SINDH HEALTH CARE COMMISSION (SHCC)
Quality Care for All
Sindh Healthcare Commission would like to share the following information received from Pakistan Nursing Council regarding the functioning of Midwife, Community Midwife. Lady Health Visitors and Nurses. • Only Midwife, Community Midwife (CMW), LHVs and Nurse Midwives are allowed to open private clinic or maternity home while the Nurse (with 3 years diploma & 4 years Generic BSN) cannot, as their duties are bound to the hospital set up not of indepenedent practice. • The scope of practice of above is as follows:-Midwife: According to approved job description of March 1998 by the Nursing Council for this category of caregivers, it is clearly given that midwives can practice in community as specialist. This gives them a permission that they can open their MCH Center in their communities to provide care to mother (prenatal, intra-natal, post-natal and family planning). Midwives can treat patient but only deal normal maternity cases and in case any abnormality during pregnancy and child birth, they will refer them to nearest facility. They can prescribe and administer drugs but limited as per the scope of practice. Community Midwife (CMW): The same iob description applies to the CMW’s as of Midwife Lady Health Visitor: According to approved job description of March 1998 by the Nursing Council for this category of caregivers, it is clearly given that Lady Health Visitor’s function in community may vary according to local situation but she is supposed to perform prescribed duties only in MCH Center. This category of caregivers can only deal normal maternity cases and in case of any abnormality during pregnancy and child birth she will refer them to nearest facility. She is also responsible to identify malnutrition and educate the families to overcome the malnutrition in children. They can prescribe and administer drugs but limited to the scope of practice as required for normal labor, delivery and routine vaccination of mother and child. Nurse Midwife (03 Years Diploma Nursing + 4 Years Midwifery): These Nurses can practice as Specialist Midwives. This practice will only focus on Maternal and Child indicators and practices not any other nursing care. Anyone undertaking clinical practices which is against above direction will be considered as quack U/S xxix and action will be taken against them U/S 14(2) of Sindh Healthcare Commission Act, 2013.
INF-KRY No. 3429/18
C.E.O. Sindh Health Care Commission 2nd Floor. FTC Building, Shahrah-e-Faisal, Karachi Contact # 021-38656000 Email: firstname.lastname@example.org Website: www.shcc.org.pk
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