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Your search found 4 Results

  1. 1

    The potential of private sector midwives in reaching Millennium Development Goals.

    White P; Levin L

    Bethesda, Maryland, Abt Associates. Private Sector Partnerships-One [PSP-One], 2006 Dec. 48 p. (Technical Report No. 6; USAID Contract No. GPO-I-00-04-00007-00; USAID Development Experience Clearinghouse DocID / Order No. PN-ADI-754)

    Government health sectors in many countries face an uphill battle to reach the Millennium Development Goals (MDGs) set for 2015. In the last six years, Ministries of Health (MOHs) in many less developed countries (LDCs) have been unable to invest sufficiently in their health systems. To achieve the MDGs despite inadequate resources, new approaches for delivering critical clinical services must be considered. This paper explores the potential for private-sector midwives to provide services beyond their traditional scope of care during pregnancies and births to address shortcomings in LDCs' ability to reach MDGs. This paper examines factors that support or constrain private practice midwives' (PPMWs') ability to offer expanded services in order to inform the policy and donor communities about PPMWs' potential. Data was collected through literature reviews, stakeholder interviews, and field-based, semi-structured interviews in Ghana, Indonesia, Peru, Uganda, and Zambia. Ghana, Indonesia, and Uganda were chosen because they are countries where PPMWs provide expanded services. Peru and Zambia were selected as examples where midwives have struggled to develop private practices or they provide expanded services despite issues about midwives' roles and legal sanctions for private practices. (excerpt)
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  2. 2
    Peer Reviewed

    World Health Assembly and death of Dr Lee Jongwook, Director General of WHO.

    Midwifery. 2006 Sep; 22(3):194-195.

    The series of global health meetings planned around the 59th World Health Assembly (WHA), in Geneva, Switzerland, May 22--27 2006, was overshadowed by the sudden and unexpected death of the Director General of the World Health Organization, Dr LEE Jong-wook, on the morning of May 22. Dr Lee took up his post on May 21, 2003, following election by the Member States of WHO for a five-year term. Prior to his work as Director-General, Dr Lee was a world leader in the fight against two of the greatest challenges to international health and development-- tuberculosis, and vaccine preventable diseases of children. Following the death of Dr Lee, Dr Anders Nordstrom was appointed Acting Director-General by the WHO Executive Board. Dr Nordstrom had been WHO Assistant Director-General for General Management since 21 July, 2003. A new permanent Director-General will be appointed in November 2006. (excerpt)
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  3. 3

    Exclusion, inequity and health system development: the critical emphases for maternal, neonatal and child health [editorial]

    Green A; Gerein N

    Bulletin of the World Health Organization. 2005 Jun; 83(6):402.

    The World health report 2005 provides a powerful analysis of the global scandal of mothers’ and children’s ill-health (1). Every year, over half a million women die from pregnancy-related causes and over 10 million children die under five years of age. These deaths are largely preventable. The report correctly identifies the causes as lying primarily in failures within health systems to provide appropriate frameworks and resources to deliver the technical interventions, and in broader social and cultural factors. Evidence on technical interventions is well covered. Midwifery-led care at the first level of services, with accessible back-up in hospitals, is essential for reducing maternal and neonatal mortality. The report is crystal clear on this, acknowledging past failures of training traditional birth attendants and problems of over-medicalization of childbirth. Universal access, both financial and geographical, to care by skilled attendants is emphasized, although a description of the requirements of referral systems to ensure timely access to obstetric care would have been helpful. Issues too often ignored are included: violence, discrimination and marginalization during pregnancy, sex selection, and the need for evidence to develop policy on postpartum care. (excerpt)
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  4. 4
    Peer Reviewed

    Effect of shifting policies on traditional birth attendant training.

    Kruske S; Barclay L

    Journal of Midwifery and Women's Health. 2004 Jul-Aug; 49(4):306-311.

    Traditional birth attendant (TBA) training commenced in many places in the non-Western world in the 1970s, supported by the World Health Organization and other funding bodies. By 1997, senior policy makers decided to refocus priorities on the provision of “skilled attendants” to assist birthing women. The definition of skilled attendants excluded TBAs and resulted in the subsequent withdrawal of funding for TBA training globally. A review of the health and sociological literature and international policy documents that address TBA training revealed how international policy and professional orientation are reflected in education programs designed for the TBA. Policy makers risk ignoring the important cultural and social roles TBAs fulfill in their local communities and fail to recognize the barriers to the provision of skilled care. The provision of skilled attendants for all birthing women cannot occur in isolation from TBAs who in themselves are also highly skilled. This article argues a legitimacy of alternative world views and acknowledges the contribution TBAs make to childbearing women across the world. (author's)
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