Outline
Health Policies Scaling up community midwifery education and workforce planning approach Community involvement Midwifery pre-service evaluation results Professionalized midwifery Midwifery as womens empowerment Challenges Summary
Policy Environment
Development of Basic Package of Health Services Reproductive Health Strategy included improving coverage of midwives and an intrapartum care strategy The MOPH and international community demonstrated strong commitment and funding to prepare competent midwives, to work in underserved areas of Afghanistan
2006
2007 2008 2009 2010 2011 Total
444
336 485 704 425 546 4264
434
317 469 641 30 3140
86%
85% 80% 89% NA NA 86%
Improvements
AMS 2010 Life expectancy Under five mortality Infant mortality Total fertility rate 62 97 77 5.1 AHS 2006 46 191 129 6.3
34
327
19
1600
Challenges
Security Retention Midwifery career framework Conservative socio cultural context Improving quality of maternal and newborn care
SUMMARY
Improved access to skilled midwifery care by: Training of many competent midwives Professionalization of midwifery Midwives working within an enabling environment association, supportive supervision
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