Project profile — Strengthening the Midwifery Profession and Practice in Haïti

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Overview

Overview

Strengthening the Midwifery Profession and Practice in Haïti - Overview
CA-3-D002961001
$15,000,000
UNFPA - United Nations Population Fund (41119)
2018-03-23 - 2022-03-31
Operational
Country / region • Haiti (100.00%)
Sector • Population Policies/Programmes And Reproductive Health
Reproductive health care (13020) (15.00%)
• Population Policies/Programmes And Reproductive Health
Family planning (13030) (15.00%)
• Population Policies/Programmes And Reproductive Health
Personnel development for population and reproductive health (13081) (70.00%)
Policy marker • Children's issues (significant objective)
• Environmental sustainability (cross-cutting) (significant objective)
• Gender equality (significant objective)
• Youth Issues (significant objective)
• Reproductive, Maternal, Newborn and Child Health (RMNCH) (explicit primary objective)
Description and results

Description

The project seeks to help reduce maternal and neonatal mortality in Haiti by improving the sexual and reproductive health of women and girls in four of the country’s underserved departments (Grande Anse, Sud-Est, Nippes and Nord-Ouest). In addition to addressing gender inequality, the project is helping to build women’s and girls’ capacity to make more informed choices when exercising their sexual and reproductive rights. Project activities include: (1) training midwives at the Institut national supérieur de formation des sages-femmes (INSFSF) - the national midwifery training institute - and in two new satellite/practice schools; (2) deploying these newly trained midwives to improve the range and quality of services, as well as to spur demand for these services through a community approach; (3) strengthening the legal framework of the midwifery profession, particularly by regulating the profession in accordance with international standards. The project is expected to directly benefit 205,014 women and girls, 170,266 of which are women of childbearing age and 34,749 of whom are girls aged between 10 and 14 .

Expected results

The expected results of this project include: (1) increased availability of well-trained midwives able to provide culturally sensitive and SRHR-supported services for women and girls, mainly from underserved areas; (2) increased deployment of midwives in health institutions at the national level and especially in underserved areas, capable of providing sexual and reproductive health services, emergency obstetric care and essential newborn care with respect for women's rights and the environment; and (3) strengthened regulation of the midwifery profession to take into account the sexual and reproductive rights of women and girls.

Results achieved

The year 2018 was marked by a climate of insecurity in Haiti. This caused delays in the rate of implementation. Results achieved as of December 2018 include: (1) 12.9% (or 284 out of 2,180) of the national coverage of qualified midwives according to WHO standards in Haiti has been achieved, particularly in the underserved areas targeted by the project. This represents an improvement of 2.9% over the baseline data for 2017 (10%); (2) 3 educational structures for the training of midwives in the project areas have been set up, representing a 100% improvement over the baseline data for 2017 (0); (3) 118 student midwives have started their training at the Institut National Supérieur de Formation de Sages-Femmes (INSFSF). The curriculum being implemented is spread over three years of training; (4) 9 teachers started teaching in midwifery schools, a 100% increase from the baseline (2017). However, the competency-based approach for teachers makes it more difficult for them to be recruited; (5) 6 midwives were deployed in the most underserved areas of the country as planned by the project; (6) 8,122 pregnant women have benefited from sexual and reproductive health (SRH) services in a hygienic and rights-respecting manner. These women have benefited from maternal, neonatal, sexual and reproductive health services both at the institutional level and as close as possible to the population's homes through mobile clinics, community meetings and home visits; (7) 13,123 women and girls were sensitized to sexual and reproductive health and rights (SRHR) in the most underserved communities; (8) 6 mothers' clubs were sensitized to SRH by a team of professionals including midwives; and (9) 85% of active midwives in 2018 have joined the Association des Infirmières Sages-Femmes d'Haïti (AISFH).

Financials

Financials


Original budget $3,500,000
Planned Disbursement $6,150,000
Transactions
Transaction Date Type Value
29-04-2020 Disbursement $2,500,000
13-10-2020 Disbursement $3,650,000
Country Percentages by Sector
Related information

Related information

Strengthening the Midwifery Profession and Practice in Haïti - Related information
Related links
Partner website — UNFPA - United Nations Population Fund
Global Affairs Canada
NGM Americas
Aid grant excluding debt reorganisation
Bilateral
Project-type interventions
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