Maternal & Child Health

This report draws attention to the worldwide midwifery shortage, because midwives are vital for communities and families, and for improving a country’s health, particularly in areas with high maternal and child mortality. Midwives are the key to achieving Millennium Development Goals 4 and 5 on child and maternal mortality. [adapted from foreword]

The purpose of this study was to evaluate the effect on perinatal mortality of training birth attendants in a rural area of the Democratic Republic of Congo using two established programs. [from abstract]

This profile summarises the available information on the cadres working at community level in the Solomon Islands: their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This brief outlines the role and capacity of midwives in making high-quality reproductive health care available to women. [adapted from author]

This paper focuses on the collection and use of strategic information on human resources for health for decision making and performance monitoring to achieve the MDGs for maternal and child health. It collected and analyzed cross-nationally comparable data on HRH availability, distribution, roles and functions from new and existing sources, and information from country reviews of HRH interventions that are associated with positive impacts on health services delivery and population health outcomes. [from author]

This profile summarises the available information on the cadres working at community level in Fiji – their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

The report presents a body of knowledge to inform and accelerate the availability of quality midwifery services for women and newborns. It aims to make a valuable contribution both to strengthening the midwifery workforce around the world and to the critical planning that is needed to achieve the health Millennium Development Goals. [from summary]

This brief outlines the essential role that midwives play in healthcare and the issues behind the shortage of midwives. [adapted from author]

This study aimed at establishing delivery practices among selected mothers seeking child welfare services at selected health facilities in Nyandarua South district, Kenya, to determine the proportions of deliveries attended by skilled birth attendants as well the factors influencing the mothers’ choices. [from introduction]

The purpose of this paper is to describe implementation and impact of a community-based prenatal care trial on the utilization of prenatal care and perinatal outcomes in China. [adapted from abstract]

This report summarizes the best available evidence regarding the design and implementation of policies for extending the use of non-medically trained primary health care workers (task shifting) to deliver cost-effective maternal and child health interventions. [from preface]

The authors provide an overview of maternal health services in the context of the HIV pandemic and outline the role of health professionals in maternal health and HIV prevention, care, and treatment. Particular attention is paid to the potential role of traditional birth attendants in expanding access to quality care. [adapted from author]

A birth attendant training program that has been shown in a multinational trial to reduce stillbirth and perinatal mortality rates among neonates weighing at least 1.5 kilograms - most of them born outside of hospitals, also reduced mortality among infants of all weights born in Zambian clinics. [from author]

This study examined whether a pictorial set of job aids could improve the quality of maternal and newborn care counseling by skilled providers and whether similar performance levels could be achieved by clinic-based lay providers as part of a task shifting initiative to expand their role. [from author]

This brief outlines a collaborative to improve health worker performance and improve the quality and efficiency of maternal care services by building the capacity of local management and health workers to implement sustainable improvements in maternal care provided in Tahoua. [adapted from author]

This report considers the available evidence about the relationship between staffing levels and deployment practices and safety of care for mothers and babies. In so doing, the report considers different staffing models and approaches.

This review focuses on the impact of HRH interventions on health care professionals defined as skilled birth attendants to decrease maternal mortality and morbidity. It derives lessons, gaps and recommendations based on the studies conducted on HRH implementations in developing countries. [adapted from author]

The toolkit describes a process of implementing community empowerment in maternal and neonate health (MNH) and each step of the process, including guidelines and training manuals for the implementation process. The aim of this toolkit is to provide an example of possible best practice in community mobilisation to compliment medical based initiatives to reduce maternal death. [adapted from author]

The purpose of this paper is to provide an overview of an Afghanistan community midwifery program in Takhar Province, to capture key lessons learnt from the first round of training, and to draw conclusions for future initiatives. [adapted from author]

This report links the high rates of maternal mortality with the health worker crisis in fragile states1. It explores the causes of maternal death, highlighting where and why these deaths are occurring. It also contrasts the need to fund health workers and strengthen health systems with the present aid allocations to health. [from author]

This article provides key lessons learned from a large-scale community-based efficacy trial of a two-tiered system of community-based workers to deliver a package of essential maternal and newborn-care interventions and one of three umbilical cord-care regimens in Bangladesh.

Despite the importance of accurate information about health service personnel and the context in which they practise, little is known about providers at the community level. The purpose of this discussion paper is to describe information flows and gaps concerning the workforce that provide maternal, neonatal and reproductive health care and services at community level; discuss potential stakeholders’ HRH information needs and uses; and provide recommendations for improving the availability, quality and use of HRH information. [from introduction]

This report documents how the use of performance and quality improvement (PQI), a technique for achieving desired performance at service delivery sites and within communities, has helped to improve skilled attendance, and shares some lessons learned about how best to use PQI in safe motherhood programs. [adapted from aouthor]

The high perinatal and neonatal mortality rates in Pakistan are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. This training needs assessment analysis of the public health sector of Pakistan aims to recognize gaps in the processes and quality of MNCH care provided. [adapted from author]

This article focuses on an unexpected finding of a research project which explored the experience of being a traditional midwife. The study found that traditional midwives often perceive skilled (professional) birth attendants to be abusive of both them and the women who are transferred to hospital for emergency obstetric care. [from abstract]

The objectives of this study were to establish a global baseline within five key result areas (human resources planning, management, education, practice and leadership); and evaluate the impact of country interventions to improve nursing and midwifery services considering past policy recommendations. [adapted from introduction]

This qualitative descriptive study explored the perspectives and experiences of midwives, assistant physicians and medical doctors on the content and quality of maternal health care in rural Vietnam. [from abstract]

The Commission developed a value-based vision of the future that sees nurses and midwives in the mainstream of service planning, development and delivery, backed up by the necessary education, continuing professional development and supervision, and by supportive management and workplace cultures. This report endorses important existing effots, and where necessary proposes to accelerate the pace of change. It adds new thinking about how best nursing and midwifery can support service users, families and local communities. [from author]

This paper shows how Yemen’s Al Saba’een Hospital became a model for postpartum care and family planning services with limited resources. As a result of the success, the Yemeni government supports continued scale-up of these interventions to all of the country’s public hospitals and rural health facilities. [adapted from author]

This paper shows how the Extending Service Delivery improve maternal and newborn health in Egypt’s Kaliobia Governorate by scaling-up the government’s postpartum care package in 13 villages, and training community health workers and nurses to put the package into practice. [from author]