What women and newborns need (2012)

308,000 PREGNANCIES A YEAR = HOW MANY EPISODES OF CARE ?
Lao People's Democratic 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)
=
3,010,000
family planning visits
ANTENATAL
(pregnancies x 4)
=
1,232,000
routine visits
BIRTH
=
186,000
skilled birth attendance
POST-PARTUM
(births x 4)
=
745,000
routine visits
POSTNATAL
(newborns x 4)

Workforce availability (2012)

Country classification of staworking in MNH
Time spent on MNH %
Midwives
673
90
Midwives, auxiliary
na
na
Nurse-midwives
na
na
Nurses
na
na
Nurses or nurse- midwives, auxiliary
na
na
Clinical ocers & medical assistants
na
na
Physicians, generalists
495
30
Obstetricians & gynaecologists
105
100
PRE-PREGNANCY
ANTENATAL
BIRTH
POST-PARTUM
POSTNATAL
ESTIMATED MET NEED=
19%
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
Less than Grade 10
Years of study required to qualify (rounded)
1.5
Standardized curriculum? Year of last update
Yes, 2013
Minimum number of supervised births in curriculum
20
Number of 2012 graduates/as % of all practising midwives
189/28
% of graduates employed in MNH within one year
100

MIDWIFERY REGULATION

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

PROFESSIONAL ASSOCIATIONS 4

Year of creation of professional associations
2007
Roles performed by professional associations:
Continuing professional development
No
Advising or representing members accused of misconduct
No
Advising members on quality standards for MNH care
No
Advising the Government onpolicy documents related to MNH
No
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?
0.28 million
CURRENT
0.22 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
60 % MET NEED 2030
SCENARIO
91 % MET NEED 2030
3
Efficiency improved by 2% per year until 2030?
CURRENT
60 % MET NEED 2030
SCENARIO
85 % MET NEED 2030
4
Attrition was halved in the next 5 years (2012-2017)?
4 % leak
CURRENT
60 % MET NEED 2030
2 % leak
SCENARIO
70 % MET NEED 2030

CURRENT TRAJECTORY

60 % MET NEED 2030

WHAT IF... TRAJECTORY

94 % MET NEED 2030
1. These health worker categories include the following country titles - Midwives: includes community midwives; Generalist physicians: includes generalist physicians, family medicine; Obstetricians & gynaecologists includes: obstetricians & gynaecologists. 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.