San Pedro - Training and Monitoring of Midwives For Their Expanded Role in Maternal and Child Health

Training and Monitoring of Midwives for their Expanded Role in Maternal and Child Health
Alejandro R. San Pedro

Board of Midwifery Professional Regulation Commission Department of Obstetrics and Gynecology Bulacan Medical Center
The Women Deliver - Philippines Conference

September 17, 2010 The Crowne Plaza Hotel, City of Mandaluyong
Presentation content
Midwifery in the Philippines Scope of midwives expanded functions Undergraduate & In-Service training Monitoring facilities & practitioners Challenges in training & monitoring
Midwifery in the Philippines

Direct entry course 248 Midwifery Schools* Training on expanded role
begins in Midwifery school (new curriculum) Entry into practice requires passing the MLEx (PRC)* Ladderized curriculum in selected schools BSc in Midwifery
* CHED data ** Professional Regulation Commission
Expanded role added skills

(Midwifery Act of 1992)
3Internal examination 3Suturing perineal

lacerations
3Intravenous fluid
insertion
3Dispensing oxytocics 3Vitamin K for newborn
Midwives in the Philippines 157,501 RMs up to Jan. 8, 2010
17,000 RMs work in the public sector
Midwifery Act of 1992 (R.A.7392)

primary health care
services in community, including nutrition and family planning
to giving motivation and counseling to married couples who wish to avail of family planning services. midwives who have undergone a special training given a certificate by the Certifying Board jointly undertaken by the DOH and the Board of Midwifery will be allowed to provide FP interventions that are medical or surgical in nature, i.e. pills and intrauterine devices.
82,000 Filipino children die annually, most could have been prevented
Source: CHERG estimates of under-five deaths, 2000-03
The Philippines is one of the 42 countries that account for 90% of global under-five mortality
Source: H. Sobel Unang Yakap Essential Newborn Care Presentation
Training for midwives on expanded role (mainly In-Service)

1. Life Savings Skills and MDG Countdown (POGS) 2. Basic and Comprehensive Family Planning (DOH, IMCH) 3. BeMONC (Fabella Hosp) 4. EPI/IMCI (DOH) 5. Newborn Screening 6. Essential Newborn Care
(PSNbM) * DrJFMH began training in 1994 on
expanded midwifery functions
CPE Council for Midwifery

Composition:
Board of Midwifery APO (accredited

professional organization)
Accreditation & monitoring CPE Providers and Programs

(Competency-based training, interactive learning, workshop, standards of care and best practices, unlearning harmful practices, clinical case conference, maternal death review).
APSOM (academe)
Monitoring
Licensing & Regulating of Birthing Homes (BH) PhilHealth monitoring of Accredited BH Board of Midwifery (BOMid) monitoring of BH or solo practice Joint BOMid-CHED assessment of poorly performing schools
Achieving & maintaining competence of Midwives

Caseload (e.g. childbirth attended) is needed to gain and maintain competence? Tools for assessing different competence Standardization (harmonize) of modules
* 15462 currently enrolled AY 2009-2010 7053 Midwifery graduates AY 2008-2009
Some observations on monitoring
(Birthing Clinic Chart)
(Birthing Clinic Chart)
Some challenges
1. Compliance with required competencies (caseload) 2. Getting support of LGU leaders 3. No appropriate items in hospital for midwives (Nursing Attendant) 4. Proliferation of unregulated birthing homes 5. Overmedicalization of childbirth 6. Health system not fully functioning
Attendance during childbirth

(Bulacan Province 2009)
Doctors (33.24%) Midwives (60.46%) Nurses (0.26%) Hilots (6.04%)

59.94% are Homebirths 65,189 births in 2009
Source: Bulacan 2009 Annual Report on Natality by Attendance
Reminder
Graduate midwives of the old curriculum (before 1996) are required to attend a Professional Regulation Commission (BoMid) accredited training program to acquire competence on the added skills.
Rule 10. No. 4. Only registered midwives with the proper training on intravenous insertion and suturing perineal laceration will be allowed to perform such procedures.. and by the year 1996 no midwife will be allowed to renew her/his license without the needed training.
Source: Resolution 100 R.A.7392.
Key Message Competent, committed, compassionate and connected midwives supported by an enabling environment can help achieve MDGs 4 & 5 and protect public safety!

San Pedro - Training and Monitoring of Midwives For Their Expanded Role in Maternal and Child Health

Uploaded by

Copyright:

Available Formats

San Pedro - Training and Monitoring of Midwives For Their Expanded Role in Maternal and Child Health

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

San Pedro - Training and Monitoring of Midwives For Their Expanded Role in Maternal and Child Health

Uploaded by

Copyright:

Available Formats

Training and Monitoring of Midwives for their Expanded Role in Maternal and Child Health

Alejandro R. San Pedro

The Women Deliver - Philippines Conference

Midwifery in the Philippines

Expanded role added skills

3Internal examination 3Suturing perineal

3Dispensing oxytocics 3Vitamin K for newborn

Midwives in the Philippines 157,501 RMs up to Jan. 8, 2010

17,000 RMs work in the public sector

Midwifery Act of 1992 (R.A.7392)

Source: CHERG estimates of under-five deaths, 2000-03

Training for midwives on expanded role (mainly In-Service)

CPE Council for Midwifery

Board of Midwifery APO (accredited

Accreditation & monitoring CPE Providers and Programs

Achieving & maintaining competence of Midwives

Some observations on monitoring

Some observations on monitoring

(Birthing Clinic Chart)

Some observations on monitoring

(Birthing Clinic Chart)

Attendance during childbirth

Doctors (33.24%) Midwives (60.46%) Nurses (0.26%) Hilots (6.04%)

You might also like