The Midwifery Services Framework: Lessons learned from the initial stages of implementation in six countries

Area of Science:

• Global Health
• Health Workforce Development
• Midwifery

Background:

• The International Confederation of Midwives (ICM) introduced the Midwifery Services Framework (MSF) in 2015.
• The MSF is an evidence-based strategy to enhance sexual, reproductive, maternal, and newborn health (SRMNH) services.
• It aligns with global health and human resources for health frameworks.

Purpose of the Study:

• To describe the initial implementation experiences of the MSF in six countries.
• To identify lessons learned during the early stages of MSF adoption.
• To understand challenges and successes in strengthening the midwifery workforce.

Main Methods:

• Descriptive analysis of early implementation data from six countries.
• Qualitative insights on priority work areas and implementation facilitators/barriers.
• Case study approach detailing country-level adoption processes.

Main Results:

• Countries focused on improving midwifery career attractiveness, regulation, education, and accessibility.
• Key implementation challenges included ensuring stakeholder engagement and maintaining momentum.
• A dedicated in-country lead organization was crucial for sustained progress.

Conclusions:

• Strengthening the midwifery workforce through the MSF requires addressing career appeal and professional standards.
• Broad stakeholder involvement and strong in-country leadership are vital for successful MSF implementation.
• The MSF provides a valuable, adaptable tool for improving global SRMNH outcomes through midwifery.