"This publication is a fine piece of work written by a team of renowned, experienced authors ... . The book has a wide focus on global midwifery, its milestones and its development including very useful resources to assist countries to adopt and transform midwifery education and practice, based on multiple sources of evidence. ... My recommendation and advice to midwifery leaders, students and teachers is to secure their copies for their personal and official use." (Kiran Bajracharya, Journal of Asian Midwives, Vol. 8 (2), 2021)

Foreword
Potential contributors: We will request foreword/s from senior officer/s at the World Health Organisation, the International Confederation of Midwives and/or the United Nations Population Fund (UNFPA) or other notable figures from global midwifery

Preface
Overview of the contents and the reason for the book

Part 1. Midwifery on the global scene

Chapter 1. Midwifery in Global health

• Setting the scene
• Global political, geographical, historical and contemporary issues impacting the lives of women , newborn and their families

- Sustainable Development Goals and the aspiration towards “Good Health and Wellbeing”
- The 2030 agenda including universal health coverage and providing health care as a human right
- Challenges and opportunities facing countries globally

Chapter 2. Global maternal and newborn health

• Historical development of Maternal and newborn health as from 1987 i.e.

- The launch of the Safe Motherhood Initiative

- Increasing emphasis on reduction of morbidity and reduction of still birth

- The MDGs: achievements and shortfalls and the central role of maternal and newborn health

- The launch of skilled attendance initiatives

- The move towards emphasis on well being rather than mortality and morbidity

Chapter 3. Contribution of midwifery to global health and development

• Evidence from different countries and global initiatives
• Making childbirth not only safe but also satisfying; midwives working in partnership with women
• The role of the midwife in promoting public health and pathways of success
• Progress and challenges in achieving health equity for women, newborn, children and adolescents in different settings

Part 2. Midwifery education, regulation and association development

Chapter 4. Midwifery education

• Development of midwifery education across different regions and different contexts of the world

• Global tools available for midwifery education

- The ICM global standards and competencies

- The ICM Competency Based Education Methodology programme

- The WHO Midwifery Education Modules

- The WHO Midwifery Educator Competencies

- The ICM Global Midwifery Education Accreditation Programme

- Transition from didactic teaching to student centred education

• Various midwifery education programmes and the career pathway frameworks in different countries

- Midwifery as a post basic qualification

- Midwifery as a direct entry qualification

- Midwifery education integrated in nursing education programmes

• Higher education in midwifery: impact on career pathways

• Innovations in midwifery education

• Transformative education and others

Chapter 5. Midwifery Regulation

• The importance of regulation in protecting the public and ensuring quality

• Approaches to midwifery regulation

Chapter 6. Midwifery Association

• The role of professional associations in education, regulation and care provision

• The purpose and function of the International Confederation of Midwives

• Strengthening midwifery globally

Part 3. Midwifery practice

Chapter 7. Models of midwifery practice suitable for different settings

• From obstetric/medical or nursing models to women centred care

• Midwifery led care and continuity of care

• Respectful Maternity Care

Chapter 8. Midwifery and quality of care in different settings

• Evidence based midwifery practice

• Resources and approaches for providing AAAQ (availability, accessibility, acceptability and quality) including staff education, recruitment and retention and institution and management policies

• Different nomenclature for midwifery care providers across countries and their impact on quality of care

• Quality as perceived by women and their families

Chapter 9. Innovations in midwifery practice

Part 4. The profession of Midwifery

Chapter 10. Professionalising midwifery

• Brief global history of midwifery development towards professionalism

• The influence of gender and masculinisation of the profession

• The influence of gender and medicalisation of childbirth on the development of midwifery

• The role of midwifery education in professionalising midwifery – perception of countries and regions

• Professional identity among midwives

• Higher education and its impact on professionalising midwifery and enhancing career progression

Chapter 11. Midwifery leadership

• Developing midwifery leaders: profiles and case studies from different settings (consider colonial and post-colonial eras and the impact of colonialism)

Chapter 12. Strengthening Midwifery Research

• Priority areas for the development of midwifery research

• Establishment of regional and global midwifery research networks

• Profiles of regions where midwifery research is being strengthened

• How high quality midwifery research benefits women, newborn and their families

Part 5. Midwifery across the globe

Chapter 13. Midwifery Map

• Mapping out Midwifery across continents

• Midwifery in different health systems and policies

Chapter 14. The role of midwifery in conflict and humanitarian emergencies: preparing midwives for these situations

• Natural disasters

• Civil unrest

• International conflicts

• Global population movements and refugee/migrant crises

Chapter 15. Crossing borders: International consultancies and student electives

• Professionals sharing expertise in different countries – culture, custom, history and other key issues required by those who undertake such activities

• Sharing technology among regions and countries

Chapter 16. Midwifery partnerships

• Principles of partnership

• The mutual benefits of partnerships

• Twinning – a global strategy for midwifery partnerships

• Emerging exchanges through south to south and north to north cooperation

Part 6. Looking forward

Chapter 17. Summarising the previous chapters (Success, challenges and recommendations)

Chapter 18. Harmonising midwifery (education, regulation and practice): creating a common philosophy and professional identity

Chapter 19. Midwifery 2030 and beyond

Chapter 20. The principles, policy and practice of global midwifery in the face of increasing ease of communication, sharing of technology and expertise for a better future for maternal and newborn health.

