MIDWIFE AND MEDICAL INTERGRATED MATERNAL CARE
Most people skilled with proper maternal attendance skills and maternal medical care are the doctors and nurses. Midwives need to learn and work with nurses to offer the best quality maternal healthcare. While midwives receive praises for being the strength and cornerstone of proper deliveries; they still lack skills on how to handle and quickly identify medical emergencies when they occur. Developing a section in all hospitals that have midwives learning and working in conjunction with trained nurses can aid ease this problem to ensure a high rate of safe deliveries. The midwives have a very critical role to play in the maternal health sector as they provide advice and support to the pregnant women (UNFPA Nepal, 2012). Midwives practice their expertise mainly at home or in small clinics as they offer customized services to all their client most midwives walk with a mother during pregnancy, childbirth, and way after the birth of a child.
Midwifery has been on the rise in the recent years with more women preferring the midwife delivery led approach to other maternity healthcare options. It required to be scaled up and improved as many women are opting for using a midwife approach as opposed to the medical care approach. It is more evident that midwives offer more that treatment to patients; they build a relationship, teach, advice and care for the patients which is a holistic approach to maternal health care. Many women believe that the midwife approach is consistent, patient-centered and leads to better quality of care in comparison to the medical approach. Despite the undisputed advantages of using a midwife-led approach in the maternity health sector, there are some disadvantages that come with this approach.
Midwives do not have access to all the modern technology and tools that can be used to offer the right medical services during pregnancy, childbirth and post childbirth. Such equipment is expensive and midwives us basic tools (Bower, 2014). Midwives do not have access to technology such as ultrasound or blood testing equipment that can aid identify a developing problem with the mother or child. Most midwives do not have the proper medical training that they can use in case of a pregnancy emergency or high-risk pregnancy. Such an approach is bound to have a positive impact on the healthcare community. Regulations can be formulated to aid in the establishment of this program to the healthcare facilities. Policies will aid in clearly defining the role and protecting the patient’s interest as well as the medical community interests.
It will create a good platform for accountability of midwives in cases of an emergency. Policies that cover this project will aid in the clear outline of what is acceptable and the minimum standards that should be met by the project. All midwives should have a certificate that indicates they are permitted to practice to allow them to have the proper medical skills required to offer the best quality services to patients. There should be a board created to run the project and carry out regularly competence assessment for all midwives that have been registered to work with the program and medical facilities. The above policies will aid in protecting the rite of women to have good quality healthcare access. The efficiency of the project can be evaluated in several ways such as its quality, cost input, the outcome of the project and whether it meets the set objectives (Sundqvist, Backlund and Chronéer, 2014).
Quality is the most effective measure for the effectiveness of a project. The midwife project meets the demands of women. The current trends show that many women seek midwives because they would like to work with the same person during and after pregnancy, they also feel that the midwife-led approach is cheaper than the medical led approach. The trends show an increase in this direction and the project is developed based on this changing trend in the maternal health sector. The method will allow the accountability of midwives whether they offer services at home or within medical facilities. Their caregiving abilities will be well coordinated with medical facilities at all times regardless of their location. Market Analysis During pregnancy, it is expected that women will have constant and regular medical or midwife contact as it aids in ensuring that their health and that of the child is cared for as expected (UNICEF, 2017).
Globally about half the population of women have access to the minimum recommended maternal care. It is estimated that only 86 percent of pregnant women can access a well skilled medical personnel to offer them the quality antenatal care and treatment they require. Almost thirty-eight percent of women do not get access to full antenatal clinic services from a midwife or medical facility (UNICEF, 2017). Antenatal care is essential for all pregnant women as it aids in the identification of risk factors, difficulties, and reduction of the child mortality rate. A collaboration of midwives and medical facilities creates a platform that enables women to have proper medicals services when they require it and in the most comfortable set up while still respecting their cultural diversities.
The United Kingdom government and WHO are some competitors that have already begun this project from a different angle. Their projects are primarily based on offering home-based midwife-led care that has been integrated with medical led deliveries. The UK has a plan of achieving their project by 2020, and it has tale off well as many people have been receptive to this approach. They discovered a niche and worked to fill it in an effective way that offers quality services to pregnant women. It is good to identify which the public highly rates service providers and study their working programs to deliver the most satisfying services to the clients (Wadsworth, 2014). For a project to succeed the customer needs must be met and be satisfactory.
Mothers should feel the project meets all their needs despite them varying and being influenced by beliefs, finances, and culture. Despite having an effective structure for the health program, one must take into account economic factors as they affect the ability of an organization to deliver servicer and show growth or progress. Economics plays a significant role in influencing the progress and organization of a health organizations model (Wadsworth, 2014). It is essential for the project to run smoothly without many rules or interferences that may tamper with its effectiveness. Private funding creates room for easy collaboration between the funders and program developers. The private funding has disadvantages; the money that is given to projects is generally small and inadequate to finance the full project (Wrenn, 2016).
The costs of the project may not be fully covered. One may not be sure that a project will be funded continually as the needs and focuses of private organizations or funders can easily be swayed. A general ward will aid in establishing of the project in both public and private medical facilities. Government grants are financial gifts that are given by the government to support projects; the money given is nonrefundable thus enabling a project run without any debt. A project that receives government funding receives charitable funding from the state or government to aid in projects. Private funding may include gifts, donations, private organization awards or private funds (Wrenn, 2016). A project may receive charitable contributions from various private parties.
The project covers women from various backgrounds and offers an equal opportunity to them. The project is viable and has identified the diverse need of pregnant women. There are various things the project is aimed to ensure it is successful; one is the quality of services and meeting the set objectives of the project. There are several competitors who have already begun the project, but their solutions are home-based making this project more competitive as it covers both facility base and home-based caregiving for pregnant women. It is a need that the project should be funded and the best funding for this project would be public funding or grants as it allows for continuous and adequate funding for the project. Ouliaris, Sam.
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