About Developing Midwives Project (DMP)

BRACU Sites in Bangladesh

To develop competent and compassionate midwives, increase their usage particularly in underserved rural and urban areas to reduce maternal and neonatal deaths, also, increase the usage of family planning methods in Bangladesh, BRAC University initiated Developing Midwives Project (DMP-1) in 2012 with funding from the UK Government.

After completing the first phase in September 2016 DMP has started its second phase from October 2016 which is called DMP-2.
The DMP-2 builds upon the achievements of DMP and taking lessons from the implementation of rather ground-breaking DMP, deepens the project design while extending the reach and scope of the project. One of the important departures for DMP-2 (from DMP-1) is that it recognizes the importance of sustainability after 2021. As such a number of elements have been built into it including integrating DMP into the regular programme of JPGSPH, BRAC University, offering post basic BSc in Midwifery and charging fee for 70% students and free education for 30% students.
The Diploma in Midwifery Education Programme was approved by the Ministry of Health and Family Welfare (MoH&FW) and accredited by the Bangladesh Nursing and Midwifery Council (BNMC). Since its beginning DMP has focused on strengthening health care system through midwifery services to different communities of Bangladesh. This ‘Diploma in Midwifery’ course, the very first of its kind in private sector of Bangladesh, is working to ensure that mothers could easily avail a respectful maternity care.


DMP Implementation Approach


To achieve its objectives the project has adopted an innovative ‘hub and spokes’ model wherein BRACU is the hub and seven Academic Sites serve as the spokes. Six out of seven Academic Sites are managed by partner NGOs with the support of JPGSPH, BRACU while BRACU directly manages Dhaka Urban Academic Site at Mirpur. These seven Academic Sites are: Friends in Village Development Bangladesh (FIVDB) and Shimantik in Sylhet; Garo-Baptist Convention-Christian Health Project (GBC-CHP) in Mymensingh; Partners in Health and Development (PHD) in Khulna; Lutheran Aid to Medicine in Bangladesh (LAMB) in Dinajpur; Hope Foundation in Cox’s Bazar; and Dhaka Urban Academic Site at Mirpur.

Hub Spoke Model

 

A Strategy to Scale up the Midwifery Workforce in Bangladesh


The commitment from the Honorable Prime Minister of Bangladesh was a key component of a broader set of actions to provide universal access to maternal, newborn and child health services in Bangladesh to accelerate achievement of the health-related MDGs. To fulfill the Prime Minister’s commitment to educate 3000 midwives by 2015, a draft strategy entitled three thousand midwives by 2015: a strategy to scale-up the midwifery workforce in Bangladesh” was developed by the Ministry of Health and Family Welfare in collaboration with the JPGSPH, BRACU in 2011. The strategy outlined a systemic approach to scaling up midwifery education capacity inclusive of both the public and private sectors and with special attention to the needs of communities in greatest needs. A workshop was convened by the JPGSPH, BRACU in May 2011 and attended by high level officials from the MOHFW including the Honorable Minister and around 100 other stakeholders to discuss the national strategic plan for scaling up the midwifery workforce. There was broad agreement on the importance of the systemic approach to education and the benefits of working with core competencies of midwifery education identified by the International Confederation of Midwives (ICM). In recognition of the need to move forward on multiple fronts, there was an understanding on the benefits of a division of labor among partners according to relative comparative advantages in pursuing specific entry-points or pathways for training.

 

Partnerships

BRAC University has started the DMP in partnership with six non-governmental partner organizations who plays vital role to the project. Alongside there are national partners from government and non-government sectors.
 Ministry of Health and Family Welfare (MoHFW)
 Bangladesh Nursing and Midwifery Council (BNMC)
 Directorate General of Nursing and Midwifery (DGNM)
 Bangladesh Midwifery Society (BMS)
 Obstetrical and Gynaecological Society of Bangladesh (OGSB)
 BRAC
The underserved and hard-to-reach areas with the greatest maternal health needs have been identified based on maternal and neonatal mortality and morbidity data as per the Bangladesh Maternal Mortality and Health Care Survey (BMMS), Bangladesh Demographic and Health Survey (BDHS) and United Nations Development Assistance Framework (UNDAF). Adapted to the specific context and needs of Bangladesh, this programme is being pursued in close collaboration with partners from the state and non-state sectors. JPGSPH, BRACU is collaborating with the Bangladesh Nursing and Midwifery Council (BNMC), which is responsible for accreditation and registration of the midwives as a professional cadre as well as the Ministry of Health and Family Welfare (MOHFW). The programme is also engaging the Bangladesh Midwifery Society (BMS) and the Obstetrical and Gynaecological Society of Bangladesh (OGSB) to establish a strong framework of support for midwives.