The development of the State of the World’s Midwifery Report 2014 (SoWMy 2014) was co-chaired by the United Nation’s Population Fund (UNFPA) , World Health Organization (WHO) and the International Confederation of Midwives (ICM). UNFPA commissioned ICS Integrare to provide the Secretariat for the production of the report, including the data collection, analysis and writing, publication, global launch, and monitoring of report utilization at the national level. The Secretariat included collaborations with key associates at the University of Southampton, the University of Technology Sydney, Jhpiego, Family Care International and Prographics Inc, amongst others.

A successor to the first State of the World’s Midwifery Report published in 2011, SoWMy 2014 focuses on the coverage and quality of midwifery services currently available to women and their newborns in 73 Countdown countries. It uses the dimensions of availability, accessibility, acceptability and quality (AAAQ) to identify the bottlenecks and barriers to effective coverage, reaching the MDGs and accelerating progress towards universal health coverage. The report features 2-page country briefs for each of the countries and includes a narrative discussion of approximately 40 pages.

The report was launched on June 3rd, 2014 at the ICM Congress in Prague. Since its publication, 27 national launches have taken place in different countries featured in the report.

The report was co-funded by the Bill and Melinda Gates Foundation (direct grant to ICS Integrare), Norad (direct grant to ICS Integrare) and USAID/MCHIP/Jhpiego.


The State of the World´s Midwifery 2014




Country briefs (methodology)



Related publications

ICS Integrare is currently developing a series of research publications using the data from the State of the World’s Midwifery 2014 survey and national stakeholder workshops conducted in participating countries. These publications aim to provide an in-depth analysis of various issues surrounding the provision of quality midwifery services in different countries and regions.

Completed publications

Commentary: Delivering the evidence to improve the health of women and newborns: State of the World’s Midwifery, report 2014

Rapport 2014 sur l’état de la pratique de sage-femme dans le monde

On-going publications

Midwifery2030, a woman’s Pathway to health: What does it mean?

The State of the World’s Midwifery 2014: Regional analysis and findings for Sub-Saharan Africa

A descriptive analysis of midwifery education, regulation and association in 73 countries: The baseline for a post-2015 pathway

Barriers and strategies to addressing availability, accessibility, acceptability and quality in the midwifery workforce: Addressing the post-2015 agenda