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MAP Partners

Midwifery Association of Pakistan is privileged to be working with different partners namely MCHIP, UNFPA MNCH SIND and Ipas

MCHIP

Maternal and Child Health Integrated Program (MCHIP) funded by USAID, a partner agency of MAP, was approached for the major sponsorship of the IDM celebration.MCHIP/Jhpiegorecognizes that midwives have the potential to save many lives when they are able to work in a functional health system; MCHIP is building their capacities and supporting midwives in a number of ways: 1) Partnering with midwifery schools to develop Centers of Excellence in midwifery education; 2) Supporting Community Midwives (CMWs) to set up private clinics named MNCH Centers where they can provide high quality, accessible and affordable MNCH services. MCHIP will support construction of these MNCH Centers and provide training in clinical and entrepreneurship skills 3) Creating demand for midwifery care through community mobilization activities to promote services offered by CMWs; 4) Advocating for quality midwifery education and midwifery care by supporting MAP to revise the CMW midwifery curriculum and scope of practice.

MCHIP sponsored MAP for organizing the International day of Midwife and the Midwifery conference 2014 at beach Luxury and Avari Tower Hotel Karachion May 5, 6, and 7, 2014

UNFPA:

United Nations Population Fund, has been partnering with the International Confederation of Midwives Since 2008, to strengthen coverage and quality of midwifery services globally and in Pakistan. One of Pakistan’s most urgent priorities is to achieve universal access to sexual and reproductive health and improve the health and life chances of mothers and children in particular. UNFPA has supported the Pakistan Nursing Council (PNC), a regulatory body, to strengthen midwifery practices and the nursing examination boards, e.g. Introduction of Objective Structured Clinical Examination to improve the competency of the graduating midwives who will support mothers to have healthy pregnancies and safe childbirth. In 2013, UNFPA reinforced its support to the Midwifery Association of Pakistan to advocate for the recognition of midwifery profession. Other contributions by UNFPA include provision of teaching aids to community midwifery schools and refresher courses for midwives.

UNFPA sponsored a seed grant to MAP from June 2014 to December,2014.The purpose of the grant is to finance a national level not-for-profit professional organization for midwives to strengthen institutional structures and processes to enable the association to effectively meet its mission and goals in a sustainable manner for the year 2014.

The following four activities were carried out in MAP UNFPA work plan

  • Strengthening the governance structure
  • Supporting human resources capacity
  • Strengthening newly established secretariat
  • Strengthening online membership system and website

MNCH:

Commissioned in April 2005 by the Ministry of Health Pakistan in order to respond to the need for a coherent, innovative, sustainable, reliable and cost-effective strategy in MNCH,. The vision of the strategic framework is “of a society where no family suffers the loss of a mother or newborn due to preventable or treatable causes”. The Framework pledges to ensure availability of high quality MNCH services to all, especially for the poor and the disadvantaged. The Framework aims to improve the accessibility of high quality and effective MNCH services for all, particularly the poor and the disadvantaged, through development and implementation of sustainable provincial and district programs.

The overarching program goal is to improve accessibility of quality MNCH services through development and implementation of an integrated and sustainable MNCH program at all levels of the health care delivery system. Pakistan is signatory to several international agreements regarding improving MNCH. Most notably, the Government is committed to achieve the Millennium Development Goals (MDGs) in MNCH, which are:

  • Goal 4Reduce child mortality by two-thirds, between 1990 and 2015: The indicators to measure progress toward this MDG include under-five mortality rate; infant mortality rate (IMR) and proportion of one-year-old children immunized against measles. (Pakistan’s target is to reduce IMR to 40 per 1000 live births and to increase measles immunization rate to >90% by 2015).
  • Goal 5Improve maternal health by reducing the maternal mortality ratio (MMR) by three-quarters, between 1990 and 2015: The indicator to measure progress toward this MDG include maternal mortality ratio and the proportion of births attended by skilled health personnel. (Pakistan’s target is to reduce MMR to 140 or less, and to increase skilled birth attendance to 90%, by 2015).

In addition to the above, Pakistan envisages increasing, by the year 2015, the contraceptive prevalence rate (CPR) to 55%; proportion of pregnant women receiving prenatal care from the current 31% to 100%; and reducing the total fertility rate (TFR) from the current 3.9 to 2.1.

The program will ensure progress toward achieving the Millennium Development Goals in maternal and child health. The core objectives of the program are as under:

To reduce:

  • The Under Five Mortality Rate to less than 65 per 1000 live births by the year 2011 (Target 2015: 45/1000)
  • The Newborn Mortality Rate to less than 40 per 1000 live births by the year 2011 (Target 2015: 25/1000)
  • The Infant Mortality Rate to less than 55 per 1000 live births by the year 2011 (Target 2015: 40/1000)
  • The Maternal Mortality ratio to 200 per 100,000 live births by the year 2011 (Target 2015: 140/100,000)

To increase:

  • The proportion of deliveries attended by skilled birth attendants at home or in health facilities to 90%. (Target 2015: >90%)
  • Contraceptive Prevalence Rate to 55

Ipas:

Ipas is an international organization that has worked over 4 decades to reduce death and Injuries from unsafe abortion. It believes that no women should risk her life or wellbeing because she lacks safe reproductive health care. Ipas is addressing public health concerns of unsafe abortion through a multi-pronged, socially and culturally sensitive approach; to train health care providers to provide safe reproductive health services, Advance and improve technology, and work with policy makers to promote positive health policies and practices. Since 2007, Ipas is working in Pakistan (especially in Punjab and Sindh) in collaboration with National Committee on Maternal and Neonatal Health (NCMNH) and MAP to train doctors and midlevel providers in procedure of safe uterine evacuation- Manual Vacuum Aspiration (MVA) and misoprostol according to WHO-guidelines. Ipas has trained more than 70 midwives and 200 doctors in safe uterine evacuation technology and contraception. At policy level, Ipas is working with provincial health departments and Pakistan Nursing Council to incorporate misoprostol for safe uterine evacuation into the midwifery curriculum having trained over 30 tutors who teach in nursing and public health schools. During 2013, a pilot project was successfully implemented in District Chakwal- Punjab and 12 pre-service midlevel tutors were trained to teach new content on PAC incorporated in midwifery curriculum. Cascade training was conducted for the outgoing 48 midwifery students who are now working in the rural communities. Recently Ipas is training about 45 midlevel tutors from different midwifery schools of Punjab which would help the government to scale up PAC-FP training and services across Punjab. Further to this, in Punjab and Sindh, Ipas is supporting health systems for improving the service delivery through upgrading the clinics and have a strong follow up for provision of quality services. In coming years more midlevel providers will be trained on safe uterine evacuation according to WHO guidelines.

Midwifery Association of Pakistan has collaborated with Ipas Pakistan for advancing the midlevel strategy and plan of action for Expanding Provider Base for safe postabortion care andpostabortion family planning in Sindh and would perform and deliver on the followingactivities in FY 2014- 2015 i-e 1 July 2014 – 30 June 2015.

MAP and Ipas will be performing following activities in collaboration

  • Conduct Strategic consultation for expanding the provider base for safe postabortion care(PAC) and long term family planning methods (LTFP) in Sindh
  • Conduct Providers' orientation and networking (including Ipas trained ML providers) onPAC-PAFP and technologies in Sindh
  • Collect, document, print and disseminate evidence on providers' knowledge, attitude andpractices on PAC-PAFP in Sindh.
  • International Day of the Midwife(IDM) 5 May 2015 for midwives