WHO global update on midwifery - 2020 Nightingale Challenge Nursing and Midwifery Global Leadership Development Programme - Clinical Education Centre
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2020 Nightingale Challenge
Nursing and Midwifery Global Leadership
Development Programme
WHO global update on midwifery
Fran McConville, MCA Dept.
Outline • Year of Nurse and Midwife 2020-2021….(2030?) • Governance and leadership: TRIAD and GCNMO Forum • SOWMy report and WHA 2021 • Framework for Action Strengthening Quality Midwifery Education for UHC 2030 • Midwifery during the COVID-19 pandemic • Post-COVID 19 “Health Recovery” and climate change • WHO resources 2 | IDM VIDM Partners Webinar | June 15, 2020
2020 Year of Nurse and Midwife
In 2020, during the COVID-19 pandemic, midwives and nurse are being
described as the “heroes of our time” and the “most trusted of
professionals”
Yon&M extended to May 2021, World Health Assembly
Governance and leadership: TRIAD (WHO, ICN, ICM) and GCNMO
Forum, June 16-19th 2020
- COVID 19, SOWN policy dialogues, next Strategic Direction for Nursing
and Midwifery (SDNM) : global conversation on conflation of nursing and
midwifery).
SOWMy Report (3rd) launch: WHA 2021 (in advance 2 papers on
impact of midwives and cost effectiveness)
3 | IDM VIDM Partners Webinar | June 15, 2020
FRAMEWORK FOR ACTION
STRENGTHENING QUALITY
MIDWIFERY EDUCATION
for
Universal Health Coverage 2030
Progress in India 2018-2019 National Midwifery Taskforce
established;
MoHFW & WHO Guidelines on Midwifery Services,
India, launched Dec. 2018.
Strengthen Leadership training for midwives
First national midwifery Monitoring & planned for 2020
leadership
Evaluation meeting planned for Q1 2020,
to adjust 7-step Action Plan indicators and policy Systematic review of barriers and
Monitor,
evaluate, facilitators.
Gather - extension from 12 INC midwifery
review data and syllabus to 18 months post-graduate
Midwifery education course started in and adjust evidence course.
Telangana, Nov. 2019. Implementation research: baseline
International educators recruited. midwifery educator and provider
Preparations underway in Gujarat competencies underway for ANMs,
based on prior SIDA investment. GNMs and BSc nurses,
Build public
Educate
engagement
students Advocacy Strategy in process-
18-month midwifery curricula (for and advocacy engages parliamentarians, specialists,
educators and for midwives) developed associations
by INC and MoHFW with ICM inputs. Regional-level dissemination
Strengthen planned
Modules of the innovative on-line WHO
draft Midwifery Education Toolkit tested faculty, Prepare educational Institution Assessment Tool developed;
in Gujarat Education Institute standards and institutions, practice national educational institutes assessed
curricula settings and clinical and selected based on readiness and
Standardised India Midwifery Education mentors interest.
Resource Package in development. Midwifery led care units being planned.
New facility standards and architectural re-
design in process.
COVID-19 does not change quality midwifery care: evidence
• No evidence (currently) that pregnant women who are infected with
COVID-19 present with different signs and/or symptoms or are at higher
risk of severe illness.
• No clear evidence of mother to child transmission. To date, the virus has
not been found in samples of amniotic fluid, cord blood, vaginal
discharge, neonatal throat swabs or breastmilk.
• Uncertain evidence of increased severe maternal or neonatal outcomes,
and evidence limited to infection in the third trimester.
• WHO recommends that pregnant women with symptoms of COVID-19
should be prioritized for testing.
