Strengthening midwifery services
DILEEP MAVALANKAR, KRANTI VORA and BHARATI SHARMA
Over the last few years some states and NGOs in India have developed interesting models of midwife-nurse based maternal health care services supported by needed emergency obstetric care services. For example, in Tamil Nadu, the government has developed a model of primary health care centres staffed by three nurses to provide a 24-hour service for childbirth. Tamil Nadu has also established a good system of recording all maternal deaths and conducting a maternal death inquiry to find preventable factors. It has also developed centres for emergency obstetric care throughout the state.
Similarly, the Academy of Nursing Studies, Hyderabad has developed a nurse-based model of maternal care in the Medak district through the government health system. Arth, an NGO has developed a nurse-based model in rural and tribal areas of Udaipur district by appointing its own nurses for a cluster of villages. The Swedish Sida-assisted midwifery and maternal healthcare development project coordinated by IIM Ahmedabad, is also trying to help develop midwifery training, practice and research in five states in India through teacher training, skill training of ANM and networking with Swedish partners. The Indian Nursing Council has also developed a one-year curriculum for training nurses to become practitioners of midwifery. CEDPA with help from Jhpeigo has developed a model of skill-based training of midwives in rural Jharkhand.