Reports


Analysis of the midwifery workforce in selected Arab countries

ASRO_Cover_PhotoUNPFA Arab States Regional Office, 2015.

This report takes its inspiration from the United Nations Secretary-General’s Every Woman Every Child initiative and his call for countries to do everything possible to protect the lives and futures of all women and children. It follows the approach used for the State of the World’s Midwifery 2014 report, but focuses on 13 selected Arab countries in the United Nations Population Fund (UNFPA) Arab States region: Algeria, Djibouti, Egypt, Iraq, Jordan, Lebanon, Morocco, Oman, Palestine, Somalia, Sudan, Tunisia and Yemen.

English


The State of the World’s Midwifery Report 2014

SOWMY2014_Cover_PhotoUNFPA, WHO, ICM, 2014.

The State of the World’s Midwifery (SoWMy) 2014 presents findings on midwifery from 73 low and middle- income countries. The report, produced by UNFPA, the International Confederation of Midwives (ICM), the World Health Organization (WHO) and several other partners, shows the progress and trends that have taken place since the inaugural 2011 edition, and also identifies the barriers and challenges to future progress.

English –  French –  Spanish


Saving lives, protecting futures
Progress Report on the Global Strategy for Women’s and Children’s Health 2010-2015

March_17_EWEC_GSR_Layout_v08_LR_Page_001Every Woman Every Child, 2015

In 2010, the United Nations Secretary-General launched the Global Strategy for Women’s and Children’s Health (Global Strategy), primarily to accelerate progress towards achievement of MDGs 4, 5 and 6, which were lagging furthest behind. Using the main elements of the Global Strategy as the touchstones for review, this report aims to capture the added value and particular contributions of the Global Strategy itself and the subsequent Every Woman Every Child movement. As this report describes, the Global Strategy has helped substantially increase support for women’s and children’s health and lay the foundation for swifter, more substantial gains in future years.

English


Bangladesh RMNH Workforce Assessment

HBCI_Bangladesh RMNH workforce assessment 2014_Page_01R Chilvers, P Van Look, P ten Hoope-Bender
MOHFW Bangladesh, UNFPA, ICS Integrare, 2014.

Despite decades of steady improvement in Bangladesh’s healthcare system, an unacceptable number of mothers and newborns continue to die. This report details findings that are the results of a national assessment of the RMNH workforce in Bangladesh, undertaken from March 2012 to October 2013. The central question was: What is the appropriate RMNH workforce,
and how is it best deployed, to equitably deliver essential maternal and newborn health interventions at scale and quality, and what (including costs) needs to be put into place to achieve universal access? The assessment framework considered five domains of investigation: essential interventions for RMNH and their utilization, the maternal and newborn health workforce, the work environment, management and policies, and financing.

English


A universal truth: no health without a workforce.
Forum report, Third Global Forum on Human Resources for Health. Recife, Brazil.

Campbell et al. - 2013 - A universal truth no health without a workforce._Page_001J Campbell, G Dussault, G Buchanan et al.
GHWA and WHO, 2013

This report is intended to inform proceedings at the Third Global Forum on Human Resources for Health and to inform a global audience and trigger momentum for action. It aims to consolidate what is known on human resources for health and how to attain, sustain and accelerate progress on universal health coverage.

English


HIV and human resources challenges in Papua New Guinea: an overview

LM_HIV-PNG_27_WebH Worth, J Rule, H Buchanan et al.
Human Resources for Health Knowledge Hub and International HIV Research Group at the University of New South Wales, 2012

The HIV epidemic in Papua New Guinea (PNG) presents major challenges, including significant human resources challenges. This report presents an overview of the available global literature on HIV and human resources, collates information on the workforce responses to HIV in PNG and highlights human resource issues specific to HIV in PNG.

English


The State of the World’s Midwifery Report 2011

en_SOWMY2011_Full_Page_001UNFPA, 2011.

The State of World’s Midwifery 2011 provides the first comprehensive analysis of midwifery services and issues in countries where the needs are greatest. The report provides new information and data gathered from 58 countries in all regions of the world. Its analysis confirms that the world lacks some 350,000 skilled midwives — 112,000 in the neediest 38 countries surveyed — to fully meet the needs of women around the world.

