Las parteras son la primera línea en la atención en salud materna, y pueden constituirse en potentes defensoras de cambios ya que conocen los enormes obstáculos que atentan contra su capacidad de brindar una atención de cálida a cada mujer que reciben en su centro de salud o su comunidad. Ellas conocen perfectamente las necesidades en salud de las mujeres y sus bebés debido a que trabajan cada día para satisfacer dichas necesidades. Identifican las limitaciones en los sistemas de salud – en términos de recursos, personal, establecimientos y políticas- y permanentemente bregan para solventarlas. Y manifiestan abiertamente sus necesidades de capacitación, supervisión y políticas más justas, porque a esta labor que han dedicado sus vidas y representa su sustento.
El gobierno mexicano ha sido receptivo a la necesidad de fortalecer el rol de la partería profesional en el continuo de atención a la mujer, y las parteras han aprovechado esta voluntad política para hacer incidencia política a favor de su profesión en sus respectivos estados. En febrero de 2018, el Programa de FCI en MSH, con apoyo de la Fundación John D. and Catherine T. MacArthur convocó a equipos de parteras y profesionales de salud de cinco estados mexicanos a que desarrollaran planes estratégicos de abogacía. El propósito del taller fue promover políticas estatales que permitan a las parteras brindar una atención de calidad y respetuosa a las mujeres, las adolescentes y los recién nacidos. Continue reading “Estrategias de abogacía para promover la partería en México”
Eliana Monteforte is a Senior Technical Advisor, and Aishling Thurow is a Project Support Associate at Management Sciences for Health
Midwives can be powerful advocates for change because, as frontline health workers, they know all too well the enormous challenges that threaten their ability to deliver high-quality care to every woman they see in their clinic or community. Midwives understand the health care needs of women and newborns because they work to meet those needs every day. They see the gaps in their health care systems–in resources, staffing, facilities, and policies–because they continuously struggle to fill those gaps. And they speak the truth about their needs for training, support, and enabling policies–because this is the job to which they have dedicated their lives and livelihoods.
The Mexican government is receptive to strengthening the role of professional midwifery in the continuum of women’s health care, and midwives are ready to leverage this political will to advocate for their profession in their respective states. In February, the FCI Program of MSH, with support from the John D. and Catherine T. MacArthur Foundation, convened teams of midwifery providers from five Mexican states to develop advocacy strategies to advance state-level policies that enable midwives to provide high-quality, respectful care for women, adolescents, and newborns. Continue reading “Advocacy strategies for advancing midwifery in Mexico”
Professional midwives provide lifesaving care to women and newborns. The government of Hidalgo state, Mexico, has launched a comprehensive midwifery program that aims to improve maternal health outcomes while providing services to women along the continuum of care, from pre-pregnancy to delivery and the immediate postnatal period
With funding from the John D. and Catherine T. MacArthur Foundation, the FCI Program of MSH works with midwives and maternal health service providers to strengthen advocacy and build evidence for midwifery practice in six states in Mexico.
Catharine Taylor, a former practicing midwife, is the Vice President of the Health Programs Group at Management Sciences for Health (MSH). This post originally appeared on MSH’s Global Health Impact Blog.
Ariadna Capasso is senior technical advisor for the FCI Program of Management Sciences for Health (MSH). This post originally appeared on the MSH Health Impact Blog.
Over the past year, Tijuana, Mexico, has seen an influx of U.S.-bound Haitian migrants fleeing communities left in disrepair from the 2010 earthquake and further devastated by Hurricane Matthew in October 2016. These migrants often begin their journey in Latin America and trek through multiple countries and hostile terrain only to find they cannot enter the U.S. once at the border. Among the stalled Haitian migrants living in makeshift shelters as they contemplate their next steps, pregnant women face another uncertainty: whether they or their baby will languish during pregnancy and childbirth without access to skilled maternal and newborn health care. Recognizing this health crisis, a group of midwives, Parteras Fronterizas (Borderland Midwives in English), arrived on the scene to provide antenatal and safe childbirth care, with help from women who translated from Spanish or English to Haitian Creole.
Parteras Fronterizas embodies the reason we celebrate the International Day of the Midwife–to honor the many midwives around the world who work on the frontlines to deliver high-quality, respectful care to women and newborns during pregnancy and childbirth. At the Third Regional Forum of the Mexican Midwifery Association in late April 2017, traditional and professional midwives, medical doctors, health managers, doulas and midwifery students gathered together to share midwifery practices and strategies for advancing the midwifery profession in Mexico.
SMNLW participant Maria Fernandez Elorriaga is the principal investigator and technical coordinator of a study investigating the use of the World Health Organization (WHO) Safe Childbirth Checklist to improve the quality of institutional delivery in Mexico. Maria is also co-investigator on two more studies of implementation science in maternal and perinatal care. In addition, Maria has worked as a primary and community care nurse in Spain, as a regional nutrition coordinator in Malawi and as child health and nutrition coordinator in the Sahrawi refugee camps in Tindouf, Algeria. Continue reading “Global Leaders in Maternal Newborn Health: Maria Fernandez Elorriaga (Mexico)”
Ariadna Capasso is senior technical advisor for the FCI Program of Management Sciences for Health.
We know how to prevent maternal and newborn deaths, but globally, almost 300,000 women and 3 million newborns continue to lose their lives because they lack access to high-quality obstetric services–services which midwives provide. Skilled midwives can prevent up to two-thirds of maternal and newborn deaths by ensuring a safe birth for both mother and baby and responding quickly when complications arise.
Midwives not only provide essential care, they also provide a powerful voice for policies and programs that advance access to affordable and high-quality health services. They understand the health needs of women and newborns, as they work to meet those needs everyday. And they experience, firsthand, the gaps in health systems, from human resources and infrastructure to regulations that limit their practice.