Midwifery Education and Maternal and Neonatal Health Issues: Challenges in Pakistan

Rafat Jan Rukanuddin, Tazeen Saeed Ali, Beth McManis

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Although numerous health care interventions have been implemented in Pakistan, the high maternal and neonatal mortality rates still remain a challenge. Developed countries have reduced maternal and neonatal mortality rates by improving the skill and knowledge levels of nurse-midwives. This paper reviews maternal and neonatal health issues, challenges in current midwifery education, and the role of government and international agencies in Pakistan. The exact maternal and neonatal mortality rates in Pakistan are unknown; a census has not occurred since 1998, and data provided in more recent studies were presented in summary format. A number of factors that contribute to the high mortality rate could easily be controlled by using competent nurse-midwives throughout all levels of the Pakistani health care system. A reduction in the maternal mortality rate is likely to occur if the Pakistan government and international agencies work together to implement specific recommendations in maternal and neonatal health. These recommendations include: 1) holding an invitational conference; 2) strengthening the existing midwifery and Lady Health Visitor curricula; 3) pilot testing an expanded midwifery program; and 4) advocating for and obtaining political commitments and resources for midwifery education.

Original languageEnglish (US)
Pages (from-to)398-405
Number of pages8
JournalJournal of Midwifery and Women's Health
Volume52
Issue number4
DOIs
StatePublished - Jul 2007
Externally publishedYes

Keywords

  • maternal and neonatal issues in Pakistan
  • midwifery education in Pakistan
  • midwifery in Pakistan

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

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