English    French    Spanish

Research articles


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

Midwifery 2030 A womans pathway_Page_1P ten Hoope-Bender, A Nove, M Michel-Schuldt, N Moyo, M Bokosi, L Codjia, S Sharma, C Homer
Midwifery, 2015

This paper discusses how and why policy makers and planners should use the Midwifery 2030 pathway to deliver an integrated care package of effective and equitable services, achieving maximum impact for women and newborns.

English


 

The involvement of midwives associations in policy and planning about the midwifery workforce: A global survey

The involvement of midwives associations_Page_1SC Lopes, P Titulaer, M Bokosi, CS Homer, P Ten Hoope-Bender
Midwifery, 2015

This paper describes the involvement of midwives associations in the process of midwifery workforce planning and decision-making. It was elaborated based on the data collected through the annual ICM survey to all its members.

English


Universal health care and equity: evidence of maternal health based on an analysis of demographic and household survey data

Universal health care and equity_Page_01S Neal, A Channon, S Carter, J Falkingham
International Journal for Equity in Health, 2015

This paper examines the current situation with regard to the coverage of maternal health interventions, analysing Demographic and Household Data from 35 low- and middle-income countries, disaggregated by wealth and place of residence.

English


 

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

Delivering the evidence_Page_1F Day-Stirk, F McConville, J Campbell, L Laski, M Guerra-Arias, P ten Hoope-Bender, M Michaela-Schuldt, L de Bernis
Reproductive Health, 2014

This commentary describes the methodology of the SoWMy report, major findings and the Midwifery 2030 pathway for achieving universal coverage of SRMNH services.

English


 

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

Rapport 2014_Page_1L de Bernis, P Ten Hoope-Bender, M Guerra-Arias
Les Dossieurs de la Maïeutique, 2014

This editorial piece describes the SoWMy process, major findings and policy implications.

French

 


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

S Castro Lopes, A Nove, P ten Hoope-Bender, L de Bernis, M Nkowane, M Bokosi, N Moyo, C Homer
Under review

This paper describes and explores the elements underpinning education, regulation, and association, the three fundamental pillars for midwifery practice and quality of care, in the 73 SoWMy countries.


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

C Homer, S Castro Lopes, A Nove, M Michel-Schuldt, F McConville, N Moyo, M Bokosi, P ten Hoope-Bender
Under review

This paper aims to explore the barriers and solutions to enabling availability, accessibility, acceptability and quality of midwifery services in the SoWMy 2014 participating countries.


The geography of maternal and newborn health: the state of the art

The geography of maternal and newborn health_Page_01S Ebener, M Guerra-Arias, J Campbell, A J Tatem, et al.
International Journal of Health Geographics, 2015

This paper examines the current state of the art in mapping the geography of MNH as a starting point to unleashing the potential of these under-used approaches. Using a rapid literature review and the description of the work currently in progress, this paper allows the identification of methods in use and describes a framework for methodological approaches to inform improved decision-making.

English


Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births

Mapping for maternal and newborn health_Page_01A J Tatem, J Campbell, M Guerra-Arias, L de Bernis, A Moran, Z Matthews
International Journal of Health Geographics, 2014

This paper outlines demographic mapping methods for the production of high resolution datasets depicting estimates of numbers of people, women of childbearing age, live births and pregnancies, and distribution of comprehensive EmONC facilities in four large high burden countries: Afghanistan, Bangladesh, Ethiopia and Tanzania.

English


Human resources for health and universal health coverage: fostering equity and effective coverage

HRH and UHC Bull WHO_Page_01J Campbell, J Buchan, G Cometto et al.
Bulletin of the World Health Organization, 2013

The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. The AAAQ dimensions make it possible to perform tracing analysis on HRH policy actions since 1990 in the four countries of interest in relation to national trends in workforce numbers and population mortality rates.

English


Accreditation of Healthcare Professional Education Programs: A Review of International Trends and Current Approaches in Pacific Island Countries

Accreditation of HCP education_Page_01J McKimm, P M Newton, A Da Silva, J Campbell et al.
Human Resources for Health Knowledge Hub, Sydney, Australia, 2013.

This review of accreditation for healthcare professionals training and education describes international trends and approaches to the accreditation of education programs or pathways that prepare graduates for entry to a professional register or to extend scopes of practice. The review is part of a series of “Evidence and Policy Options” papers developed by the Human Resources for Health Knowledge Hub (HRH Hub) at the University of New South Wales. It draws upon examples from countries whose cultural and geographical background may be of relevance and interest to the future development and strengthening of accreditation in the Pacific Island Countries.

