alice Alexandra Gilpin, Lars Grønseth, Marie Agnes Heine, Katja Kiger, Teena Kunjumen, Geeta Lal, Emily Lanford, Sandra Lang, Iversen, Rima Jolivet, Richard Kollodge, Laura Laski, Malcolm Joy Lawn, Christophe Lemiere, Wim van Lerberghe, Ornella Macmillan, Lori Lynn McDougall, Mihaela Minca, Charlene Lincetto, Juliana Lunguzi, Bridget Lynch, Nyovani Madise, Reynolds, Kadidiatou Toure, Anita Wiseman, Anne Wittenberg. Blerta Maliqi, Viviana Mangiaterra, Antonio Manuel, Janviere Marimbu, Rosalia Marques, Elizabeth Mason, Zoë Matthews, DESIGN, LAYOUT AND PRINTING: Chris Larson, Kevin Miller, Lauren Moleski, Ann-Beth Moller, Nester Moyo, Maria Mugabo, Tina Larson, Greg Dayman, Yolie Dawson. Aline Mukundwa, San San Myint, Sarah Neal, Andrea Nove, TRANSLATIONS: Diogo Ayres de Campos, Beatrice Bugni, Luis Triphonie Nkurunziza, Leopold Ouedraogo, Judith Oulton, Celia Cabero, Ramon Escuriet Peiro, Vincent Fauveau, Marcia Fontes- Pett, Marrgaret Phiri, Annie Portela, Mario dal Poz, Alain Prual, Conceição, Alice Frade, Gérard Jacquemier, Dan Wilde. All photos by Vincent Fauveau (except tall African figure at far left from Elisa Gleize) and are available at: www.art-and-pregnancy.com. © United Nations Population Fund (UNFPA), 2011. All rights reserved. FINANCIAL SUPPORT: Department for International Development (United Kingdom), German Agency for International Cooperation, Maternal and Child Health Integrated Program, United States Agency for International Development, Ministry of Foreign and European Affairs (France), Ministry of Foreign Affairs (the Netherlands), Partnership for Maternal, Newborn and Child Health, The designations employed and the presentation of material in the present document do not imply the expression of any opinion on the part of the United Nations Population Fund or Norwegian Agency for International Development, Swedish International Development Cooperation Agency, United Nations the State of the World’s Midwifery partners concerning the legal or other status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Population Fund. The present volume has been consolidated and edited in accordance with United Nations Population Fund practice and requirements. All reasonable precautions have been taken by the Our appreciation is extended to the Instituto de Cooperación Social – Integrare, Barcelona, Spain and Prographics, Inc. MD, USA, United Nations Population Fund and the State of the World’s Midwifery partners to verify the information contained in this publication. However, the published material is being distrib- for their support to the Editorial Committee in the research, development and production of the report, and all accompanying uted without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the United Nations materials. Population Fund or the State of the World’s Midwifery partners be liable for damages arising from its use. Printed on recycled paper. Cover photos (left to right): Titi Chairani, Jhpiego, Indonesia; Ron Haviv, East Timor; Nasratullah Ansari, Jhpiego, Afghanistan; In an effort to keep printing costs down, almost all United Nations Population Fund publications are made available for free online in electronic format, as PDF and Word documents. Caroline Kilo Bara, UNFPA, Cameroon Requests for printed publications will be handled based on availability and should be directed to: [email protected] THE STATE OF THE WORLD’S MIDWIFERY Boxes 2011 Box I Country commitments to strengthen midwifery services ..... ix DELIVERING Box 1.1 Midwifery as women’s empowerment in Afghanistan ...........2 Box 1.2 300 years of midwifery in Sweden ........................................... 3 HEALTH, Box 1.3 Out-of-hospital midwife obstetric units in the Cape Peninsula, South Africa ....................................... 12 SAVING Box 1.4 Increasing access to health workers through improved retention .................................................................. 13 Box 2.1 The dual gap: Quality and quantity ........................................ 20 LIVES Box 2.2 Professional associations: Partners in progress ....................26 Box 3.1 The impact of scaling-up midwives: Modeled estimates of lives saved in 2015 ............................. 33 Box 3.2 Bold steps ..................................................................................37