Autonomy And Family Planning

More trained midwives, more lives saved

Midwives not only deliver babies. They do much more. They care for mothers before and after delivery. They protect the health of newborn and children. They offer family planning counselling and supplies tools. They are crucial for the communities and to the survival of women and children.

The crucial role of midwives was highlighted in the first State of the World's Midwifery report published recently, commissioned and coordinated by the United Nations Population Fund (UNFPA).

Every year, 358,000 women and 3.6 million newborn babies die due to largely preventable complications during pregnancy, childbirth and the postnatal period. In addition, every year, nearly 3 million babies are stillborn. Most of these deaths occur in low-income countries and happen because women — often poor and marginalised — have no access to functioning health facilities or to qualified health professionals, notably midwives and others with midwifery skills.

The report highlights the shortage of skilled midwives in many low-income countries, stressing the need to train and deploy more midwives in all parts of a country — especially remote and rural areas. The nursing shortage is extreme and the ratio of registered nurse-midwives to births is one of the world’s lowest. Retention is hampered by lack of advancement opportunities, poor working conditions, weak supervision and lack of autonomy.

Until recently midwives were not defined as a professional cadre and received only 6 months of midwifery education. Other providers of maternity services include the Community Skilled Birth Attendant and Family Welfare Visitors, both with 12-18 months’ education.

Bangladesh has made remarkable achievements in reproductive health and reducing maternal mortality over the past decade and is on track to achieve MDGs 4 and 5. However, addressing workforce need is critical, with particular attention to a defined role for midwives in regulation, education and deployment.

Experts recommended that Bangladesh needs to intensify efforts to make sufficient midwifery staff available to provide quality skilled attendance to the estimated 3 million births per year.

So, more investment in midwifery could save millions of babies and women who still die every year because of a lack of skilled healthcare during childbirth. Let’s ensure that every woman and her newborn have access to quality midwifery services.

The writer is a Medical Officer in the department of Gynaecology and Obstetrics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka.

Guangxi is explored \” sincere letter family planning \” difficult ...

