Title: Arte de la Partería Indígena: Resistencias, desafíos y continuidades
Speaker: Tania Pariona Tarqui
Facilitator: Paloma Terra
Los objetivos de este mapeo son: identificar organizaciones de parteras indígenas, además de delinear la situación en la que se encuentran y las experiencias que se han generado cada país, acorde a su contexto histórico y aspectos legales. Finalmente, indicar las buenas prácticas, recomendaciones y retos señalados por las organizaciones de parteras de cada país.
Uno de los elementos relevantes del mapeo, es las diferencias que existen entre el ejercicio de la partería y la relación con el Estado, esto de acuerdo al nivel organizativo alcanzado por los grupos de parteras y los avances legales en el reconocimiento de la misma. Por ejemplo, algunas parteras en sus países presentan un estado de sobrevivencia por el poco o nulo reconocimiento de los pueblos originarios y la partería indígena, en otros casos por su nivel de organización hay parteras indígenas que en sus países exigen autonomía al Estado.
Sin embargo, en todos los países se dan prácticas de control, desprestigio y criminalización. Esto realza la importancia de fortalecer las organizaciones de parteras y de los pueblos originarios para la construcción de propuestas desde los sistemas de salud indígenas y la articulación horizontal con los Estados.
Como parte de sus recomendaciones se destaca la necesidad de fortalecer el tejido organizativo entre las parteras tanto a nivel nacional como en la región, el politizar la lucha por el respeto a las parteras y todas las mujeres como sujetos de derechos para que puedan tomar decisiones informadas sobre su cuerpo, su maternidad y la atención del parto desde su propia tradición y la necesidad del cuidado de las abuelas parteras que viven en situaciones vulnerables como garante de la continuidad generacional para el cuidado de las mujeres y comunidades de los pueblos indígenas.
Recording: https://youtu.be/zuIlj3va4E4
Speaker: Katrine Kjærulff and Abra Pearl
Facilitator: Anitah Kusaasira
Maternity Foundation provides access to updated WHO aligned clinical guidelines via the Safe Delivery App. Over the past years the Safe Delivery App has been integrated into national training initiatives and curricula in countries such as Ghana, India and Cambodia. We want to share our experience working with partners to integrate a digital, evidence-based tool in midwifery education and for continued professional development and learn from peers about their experience with using and integrating digital tools.
Recording: https://youtu.be/TqNkhsdZtOc
Speaker: Arafin Happy Mim and Toma Ray
Facilitator: Margaret Aoro Adongo and Yosef Alemayehu Gebrehiwot
We are two young midwife leaders (23 years old) in Bangladesh who are board members of our midwives’ association (MA) and have recently graduated from an international leadership development programme. One works in a government health centre, the other in a Rohingya refugee camp. During 2022 we used quality improvement (QI) methodology to help our MA recruit and retain its members, and to develop guidance on responding to various types of emergency situations, which happen frequently in Bangladesh.
Discussion: MAs are examples of women-led civil-society organisations that can improve gender-equity and access to sexual and reproductive health rights, and act as agents for the profession (Mattison et al 2021). They have potential to impact each element of the ICM’s professional framework for midwifery. As midwifery is a new profession in Bangladesh, the midwives association (the Bangladesh Midwifery Society) is led by young women who are enthusiastic but inexperienced in organisational governance and leadership. A structured programme that taught us QI methodology was helpful for our leadership development, enabling us to drive change in our workplaces and in our MA.
Conclusions/Summary: We found it hard to apply QI methods to organisational development but we made it work. By sharing our lessons learned we hope to help other midwives and midwives’ associations understand how they can improve the quality of their services.
Reference: Mattison et al (2021) doi:10.1136/bmjgh-2020-004850
Recording: youtu.be/IcuXTEOj7WQ
Speaker: Ginger García Portocarrero
Facilitator: Susana Ku
El Colegio Regional de Obstetras III Lima – Callao, ha venido desarrollando un voluntariado en ayuda a la Maternidad Segura brindando temas en: consejería, telemedicina y campañas de salud reproductiva para los lugares más precarios de la ciudad.
Para este 2023, estamos relanzando voluntariado con el nombre de Brigada PRO (Primera Respuesta Obstétrica), que incluye temas de: soporte básico de vida, atención prehospitalaria de emergencias ginecoobstétricas y Gestión del Riesgo de Desastres; para asegurar una buena atención en los lugares menos accesibles de nuestra región. También, pretendemos contagiar y compartir el voluntariado para formar la organización: Obstetras Sin Fronteras.
En esta renovación se les dotará de un traje táctico especial para el trabajo de campo que las pueda identificar y desempeñarse mejor en sus actividades.
English:
The Regional College of Midwives III Lima – Callao, has been developing a volunteer program in support of Safe Motherhood providing counseling, telemedicine and reproductive health campaigns for the most precarious places in the city.
For this 2023, we are relaunching volunteering under the name of “Brigada PRO (First Obstetric Response)”, which includes topics such as: basic life support, pre-hospital care of gynecological and obstetric emergencies and Disaster Risk Management, to ensure good care in the least accessible places in our region. Also, we intend to spread and share volunteering to form the organization: “Midwives Without Borders”.