Joy Kemp is a Global Professional Advisor at the Royal College of Midwives. Joy’s international career started in 1988 when she worked in a maternal and child health clinic in a Cambodian refugee camp in Thailand. This was followed by further humanitarian work in several other countries. In the 1990s she lived in a remote village in Cambodia, working as a health adviser to a longer term community development project. She is a fluent Khmer speaker. Joy then spent three years working with the NGO Tearfund, coordinating projects in Southeast Asia and working with local partners to build their organisational capacity. Returning to the UK in 2000, Joy worked in clinical midwifery practice, research, and education.

Since joining the Royal College of Midwives in 2013, Joy’s work has focused on building the capacity of midwifery associations in Asia and Africa through twinning. This work has been widely published and Joy frequently teaches and gives presentations on global midwifery at conferences and events. She is a member of the programme board for the Diploma in Sexual and Reproductive Health at the Liverpool School of Tropical Medicine and represents the RCM widely in the global health arena.

Gaynor Maclean is an international consultant in maternal and newborn health and Honorary Fellow at Swansea University. She has extensive experience in clinical practice, teaching, research, and UK Statutory Body service and has worked with numerous government and non-governmental organizations. Gaynor's work has focused on promoting safer childbirth, with assignments in countries where maternal mortality remains high, mainly in Africa and SE Asia; she worked as a consultant to the World Health Organization (Geneva) in order to author the 1st edition of the WHO Safe Motherhood Educational Modules. Her PhD studies at the University of Surrey focused on international consultancy work in the context of promoting safer childbirth.

Gaynor has produced online learning modules for the Royal College of Midwives (RCM) to prepare students for international electives and to inform and prepare midwives about global issues, and she has been a member of the Steering Group for the Lugina Africa Midwives Research Network (LAMRN) since its inception in 2012 through a partnership project with the University of Manchester. She is a member of the RCM Global Advisory Group.

Currently, Gaynor works on Safe Motherhood projects, and efforts associated with promoting skilled attendance during childbirth; she writes and edits training manuals, professional texts, and reports; speaks at national and international conferences and has received several awards in recognition of her contribution to promoting safer childbirth and midwifery worldwide.

Nester T. Moyo is a Global Midwifery Advisor and programme manager at the Hague, The Netherlands, and is retired from the International Confederation of Midwives (ICM) after 17 years of leading activities on strengthening midwifery globally. She has worked closely with Ministries of Health and midwifery programme managers to provide strategic and supportive leadership, technical and programmatic assistance for the design, development, and implementation of global, regional, and country level programmes in midwifery and SRMNCAH. She has expertise in developing and supporting the implementation of capacity building strategies for midwives; in the preparation of training manuals and other learning materials for continuing professional development; elaboration and implementation of tailor-made interventions and trainings.

She is an expert in organisational development, and led the designing and dissemination of the ICM’s Midwives’ Member Association Capacity Assessment Tool (MACAT), including training colleagues and countries on how to use it to create a professional association, how to assess the capacity of professional associations and how to evaluate progress of the association. She is a resource person for global initiatives to strengthen midwifery education and contributed to the development of the Global Essential Competencies for Basic midwifery practice, Global Standards for Midwifery Education, the midwifery education accreditation programme, and the global midwifery educator competencies.

This book is the first authoritative, in-depth publication about global midwifery and the contribution of skilled professional midwives to the provision of high quality maternity care, reductions in maternal and newborn mortality and morbidity. It demonstrates actions that are contributing to the achievement of the 2030 Sustainable Development Goals through partnership with women and their families, enabling them to ‘survive, thrive and transform’.

The book explores how the world is becoming more connected through globalisation, advances in technology and innovation and yet more inequitable as women and children are disproportionately affected by issues such as poverty, environmental vulnerability, hunger, conflict, violence, and discrimination. It considers how midwives contribute to maternal and newborn health, leading to greater equity and empowerment and, ultimately, strengthening health systems.

The ‘three pillars’ of midwifery are discussed: regulation, education and professional midwives’ associations. The importance of evidence-based care is explored along with different models of midwifery and the challenges of developing professional leadership. This book also considers women’s human rights to sexual and reproductive health and respectful maternity care, stressing the importance of cultural sensitivity and contextually appropriate approaches.

Midwives and other professionals will benefit from this reliable resource that indicates direction and provides information about the principles and practice of professional midwifery. This text also provides universities, organisations, and individuals with a highly relevant resource to better equip them for international midwifery practice. It finally offers policy makers a reliable source of evidence-based information for consideration in various evolving national and international situations.

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