What women and newborns need (2012)

221,000 PREGNANCIES A YEAR = HOW MANY EPISODES OF CARE ?
Central African Republic - Number and distribution of pregnancies (2012)
Number and distribution of pregnancies (2012)
0
<0.09
0.10-0.19
0.20-0.49
0.50-0.99
1.00-1.49
1.50-1.99
2.00-2.49
2.50-10.00
>10.00
APPROX
PRE-PREGNANCY
(all women of reproductive age)
=
1,817,000
family planning visits
ANTENATAL
(pregnancies x 4)
=
883,000
routine visits
BIRTH
=
160,000
skilled birth attendance
POST-PARTUM
(births x 4)
=
641,000
routine visits
POSTNATAL
(newborns x 4)

Workforce availability (2012)

Country classification of staworking in MNH
Time spent on MNH %
Midwives
241
100
Midwives, auxiliary
273
100
Nurse-midwives
na
na
Nurses
270
5
Nurses or nurse- midwives, auxiliary
342
10
Clinical ocers & medical assistants
na
na
Physicians, generalists
72
5
Obstetricians & gynaecologists
8
100
PRE-PREGNANCY
ANTENATAL
BIRTH
POST-PARTUM
POSTNATAL
ESTIMATED MET NEED=
18%
workforce time available
workforce time needed
Estimate of met need (national aggregate) based on available data

Geographic accessibility

Number of births with a skilled birth attendant (SBA) 2

Accessed a SBA
Did not access a SBA
No data on rural/urban SBA

MIDWIFERY EDUCATION 3

Minimum high-school requirement to start training
Grade 12 and above
Years of study required to qualify (rounded)
3
Standardized curriculum? Year of last update
Yes, 2009
Minimum number of supervised births in curriculum
50
Number of 2012 graduates/as % of all practising midwives
21/9
% of graduates employed in MNH within one year
-

MIDWIFERY REGULATION

Legislation exists recognizing midwifery as an autonomous profession
Yes
A recognized definition of a professional midwife exists
Yes
A government body regulates midwifery practice
Yes
A licence is required to practise midwifery
No
A live registry of licensed midwives exists
No
Number of EmONC basic signal functions that midwives are allowed to practise (out of a possible 7)
6
Midwives allowed to provide injectable contraceptives/intrauterine devices
Yes/Yes

PROFESSIONAL ASSOCIATIONS 4

Year of creation of professional associations
1983
Roles performed by professional associations:
Continuing professional development
Yes
Advising or representing members accused of misconduct
Yes
Advising members on quality standards for MNH care
Yes
Advising the Government onpolicy documents related to MNH
Yes
Negotiating work or salary issues with the Government
No
na = not applicable; - = missing data

PROJECTED NUMBER OF PREGNANCIES BY YEAR: URBAN VS. RURAL

ESTIMATES AND PROJECTIONS TO 2030

WHAT IF... Estimates of met need based on available data.

1
The number of pregnancies was reduced by 20% by 2030?
0.24 million
CURRENT
0.19 million
SCENARIO

Immediate increase in met need for pregnancy, birth, post-partum/postnatal care. Acceleration in met need for pre- pregnancy services from 2028 onwards.

2
The number of midwife, nurse and physician graduates doubled by 2020?
CURRENT
17 % MET NEED 2030
SCENARIO
22 % MET NEED 2030
3
Efficiency improved by 2% per year until 2030?
CURRENT
17 % MET NEED 2030
SCENARIO
24 % MET NEED 2030
4
Attrition was halved in the next 5 years (2012-2017)?
4 % leak
CURRENT
17 % MET NEED 2030
2 % leak
SCENARIO
20 % MET NEED 2030

CURRENT TRAJECTORY

17 % MET NEED 2030

WHAT IF... TRAJECTORY

40 % MET NEED 2030
1. These health worker categories include the following country titles - Midwives: includes sages-femmes; Auxiliary midwives: includes assistante accoucheuse; Nurses: includes infirmières; Auxiliary nurse-midwives: includes assistant de santé; Generalist physicians: includes médecin généraliste; Obstetricians & gynaecologists: includes médecin obs.gyn. Source: SoWMy 2014 or secondary sources (WHO Global Health Observatory; government policy documents).
2. Rural/urban SBA coverage is not available. Figure refers to rural/urban births only.
3. Information refers to the midwife cadre category.
4. National associations for midwifery and nursing.