Definitions
Clear definitions are key to clear understanding. Learn more about the terms, roles, and categories used on the Midwives’ Data Hub.
Data Themes
The data in the Midwives’ Data Hub is organised into themes that reflect the interconnected factors influencing midwifery practice and sexual, reproductive, maternal, newborn and adolescent health. Explore these categories to better understand how midwifery education, policy, and practice shape health outcomes globally.
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Maternal and newborn health outcomes and service coverage
This data theme includes key health indicators for women and newborns, such as maternal deaths, newborn deaths, and stillbirths. Data included in this theme also tracks access to care, including antenatal visits, skilled birth attendance, and emergency services. These indicators help show how well the health system is working and the role midwives play in improving outcomes.
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Midwifery workforce and model of care
This data theme includes information about the number of midwives, where they work, and their working conditions. It also looks at how care is delivered – such as whether midwives support patients across the full continuum of reproductive health. Data included in this theme highlights whether midwives are enabled to work independently and provide respectful, woman-centered care aligned with global standards.
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ICM Essential Competencies
This data theme explores how midwives are educated, certified, and supported to meet global standards. Indicators included are education programmes, continuing professional development, and alignment with the ICM Essential Competencies for Midwifery Practice. These competencies define the knowledge, skills, and professional behaviours required for midwives to provide quality, rights-based care across the reproductive lifecycle.
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Enabling environment and leadership
Midwives need supportive systems to practise effectively. This data theme covers policies, laws, regulation, financing, data systems, and leadership pathways that enable midwives to deliver care aligned with ICM’s Professional Framework. Data indicators included highlight whether midwives are integrated into decision-making, supported by national policies, and able to work to their full scope of practise in safe, respectful environments.
Data Definitions
This section provides clear definitions of key terms from open data indicators featured on the Midwives’ Data Hub, helping users understand what each indicator measures.
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Country
Short name for the country. 195 countries in total – all 194 WHO member states plus Palestine.
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Date
Date data uploaded to the Hub.
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International organization for standardization (ISO) 2 and 3
Two or three-digit alphabetical codes International Standard ISO 3166-1 assigned by the International Organization for Standardization (ISO). The latest version is available online at http://www.iso.org/iso/home/standards/country_codes.htm.
Two-digit codes example: e.g. AF (Afghanistan)
Three-digit codes example: e.g. AFG (Afghanistan)
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ICM Region
Countries are categorised by geographic region, using the same regional classification as the World Health Organization (WHO).
Possible values include:
- AFR (Africa),
- AMR (Americas),
- EMR (Eastern Mediterranean),
- EUR (Europe),
- SEAR (South east Asia), or
- WPR (Western Pacific)
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Rank
Global rank for indicator, i.e. the country with the best global score for this indicator will have rank = 1, next = 2, etc. This ranking is only appropriate for a few indicators, others will show ‘na’
Rank between 1 – 195
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Rank out of
The total number of countries who have reported a value for this indicator. Ranking scores will only go as high as this number.
Rank up to 195 countries in total – all 194 WHO member states plus Palestine.
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Target
How does the latest value compare with Global guidelines / targets?
Possible values include:
- Meets target
- Does not meet target
- Meets global standard
- Does not meet global standard
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Trend
If historic data is available, an indication of the change over time. If there is a global target, then the trend is either getting better, static or getting worse. For mmr [OUN04mmr] and nmr [OUN05nmr] the average annual rate of reduction (arr) between 2016 and latest value is used to determine the trend:
- arr <-1.0 = getting worse
- arr >=-1.0 AND <=1.0 = static
- arr >1.0 = getting better
For other indicators, the trend is estimated by comparing the average of the last three years with the average ten years ago:
- decreasing if now < 95% 10 yrs ago
- increasing if now > 105% 10 yrs ago
- static otherwise
Possible values:
- increasing
- static
- decreasing
Or, if there is a global target:
- getting better,
- static,
- getting worse
Midwifery Terms
This section defines key terms used in midwifery. From foundational concepts to specialised terminology, these definitions provide essential context to help you navigate the Midwives’ Data Hub and understand how midwifery contributes to maternal health.
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BEmONC signal functions
BEmONC (Basic Emergency Obstetric and Newborn Care) refers to seven essential services for managing emergencies during pregnancy, childbirth, and the postnatal period. These are:
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administration of antibiotics,
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uterotonic drugs,
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anticonvulsants,
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manual removal of the placenta,
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removal of retained products,
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assisted vaginal delivery, and
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basic neonatal resuscitation.
An ICM-defined midwife should be competent and authorised to deliver all seven functions.
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Education pathway: direct entry midwifery
Demonstrates if individuals can qualify as midwives without first qualifying as nurses.
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Education pathway: post-nursing
Indicates if nurses can pursue additional education to also qualify as midwives.
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Education pathway: combined midwifery and nursing
Indicates a single education program that prepares students to practise as both nurses and midwives.
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Low birth weight
Newborn weighing less than 2,500 grams (5.51 pounds) at birth.
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Maternal mortality
Female deaths from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes) during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy.
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Midwives’ associations with ICM membership
Highlights countries with national midwifery associations officially recognised as members of the International Confederation of Midwives (ICM). Learn more about becoming an ICM member or affiliate here: https://internationalmidwives.org/our-members/become-a-member/
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Midwife density
The number of midwives per 10,000 population: a ‘midwife to population’ ratio.
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Midwife-led health facilities providing a midwifery model of care
Identifies whether midwife-led health facilities exist and if they follow a model of care that centers midwives as primary providers.
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Midwifery personnel
Includes both midwifery professionals and midwifery associate professionals (where both exist in a country). May also include nurse-midwives, if the country has classed them as midwives (as opposed to nurses). Depending on the nature of the original data source may include practising (active) only or all registered in the relevant health occupations.
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Midwifery regulation – periodic relicensing
Shows whether midwives must renew their licence at regular intervals to continue practising.
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Midwifery regulation – continuing professional development (CPD)
Indicates if midwives are required to complete ongoing training to keep their skills up to date and maintain their licence.
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Midwifery regulation – compulsory licensing
Shows whether midwives must have an official licence before providing care in a given country.
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National policy recognising a distinct occupational group of midwives
Shows whether midwifery is formally recognised as a profession separate from nursing in national legislation or policy.
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National policy / guideline on education of midwifery care providers that includes Competencies
Indicates if a national education policy or guideline defines the essential competencies midwives must obtain before qualifying as a midwife. To learn more about the ICM Essential Competencies, visit: https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/
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Neonatal mortality
Deaths during the first 28 completed days of life following a live birth.
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Preterm birth
Babies born alive before 37 completed weeks of pregnancy.
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Scope of practice (modern contraceptive methods)
This indicator covers the following five modern methods of contraception:
1. Contraceptive pill
2. Contraceptive injection
3. Contraceptive implant
4. Intrauterine device (IUD)
5. Emergency contraception (“morning after pill”) -
Skilled birth attendance
A skilled birth attendant is an accredited health professional – such as a midwife, doctor or nurse – who has been educated and trained to proficiency in the skills needed to manage uncomplicated pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of women and newborns for complications. Traditional birth attendants, whether trained or not, are not counted as skilled birth attendants.
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Stillbirth
A baby who dies after 28 completed weeks of pregnancy, but before or during birth.
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Total fertility rate
The average number of children a hypothetical cohort of women would have at the end of their reproductive period if they were subject during their whole lives to the fertility rates of a given period and if they were not subject to mortality. It is expressed as the number of children per woman.
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Women of reproductive age
Women aged 15-49 inclusive.