English


Expanded and extended health practitioner roles: a review of international practice

Expanded and extended HP roles_Page_01J McKimm, P M Newton, A Da Silva, J Campbell et al.
Human Resources for Health Knowledge Hub, Sydney, Australia, 2013.

This review of complementary roles to those of traditional health workers, focusing on extended and expanded scopes of practice, has been prepared to inform a series of “Evidence and Policy Options” papers developed by the Human Resources for Health Knowledge Hub (HRH Hub) at the University of New South Wales. It explores international trends and approaches to the development and implementation of new workforce roles alongside doctors, midwives and nurses.

English


Medical education: A review of international trends and current approaches in Pacific Island countries

Medical education a review_Page_01J McKimm, P M Newton, J Campbell, R Condon, et al.
Human Resources for Health Knowledge Hub, Sydney, Australia, 2013.

This review describes international trends and approaches to the planning and delivery of undergraduate and postgraduate medical education, including the assessment of trainees’ performance. It draws upon examples from countries whose cultural and geographical background may be of relevance and interest to the future development and strengthening of medical education in the Pacific Island countries.

English


Regulation and licensing of healthcare professionals: A review of international trends and current approaches in Pacific Island countries

Regulation and licensing of healthcare professionals_Page_01J McKimm, P M Newton, A Da Silva, J Campbell et al.
Human Resources for Health Knowledge Hub, Sydney, Australia, 2013.

The process of registration and licensing is designed to protect the public from harm perpetrated by incompetent health care workers, particularly those in the private sector over whom there is little or no administrative oversight. This review describes international trends and approaches to regulatory and licensing systems and the integration of overseas trained healthcare professionals, including international medical graduates. It is prepared to inform a series of “Evidence and Policy Options” papers developed by the Human Resources for Health Knowledge Hub (HRH Hub) at the University of New South Wales.

English


Medical internship programs in the Pacific: Current situation and future challenges

Medical internship programs in the pacific_Page_01R Condon, R Duvivier, R Kirition, et al.
Human Resources for Health Knowledge Hub, Sydney, Australia, 2013.

This review describes international trends and approaches to the planning and delivery of medical internship programs relevant to the future development and strengthening of medical education in Pacific Island countries (PICs). It also describes the current situation regarding undergraduate medical admissions in the Pacific and the likely impact on existing internship programs. It examines policy options for addressing these evolving challenges through improved capacity and alignment of internship programs and the development of regional competency standards for new medical graduates as they prepare to enter the Pacific’s medical workforce.

English


Commissioning the education of healthcare professionals: A review of international trends and approaches

Commissioning the education of healthcare professionals_Page_01J McKimm, P M Newton, A Da Silva, J Campbell et al.
Human Resources for Health Knowledge Hub, Sydney, Australia, 2013.

This paper reviews international approaches to commissioning and how to determine and control the number of places available on educational programs for doctors, nurses and midwives. These approaches are currently undergoing significant change in many international settings. This active state of flux provides learning opportunities for the Pacific Island countries, as innovations are currently being developed, tested and refined.

English

Technical briefs and working papers


Handbook: Conducting a sexual, reproductive, maternal, newborn and adolescent health workforce assessment

H4+, 2015

SRMNAH Handbook_Page_001This Handbook describes the framework and process for conducting national assessments of the sexual, reproductive, maternal, newborn and adolescent health (SRMNAH) workforce. It has been developed and revised after extensive implementation experience in HBCI countries such as Afghanistan, Bangladesh, Tanzania and Ethiopia.

 

English


Aligning evidence and policy for post-2015. A Connected Health Workforce: an innovation brief

ICS Integrare and Results Lab, 2015

ConnectedHealthWF_21Apr15_Page_01This innovation brief results from a collaboration between ICS Integrare and ResultsLAB (South Africa) as part of a research programme titled ‘Aligning evidence and policy for post-2015’. The brief is written for healthcare managers, funders, researchers and policymakers who believe that the world needs practical health workforce innovations to dramatically improve the delivery of health care services and health outcomes. It is particularly relevant to on-going discussions on the development of a post-2015 development agenda for health.

 

English


What are the workforce implications of Universal Health Coverage? An evidence-informed policy brief

ICS Integrare and Intrahealth International, pending publication

Human resources for health (HRH) are considered one of the main pillars for Universal Health Coverage (UHC), as the 3rd Global Forum on HRH recognized. The progression toward UHC needs a fit for purpose fit to practice health workforce, which requires a comprehensive, inter-sectoral, and systems-based approach to HRH, including implementing policies and actions to strengthen the performance of existing health systems.