Xinhua net Guilin on March 8 report (reporter Dong Zhenguo, Xiong Gongming) in spirit of Guangxi Guilin city plain county, family planning job also once was “ the first difficult ” . Nowadays, the villager does family planning of one\’s own accord, abide by family planning acceptance to must be rewarded, family planning cadre has smiling face to look into the village, masses still asks them to drink. In recent years, spirit plain turns into ” of “ compulsive family planning the villager is supervised each other, the ” of “ autonomy family planning of mutual tie, woman of Yo of marriage of many 35000 of the right age attends entire county of one\’s own accord ” of family planning of “ sincere letter, wanted ” of my family planning to turn “ into me from “ want family planning ” . Special subject: 9 class strong shock of Japanese cause seismic sea wave and nuclear leak crisis explosion of beautiful 1989 the strongest warship ever entered court battle (graph) the plan says the history: The Korea war that the U.S. Army films is high-definition illuminate (graph) Jiangxi in all cemetery of black town Hu Yaobang: Pines and cypresses of verdant green surrounds (graph) the plan says the history: Kuomintang a home to return to of general of 10 big uprise (graph) the gules Cambodia leader that cleans 1 million brethrens is last ending (graph) the fair maiden changes queenly blackart book [beautiful penny lives primely too] of female banking division borrow love to walk along common road to read extraordinary book knowledge of special interest folk-custom   Job of family planning of spirit plain county glides for a time serious. 2006, rate of entire county family planning has 80 ％ only, super- unripe rebounded to already arrived breakneck degree. Zhou Sanwang of director of bureau of family planning of spirit plain county says, the family planning means that if continue,continue to use enforced in the past, do bad family planning not only, still can arouse bigger social contradiction.    Begin from 2009, exploration of spirit plain county established mechanism of ” of family planning of “ sincere letter, guide in order to encourage give priority to, punishment is complementary, management of support masses ego, ego is supervised.    According to introducing, ” of family planning of “ sincere letter is married Yo age woman is in mix adequately of one\’s own accord below the premise of mutual trust, pass ” of “ two-way choice, by 5 – 10 married Yo age group of ” of family planning of sincere letter of woman composition “ , choose produces sincere letter group to grow, sign \” autonomy of family planning villager book of sincere letter acceptance \” , form the service of ego management, ego, moving mechanism that ego supervises.    Member of sincere letter panel and town village sign agreement of sincere letter family planning, both sides is mutual and affirmatory. Married Yo age woman acceptance abides by family planning policy and legal laws and regulations self-consciously, accept health check and reproductive health service self-consciously; Governmental commitment cashs policy is rewarded related family planning, should abide by family planning policy to enforce no longer only especially woman ligate.    Jiang Yuanrui of alcalde of pool of green lion of spirit plain county tells a reporter, in the town 16 involve the unit that handles affairs for masses, offer sincere letter window of ” of passageway of green of “ of family planning door, always sincere believe family planning door to handle affairs in the town, will offer privilege, first policy. If preferential arrangement firedamp is built, preferential deal with all sorts of formalities, first minister is relieved etc.    To this, liu Qingren of absorb village villager says: “ government believes us, we also believe a government. Not was born again after us anyway, this look is good. ”   ” of family planning of “ sincere letter most those who make masses satisfactory is to need not become ligation operation. Yi Chunli of villager of river head village says: “ country person is afraid that ligation is bad to the body, worried not to work after the operation. A lot of people did not want to be born obviously, go even however ligation. Well a person, which be willing to endure one knife. ”   Sincere letter is two-way, want common people sincere letter, the government wants sincere letter above all. Sincere letter of the government, the directest reflect what depend on family planning rewarding assist policy to come on stage with cash. On the agreement of sincere letter family planning of spirit plain county, the government helps policy up to be written as clear as dayly to the family planning award of common people acceptance.    In interviewing, a few villagers narrated “ sincere letter to the reporter the advantage of ” of family planning door. The sincere letter that long Wu Mingli of group of sincere letter family planning is in river head village has 7 people in family planning group, it is very ripe sister is combined of one\’s own accord and become at ordinary times. According to agreement of sincere letter family planning, every sincere letter gives family planning door in the town sent a piece of 30 yuan connection mobile phone to get stuck, still send Fu check allowance to expend, child exam goes to school can add cent, return can first loan.    “2009 year, my loan does vegetable 10 thousand yuan to make kind, the government stuck two annual interest, the canal was used greatly. If there is a person to violate family planning policy in the group, whole group person cannot enjoy these policy, be stared at closely each other so. ” Wu Mingli says.    Zhou Sanwang introduces, current, the Yo after spirit plain county attends the marriage of sincere letter family planning age the woman exceeded 35000 people, attend rate for 82. 6 ％ . To continue to deepen ” of family planning of “ sincere letter, spirit plain county is being drafted \” sincere letter rewards family planning of country of spirit plain county method \” , will establish award of sincere letter family planning, affirmatory to abiding by family planning door will give more privilege and award.    We think “ namely the farmer that lets those freewill family planning need not ligation, can enjoy a government special privilege, guide a farmer to want \” of my family planning from \” thereby to \” I want change of family planning \” . ” Zhou Sanwang says.    Current, experience of ” of sincere letter family planning already was in the “ of inchoative Yu Lingchuan Guangxi begins to popularize. Carry out in the round besides Guilin city outside, guangxi is other choice of 13 city every town is good, medium, poor each one village of the condition undertakes pilot, accumulate experience, push on the face stage by stage. Relevant report: &Hobo of Nbsp; whole nation evens more service of pilot family planning turns 49 200 million cities equably Official: ? of  of word of ū of Ai of  of ど of  of  of graupel Lu She is severe hit illegal and abort Service of multinomial family planning faces Shenzhen hobo: Family planning of Yunnan of? of ┚ of favour of Mo of firewood crab ⒈ 30 junior unripe 14.5 million person is short-term inside nonperformance gives birth to 2 embryoes National population family planning appoint vice director: Responsibility of?

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