9TH ASIA PACIFIC MIDWIFERY CONFERENCE, 2009

Objectives of the Conference:

  • Exchange information and skills for providing high quality services to women, babies and their families.
  • Learn from experiences of associations in shaping and strengthening midwifery profession in different countries.

Share a vision and formulate actions for equitable access to services for women and their babies

9th Asia Pacific Midwifery Conference, November 2009

Participants:

Feroza Mushtari, HSSP In- service Training Officer

Site visited: Hyderabad/India

Date: 18-22 November 2009

Trips Propose:

To attend Asia Pacific Midwifery Conference to foster sharing and networking for equitable human development

Objectives of the Conference:

  • Exchange information and skills for providing high quality services to women, babies and their families.
  • Learn from experiences of associations in shaping and strengthening midwifery profession in different countries.
  • ·         Share a vision and formulate actions for equitable access to services for women and their babies

Outcome of the conference:

  • This conference emphasised on the rights of women and capacity and autonomy of midwives to meet the needs of communities and generated interest among participants to deliberate on the key issues and actions.

Theme and sub themes of the conference:

  • Mainstreaming midwifery practice in clinical and public health areas of countries

 Responsibilities of a practicing midwifery – Competencies for midwifery practice; documentation and reporting, case studies of different midwifery practice settings.

  Midwifery as an independent profession _– issues of autonomy and regulation, right to practice, barriers to practice, expanding scope of practice and legal support for practicing midwives.

 Aids to autonomy- midwifery act, protocols and manuals, referral guides, social recognition, supportive policies.

 Professional partnership and linkages, role of midwifery Organizations in strengthening practice.

  • Women’s awareness, choices and decisions for safe childbirth

 Women’s rights and entitlements related to maternity and maternal health, barriers to safe motherhood, decision to seek care, pregnancy termination, and gender-related hurdles.

 Women’s knowledge, perceptions, practices regarding pregnancy, childbirth and related complications.

 Community and family support for maternal health – role of birth companion and TBA, male participation and active involvement for maternal health.

 Health education and counselling of pregnant women/family members, birth preparedness, and parental education

  • Improving standards of maternal and newborn care

 Maintaining standards in midwifery practice settings – labour rooms and antenatal clinics, postpartum care units, family planning centres, MTP centres and adolescent centres.

 Interventions for saving life and preventing disability during pregnancy related complications including rational use of drugs and interventions.

 Bio-medical waste management and maintaining universal precautions and standards for infection control.

 Newborn care – immediate assessment, resuscitation, routine newborn care, breast feeding, care of newborns with special needs

  • Enabling midwifery practice through education, training and research

 Midwifery education – content and quality, gaps and strengths for enabling practice, curricula review and strengthening

 SBA training and other in-service training programmes for midwives for upgrading skill, updating knowledge and enhancing Commitment.

 Interventions and teaching designs to enhance the quality of midwifery education, research for improving quality of care.

 Preparation of midwifery teachers, models of tutor training.

Role of Afghanistan Team in This Conference:

Afghanistan as main member of South Asia Midwifery Alliance participated in this conference. There were 12 delegates from Afghanistan with support of different donor and from different provinces as follow:

UNFPA sponsored 3 people:

Feroza Mushtari, Nasreen Azemi, Naseema Kochi

JHPIEGO-HSSP/HSSP sponsored 4 people: Sabera Turkamni, Pazshtoon Azfar, Pashtoon Amiri and Muzhgan

Cordaid sponsored 4 people:

Kobra from Takhar

Shakila from Heart

Sairm from Badakhshan

Waheeda from Nangarhar

BRAC sponsored 1 person: Zahra from Badqis

This was an excellent opportunity for exposure of midwives especially those from other provinces and remote area to share their experiences and lesson learned with other countries and building an international network with other midwives.