ICS Integrare and IntraHealth International are developing a policy brief and planning guidance for countries on the implications for human resources for health for the attainment of UHC. This work will inform and support decision-makers on the necessary alignment between UHC plans and HRH reforms, guiding countries on the investment of new approaches to HRH and on the pursuit of innovative policies and actions for the improvement of competencies, management, financing, and working conditions of the health workforce, in order to make it more adjusted and responsive to UHC.


What is the evidence on the proportion of pregnancies that result in obstetric complications and require referral to specialist care? A rapid literature review

Obstetric_Complications_for-PDF_19Apr13_Page_01P ten Hoope-Bender, A M Speciale, M Guerra Arias and J Campbell
ICS Integrare, 2013

This rapid literature review summarizes the evidence from articles published in peer-reviewed journals on the estimated proportion of pregnancies that give rise to obstetric complications, in order to inform benchmarks for maternal and newborn health (MNH) policy and programming.

English


Commitments for “Every Woman, Every Child”: a Human Resources for Health perspective. Technical Brief.

ICSIntegrare_EWEC_Technical_Brief_Apr2013_Page_1J Campbell, R Duvivier, J Buchanan, P Van Look and Z Matthews
ICS Integrare, 2013

This technical brief provides new analysis of the Every Woman Every Child commitments from a Human Resources for Health perspective. It is made available in support of World Health Worker Week (8–12 April, 2013), an initiative launched by the Health Workers Count campaign.

English


Human resources for health: critical for effective universal health coverage

GHWA_2013_HRH_UHC_WorldWeWant_Page_1GHWA and ICS Integrare, 2013

The Institute, together with GHWA, has co-authored and contributed a paper for the World We Want 2015 campaign on the thematic consultation for Health in the Post-2015 Development Agenda. The paper argues the critical importance of human resources for health in the implementation and delivery of health programs.

English


More money for HRH: more HRH for the money

GHWA and ICS Integrare, 2012

More-money-for-HRH-more-HRH-for-the-money_Page_1Health costs are spiralling out of control all over the world in context of global financial crisis while some countries are still struggling to offer basic health services. The health sector in Sub-Saharan Africa is most often unfunded, including the health workforce, which represents the single largest item in health budgets. On the other hand, countries do not meet the minimum health staffing levels to provide essential care. Ministries of Finance and Health need to jointly identify and allocate additional financial resources – for HRH – to maximize the efficiency and effectiveness of current capital and recurrent expenditures. This technical brief was prepared by ICS Integrare as part of the discussions on Value for money, sustainability and accountability in health: a new governance framework for Africa towards and beyond the MDGs at the Conference of Ministers of Health and Ministers of Finance, Tunis, 4-5 July, 2012.

English

Other


Poster: Gap analysis as a tool for strengthening a country’s midwifery workforce

15-679 ICM Gap Analysis Poster copyN T Moyo, M Bokosi, A Nove

A strong midwifery profession rests on the quality of education, regulation and association (ERA). ICM has developed global standards for ERA, but countries wishing to strengthen the midwifery profession by implementing these global standards needed a method for highlighting specific areas of weakness and monitoring their progress towards addressing these. To this end, ICM developed an ERA ‘gap analysis’ process, described in this poster.

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Correspondence: The route to effective coverage is through the health worker: there are no shortcuts

Campbell_2013_Effective_Coverage_HRH_UHC_Lancet_01Mar13J Campbell
The Lancet, 2013

Correspondence letter by Jim Campbell published in the Lancet.

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Correspondence: Family planning, health systems and the health workforce

Campbell_etal_2012_Letter_LancetJ Campbell, L de Bernis, H Fogstad, C Homer, et al.
The Lancet, 2013

Correspondence letter published in the Lancet on behalf of The Lancet Series on Midwifery Executive Group.

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Infographic: “Every Woman, Every Child”: A midwifery perspective

EWEC_Infographic_MidwiferyP ten Hoope-Bender, R Duvivier, J Campbell, 2013.

This infographic reviews all government commitments in support of the “Every Woman, Every Child” campaign and identifies action statements relevant to midwifery along the continuum of care through pregnancy, childbirth and the postpartum/postnatal period.

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