For this project, midwives will be provided with a special tactical suit for field work that will help them to identify and perform better in their activities.
Recording: https://youtu.be/zfwrQxweOwA
Speaker: Brenda Araujo Salas
Facilitator: Paloma Terra
A partir de las ilustraciones elaboradas por Yaquemilsa Matiashi Vicente, una joven madre del pueblo Matsigenka, perteneciente a la amazonía peruana, describiremos las prácticas tradicionales en salud materna que aún se mantienen vigentes en las comunidades más alejadas de la vida moderna. Se describirán las concepciones y prácticas culturales durante la primera menstruación, los cuidados en el embarazo, la atención del parto por parte de la familia y parteras, y los cuidados en el posparto.
Conocer gráficamente las prácticas en salud materna a través de la mirada de una mujer del mismo pueblo, nos permite visualizar detalles significativos que se dan en la los cuidados de las mujeres gestantes y los recién nacidos. La importancia de este material es educativa y en favor de una mejora en la atención del parto para fundar la comprensión y el respeto a las costumbres y participación de las parteras y especialistas tradicionales de salud, ya que, actualmente, gran parte de las comunidades amazónicas tienen acceso a establecimientos de salud, pero estos ofrecen servicios sin pertinencia cultural. Por otro lado, el material también permite el reconocimiento de la importancia de los conocimientos de las mujeres Matsigenka en los niños, niñas y adolescentes.
English:
From the illustrations elaborated by Yaquemilsa Matiashi Vicente, a young mother of the Matsigenka people, belonging to the Peruvian Amazon, we will describe the traditional practices in maternal health that are still in force in the communities farthest away from modern life. We will describe the cultural conceptions and practices during the first menstruation, pregnancy care, childbirth care by the family and midwives, and postpartum care.
The graphic presentation of maternal health practices through the eyes of a woman from the same village allows us to visualize significant details in the care of pregnant women and newborns. The importance of this material is educational and in favor of an improvement in childbirth care, in order to establish understanding and respect for the customs and participation of midwives and traditional health specialists, since, at present, most Amazonian communities have access to health facilities, but these offer services without cultural relevance. On the other hand, the material also allows the recognition of the importance of Matsigenka women’s knowledge in children and adolescents.
Recording: https://youtu.be/voZyHiTevvw
Speakers: Monique Vermeulen and Michelle Gray
Facilitator: Caitlin Goodwin
Abstract:
PURPOSE: Case-based learning (CBL) is often used in nursing and midwifery education to explore authentic clinical scenarios to support student learning. Some curricula use new cases each semester/trimester, some continue cases across the year, and others use a ‘caseload’ of women across a midwifery degree, enabling students to follow the history of women in their caseload. This study aimed to explore students’ perceptions of varied models of CBL used to support student learning to prepare for clinical midwifery practice and continuity of care. METHODS: Midwifery students from three universities across Australia, were recruited to participate in online and face to face group interviews in this exploratory descriptive study. Audio recordings were transcribed and thematically analysed. RESULTS: Students across all programs valued CBL for developing their critical thinking and clinical decision-making. They felt they were good discussion starters to learn together and reflected clinical practice. Students appreciated when the CBL case was used across multiple areas of learning however found they were generally not reflective of continuity of care with new cases introduced each week. Recommendations included increasing accessibility with transcripts, video subtitles, audio cases and images to connect the text with a ‘woman’. Whilst some wanted more cases, having too many cases at a time was considered not reflective of clinical practice. More detail, akin to a medical record, was desired. CONCLUSION: Scaffolding learning across the duration of a degree is a critical pedagogical practice. CBL is beneficial, but it is important to seek student feedback to improve educational practices.
Recording https://youtu.be/_oU0l0aqMVs
Speakers: Rowsan Ara, Joy Kemp and Nabila Purno
Facilitator: Linda Wylie
Abstract:
Bangladesh is one of the most climate-change affected countries. Regular natural disasters, extreme heat, air-pollution and outbreaks of vector-borne diseases put thousands of pregnant women at risk, particularly in hard-to-reach locations with limited access to healthcare services. Midwives play a crucial role in addressing these challenges; they are often the first point-of-contact for women in the healthcare settings and can orient women about birth preparedness, disaster preparedness and in general protecting their health from known environmental and climate risks. The Government of Bangladesh has a workforce of 7,230 midwives. In 2023, a training manual on the Climate-Change Impacts on Sexual and Reproductive Health in Bangladesh was developed by CCHPU and UNFPA then reviewed with national experts. Existing curriculum review found commendable inclusion of gender equality, reproductive health and rights, and disaster management but weak content on the intersection between climate change and health. A three-day Training of Trainers (ToT) program was thus developed, targeting 20 Nursing and Midwifery faculty, serving as a catalyst to disseminate essential knowledge and equip educators with the tools to integrate climate change perspectives into their teaching methodologies. A series of cascade training ensued, with a day-long training for final-year Midwifery students and a specialized session for 50 practicing midwives across various health facilities. These efforts underscore the government’s commitment to ensuring a health-workforce well-versed in addressing climate-change impacts, particularly concerning sexual and reproductive health. This content must now be integrated into nursing and midwifery curricula across all education levels.