Afghanistan submitted tree abstract on different topics were all accepted as follow:

  1. Going to scale with Skilled Birth  Attendants in Afghanistan(symposium with Nepal and India )
  2. Strengthening midwifery education through performance improvement and accreditation(presented by Sabera Turkmani)
  3. The role of the Afghan Midwives Association in reducing maternal and neonatal mortality(presented by Pashtoon Azfar)

There was two important meeting that Afghanistan participated in both meeting.

  1. 1.    South Asia Midwifery Alliance (SAMA) meeting

Participated countries: Afghanistan, Pakistan, India, Nepal, Bangladesh, Serilanka, Butane

Outcome of the meeting: the main members of SAMA will provide Technical Assistant to the countries that don’t have midwifery association to establish their association .India and Pakistan will provide technical assistant to Nepal and Butane and Afghanistan will support Bangladesh to establish its association.

Delegates of each mentioned countries are responsible to communicate and facilitate the process and send back their reports to Secretariat of SAMA.

  1. 2.    Asia Pacific Midwives meeting:

Participated countries: Afghanistan,Bangladesh,Pakistan,India,Srilanka,Japan,Botane,Nepal, Laos, Campudia ,China ,Indonesia ,South Africa ,Newzeland

Outcome of the meeting: all mentioned countries will get together in Bangladesh by February 2010 to develop strategic plan.

Next Asia Pacific conference will be held in Japan and Indonesia would be as back up.

Afghan midwives also attended deferent Plenary Sessions, Concurrent Presentations and Practice in Skills Hall as follows:

Plenary Sessions, all 12 Afghan midwives attended 4 Plenary Sessions:

  1. The World needs midwives, now more than ever
  2. Mainstreaming midwifery practice in clinical and public health settings
  3. Regional experience on women’s awareness, choices and decisions for safe childbirth
  4. Public Health Nurses and newborn Care

Concurrent Presentations, all 12 Afghan midwives divided in 4 groups and attended different Concurrent Presentations as follow:

UNFPA SPONSORED MIDWIVES, FEROZA MUSHTARI, NASREEN AZEMI AND NASEEMA KOCHI

  1. Experiences in Setting up midwife led practice units
  2. Mobilizing midwives and midwifery associations for improving quality of maternal and newborn care
  3. Strengthen Skilled Birth Attendance training in South Asia
  4. Identifying risk and taking action: Midwives’ Key role
  5. Postnatal problem and care quality assurance
  6. Enabling midwifery practice through education, training and research
  7. Research report preparation- Reference writing
  8. Oxytocin and PPH: Quality and childbirth service
  9. Improving quality of life among women and babies
  10. Effectiveness of Audio- visual aids in midwifery health education
  11. Influence of clinical practice on nursing students
  12. Organizational improvement for midwifery practice
  13. Women’s choices and rights related to childbirth- Information and preparation
  14. Postnatal care and newborn care

CORDAID SPONSORED MIDWIVES, KOBRA FROM TAKHAR, SHAKILA FROM HERAT, SAIRM FROM BADAKHSHAN AND WAHEEDA FROM NANGARHAR

  1. Establishing models of care and referral
  2. Providing childbirth support: Experiences and practices of midwives
  3. Women’s choices and rights related to childbirth- Information and preparation
  4. Postnatal care and newborn care
  5. Postnatal problems: How nurse midwives help women
  6. changing role of midwives in reducing maternal mortality in tribal areas
  7. Strengthen Skilled Birth Attendance training in South Asia
  8.  Organizational improvement for midwifery practice
  9. Strengthen Skilled Birth Attendance training in South Asia

JHPIEGO-HSSP/HSSP SPONSORED MIDWIVES, SABERA TURKAMNI, PAZSHTOON AZFAR, PASHTOON AMIRI AND MUZHGAN MOHAMMADZAI

  1. Mobilizing midwives and midwifery associations for improving quality of maternal and newborn care
  2. Organizational improvement for midwifery practice
  3. Strengthen Skilled Birth Attendance training in South Asia
  4. Women and midwives: Central to birthing process
  5. Postnatal care and newborn care
  6. Enabling midwifery practice through education, training and research
  7. Research report preparation- Reference writing
  8. Improving quality of life among women and babies

Practice in Skills Hall,

UNFPA SPONSORED MIDWIVES, FEROZA MUSHTARI, NASREEN AZEMI AND NASEEMA KOCHI

And

BRAC sponsored midwife, Zahra from Badqis

Note: Feroza Mushtari attended the Opening Function of Skills Hall as a Resource Person from Afghanistan team.

