Empowering Women and Strengthening Health Systems and Services Through Investing in Nursing and Midwifery Enterprise Lessons from Lower-Income Countries: Workshop Summary (2015) / Chapter Skim
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4 Nursing and Midwifery Education and Enterprise
4 Nursing and Midwifery Education and Enterprise
Pages 35-44
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From page 35... ...
-- Petra ten Hoope-Bender Younger nurses are more business- and leadership-oriented; if given the proper support, they could be transformational in the health system. -- Barbara Parfitt 35
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From page 36... ...
Nurses and midwives often find themselves playing the role of supervisor, particularly to community health workers, regardless of whether they have received the necessary leadership skills training. STATE OF THE WORLD'S MIDWIFERY2 There are a number of perspectives on midwifery, according to Petra ten Hoope-Bender, and a recent Lancet series provides an independent space to share and analyze those perspectives.
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From page 37... ...
Among some of the outcome measures included are an estimated 16 percent return on investment in midwives when regarding lives saved and caesarean sections prevented, as well as recognition that when midwives are trained to international standards, they can provide 87 percent of the essential interventions necessary for women and newborns. Ten Hoope-Bender shared some examples of innovations that can help promote a greater global understanding of the role midwives can play in a more effective health system: • Jacaranda Health is a social venture combining business and clin ical innovations that targets women living in Nairobi, Kenya's peri-urban areas.
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38 FIGURE 4-1 The framework for quality maternal and newborn care: maternal and newborn health components of a health system needed by childbearing women and newborn infants. SOURCE: Renfrew et al., 2014.
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From page 39... ...
† Examples of assessment, screening, and care planning include planning for transfer to other services as needed, screening for sexually transmitted diseases, diabetes, HIV, pre-eclampsia, mental health problems, and assessment of labor progress. ‡ Examples of promoting normal processes and preventing complications include prevention of mother-to-child transmission of HIV, encouraging mobility in labor, clinical, emotional, and psychosocial care during uncomplicated labor and birth, immediate care of the newborn baby, skin-to-skin contact, and support for breastfeeding.
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From page 40... ...
Theories that Pregnancy is Beliefs and Pregnancy is a healthy underpin antenatal potentially risky attitudes physical state care programs for mother and baby Pregnancy is a Pregnancy can be positive social socially risky. It can state that will, be subject to malign in general, be magical forces from welcomed by jealous relatives and the family and community members community Women and A choice to access families have care might mean a enough resources risk to survival, either to make rational due to resultant lack economic choices of food in the future, to access care or because of the difficulties and dangers associated with travel to health care facilities Principles of care Antenatal care is Experience of care Antenatal care is delivery affordable delivery subject to unexpected costs levied at the point of need Staff attitude is not Staff attitude is highly relevant and/or is relevant, and can generally positive be discriminatory, neglectful, or even abusive All the resources Resources are often needed for the level not available, and of care on offer are transfer is then present necessary to the next level of care NOTE: This table represents one section of the original table.
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From page 41... ...
• The Community-Based Midwifery Diploma Program at BRAC University in Bangladesh is a hub-and-spoke model of education in which faculty and curricula are developed at the "hub" and students are locally selected at the "spokes." An assessment of the program noted that the investment yielded major returns in fewer obstetric complications and surgeries as well as more infant and maternal lives saved. Ten Hoope-Bender distilled some lessons from these programs, culminating in the concept of midwife-led units for birthing and early childcare.
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From page 42... ...
Parfitt described another approach to improving nursing care through the private sector. She and her colleagues have helped develop a private nursing college, the Grameen Caledonian College of Nursing in Dhaka, Bangladesh, with a 3-year joint diploma in nursing and midwifery in collaboration with the government; it has government approval and uses the government curriculum.
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that provide basic health services to people located in rural villages. Parfitt explained that she plans to install a community health clinic staffed by students at Grameen Caledonian College in Dhaka to serve the nearby population living in informal urban settlements.
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Cochrane Database Sys tematic Review 8:Cd004667. UNFPA (United Nations Population Fund)
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