Table 1 Comparison of Projected Targeted Goals of the Implementation Plan to 2011 Status
From: Barriers and facilitators related to implementation of regulated midwifery in Manitoba: a case study
Goals from original implementation plan: Integration into regional health care system, increase access to primary care for women, target priority populations: adolescent (< 20), Aboriginal, immigrant, socially isolated, poor, other (Manitoba Health, 1998). | |
Birthrate | Status as of 2011 |
 Midwifery-attended births were to be at 14 % of provincial births within 2.5 years of implementation | Midwifery-attended births (2009/10 data) =5 % |
Number of Midwives/Vacancies/Consumer Demand | |
 Projected Plan: Human Resource Strategy for Midwifery Implementation (1998) projected: | 2010: 38 practicing, 15 non-practicing |
  Within 2.5 years of legislation there would be 50 midwives each attending 40 births = 2000 births. | 2010: 45 funded |
 By 2005 need: Approximately 140 practicing midwives in the province. | Consumer demand: Percentage of women that sought midwifery care and were declined care in 2011: |
 Originally (2000), 26 fully funded positions | NOR-MAN: 40 % |
Regional Health Authority Central: 55Â % | |
Winnipeg Regional Health Authority: 70Â % | |
Brandon: 60Â % | |
Education programs | |
 Proposal for Bachelor of Midwifery Program at University of Manitoba (1999) | Program was not funded |
 Aboriginal Midwifery Program implemented by UCN (2006) | 11 original students, no graduates, program’s conditional approval was rescinded by College of Midwives of Manitoba in 2011. |
  Pathways Program implemented by UCN (2009) | 12 candidates, 10 accepted into program never implemented |
  University College of the North, Bachelor of Midwifery Program, southern program (2010) | 11 students enrolled; 10 students graduated by 2014 |
Evaluation framework | |
 Recommended that Manitoba Health implement a Midwifery Evaluation Advisory committee | Formal evaluation was completed in 2013, information has not been released |