  1. Maternal Care Skills:
  • Mechanism of Labor
  • Usage of Partogragh
  1. Newborn Care Skills:
  • Initial steps
  1. Women’s Health Skills:
  • IUD insertion
  • MVA Technique

CORDAID SPONSORED MIDWIVES, KOBRA FROM TAKHAR, SHAKILA FROM HERAT, SAIRM FROM BADAKHSHAN AND WAHEEDA FROM NANGARHAR

And BRAC sponsored midwife, Zahra from Badqis

  1. Maternal Care Skills:
  • Antenatal Assessment Skills
  • PPH control and management
  1. Newborn Care Skills:
  • Bag and Mask Technologies
  • Chest Compressions
  1. Women’s Health Skills:
  • IUD insertion
  • MVA Technique

JHPIEGO-HSSP/HSSP SPONSORED MIDWIVES, PASHTOON AMIRI

  1. Maternal Care Skills:
  • Antenatal Assessment Skills
  • PPH control and management
  1. Newborn Care Skills:
  • Bag and Mask Technologies
  • Chest Compressions
  1. Women’s Health Skills:
  • IUD insertion
  • MVA Technique

Outcome of this conference:

Afghan Midwives shared their experiences and lesson learned from Afghanistan with international participants.

Afghan Midwives Knowledge updated on following areas:

  1. Experiences in Setting up midwife led practice units
  2. Mobilizing midwives and midwifery associations for improving quality of maternal and newborn care
  3. Strengthen Skilled Birth Attendance training in South Asia
  4. Identifying risk and taking action: Midwives’ Key role
  5. Postnatal problem and care quality assurance
  6. Enabling midwifery practice through education, training and research
  7. Women’s choices and rights related to childbirth- Information and preparation
  8. Postnatal care and newborn care
  9. Establishing models of care and referral
  10. Providing childbirth support: Experiences and practices of midwives
  11. Postnatal problems: How nurse midwives help women
  12. Changing role of midwives in reducing maternal mortality in tribal areas
  13. Organizational improvement for midwifery practice
  14. Women and midwives: Central to birthing process
  15. Enabling midwifery practice through education, training and research
  16. Research report preparation- Reference writing
  17. Improving quality of life among women and babies

Afghan Midwives Skills updated on following areas:

  1. Maternal Care Skills:
  • Antenatal Assessment Skill
  • Mechanism of Labor
  • Usage of Partogragh
  • PHH Control and Management
  1. Newborn Care Skills:
  • Initial steps
  • Bag and Mask Technologies
  • Chest Compressions
  1. Women’s Health Skills:
  • IUD insertion
  • MVA Technique

Conclusion:

Afghanistan is leading the way to professionalize the midwifery not only in Afghanistan but also in the region.

Afghanistan has valuable experiences on scaling up of best practices in health area

Afghanistan is in deriver sit in South Asia.

Together we can make safe birth for every woman in to the caring hands of Afghan Midwives and we have ways ahead to do a lot.

Asia Pacific Midwives are committed to have an educated regulated and professional midwife in each birth and strong midwifery association to support development of midwifery profession in each country.

Each women and newborn have the right to receive the care from an autonomous and competent midwife

Each midwife has the right to be recognised, respected and supported as a health provider and midwives have the right to have access to specific education to develop their competencies as midwives and support of all these rights by government will help the nations to achieve the MDGs3-4 and 5 and improve health situation of mothers and their families

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