6 | IDM VIDM Partners Webinar | June 15, 2020Maternal and newborn services in the context of COVID-19
• Sustain routine MNH services and care, and management of
complications Health facilities should
establish infection
• Women’s choices and rights to sexual and reproductive health care
should be respected regardless of COVID-19 status, including prevention and control
access to contraception and safe abortion to the full extent of the law strategies to prevent or
• Establish triage, as well as early recognition, and source control of limit transmission in
suspected, probable and confirmed COVID-19 infected women, and maternity care settings for
adjust personal protective equipment and infection prevention and women in the context of
control strategies accordingly COVID-19
• Ensure appropriate physical environment, with adequate water,
sanitation and energy supplies, medicines, supplies and equipment WHO Standards for improving quality of maternal and newborn care in
health facilities. 2016.
https://www.who.int/maternal_child_adolescent/documents/improving-
maternal-newborn-care-quality/en/
7 | IDM VIDM Partners Webinar | June 15, 2020Two models of impact of Covid-19 on Family Planning and
Maternal Newborn Child Health as of May 4, 2020
Area Questions Main findings Models countries Group
6 months
Avenir Health,
• Some 47 million women in 114 LMIC unable to use lockdown Based
Johns
modern contraceptives if the average lockdown on Ebola
Hopkins
continues for 6 months outbreak
• To estimate impact on family University
Family • For every 3 months the lockdown continues, up to disruptions
planning in Low and Middle 114 LMIC (USA) and
Planning 2,000,000 additional women may be unable to use applied to
Income countries Victoria
modern contraceptives estimates of
University
• Additional 7 million unintended pregnancies are current modern
(Australia),
expected to occur with lockdown for 6 months contraceptive
UNFPA
users
• Excess maternal and U5 Excess mortality (selection of 6 month results): Live Saved Tool
mortality from weak systems • Reductions in coverage of around 15% for 6 months 6 month and 12
(lower provision) & lower would result in 253,500 additional child deaths and month lockdown 118 Johns
MNCH utilization of 72 RMNCH 12,190 additional maternal deaths, scenarios with LMICs Hopkins
services • Reductions in coverage of around 45% for 6 months different University
• 2 scenarios x 2 disruption would result in 1,157,000 additional child deaths and presumed
durations 56,700 additional maternal deaths disruption levels
8 | IDM VIDM Partners Webinar | June 15, 2020WHO resources for COVID-19 and MNCAH
Department of Maternal, Newborn,
Child and Adolescent Health and
Ageing
https://www.who.int/maternal_child_adolescent
/links/covid19-resources-and-support-for-mncah-
and-ageing/en/
9 | IDM VIDM Partners Webinar | June 15, 2020Links to resources for midwives and nurses
COVID-19 emergencies https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Maternal and newborn health
WHO. Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected. World Health Organization:
Geneva, March 2020
WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. World Health Organization: Geneva,
March 2020
WHO. COVID-19: Operational guidance for maintaining essential health services during an outbreak. World Health Organization: Geneva. March 2020
WHO. Intrapartum care for a positive childbirth experience. World Health Organization: Geneva, 2018.
WHO. Scientific brief: caring for infants and mothers with COVID-19: implications for breastfeeding and IPC precautions. World Health Organization:
Geneva, March 2020
WHO. Q&A on COVID-19, pregnancy, childbirth and breastfeeding. World Health Organization: Geneva, March 2020 https://www.who.int/news-
room/q-a-detail/q-a-on-covid-19-pregnancy-childbirth-and-breastfeeding
Mental Health
WHO. Mental health and psychosocial considerations during the COVID-19 outbreak, World Health Organization: Geneva, March 2020
https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf
Breastfeeding : A Frequently Asked Questions (FAQ) for Health Workers with Decision tree on Breastfeeding and
COVID https://www.who.int/news-room/detail/28-04-2020-new-faqs-address-healthcare-workers-questions-on-breastfeeding-and-covid-19
FAQ for the general population. https://www.who.int/news-room/q-a-detail/q-a-on-covid-19-and-breastfeeding
10 | IDM VIDM Partners Webinar | June 15, 2020Post COVID 19 “Health Recovery” Climate Change - advocacy and action for adaptation and mitigation. Wellcome Trust & WHO (postponement of Glasgow COP) G20- over 40 million health workers globally signed letter to G20 pressing for a climate friendly “Health Recovery” Extraordinary opportunity for nursing and midwifery 11 | IDM VIDM Partners Webinar | June 15, 2020
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