WHO Collaborating Centre for development of midwifery

Prof. Lorena Binfa, RM, MPH, PhD
Marcela Diaz, Deputy Head, Assoc. Prof. MSc

As requested by PAHO/WHO, provide support in the development of training models and training in midwifery.

Upon request by PAHO/WHO, provide support in the dissemination of PAHO/WHO guidance on midwifery.

Upon request by PAHO/WHO, provide technical input to inform PAHO/WHO guidelines, information systems, and tools.

This institution is a member of the


    • Midwifery Network: Recently introduced in July, 2018 this network is part of the GNWHOCC for nursing & midwifery and created under a WHO requirement to strengthen and visualized midwifery worldwide. Today there are 16 CC participating. Link to Midwifery Network webpage.

    • Webinars: Led through the Midwifery Network and facilitated by the Johns Hopkins School of Nursing through the GANM

    • May 2, 2019: Gender-based violence and the midwifery role. Led through the Midwifery Network, Presented by the University of Michigan and. In commemoration of the International Day of the Midwife. Repeated in Spanish.

    • December 10, 2019: The Lancet Series on Midwifery. “What Happened Next? Transforming understanding, informing policy and action.” Presented by Professor Mary Renfrew BSc RN RM PhD FRSE, University of Dundee and facilitated by the Johns Hopkins School of Nursing through the GANM. Repeated in Spanish.

    • De Mucio, B., Binfa, L., Ortiz, J., & Portela, A. (2020). Status of national policy on companion of choice at birth in Latin America and the Caribbean: Gaps and challenges. Revista Panamericana de Salud Pública44, e19.
    • Contreras, J. O., de Bortoli Cassiani, S. H., Brandt, A., Esbir, L. B., & da Silva, F. A. M. (2019). Capacitación de recursos humanos en salud materna en Bolivia, Colombia, Ecuador, Guatemala, Haití, Honduras, Nicaragua y Perú: descripción de la experiencia. Investigación en Enfermería: Imagen y Desarrollo, 21(2).


    • Maternal Health Training Project (MHTP). This project is part of the larger Integrated Health Systems in Latin America and the Caribbean (IHSLAC) project being implemented with PAHO/WHO in collaboration with Global Funds Canada (GAC). This is a four-year project, which began in January 2016 and concluding in December 2019, the desired output is to increase the number of healthcare workers trained competently in maternal and child health in 8 LA countries.
    • Training of Trainers in Competency- Based Education (CBE), and Training of Trainers in Evaluation of Competency-Based Education, including the use of the WHO midwifery educator competencies in educational activities in Bolivia, DOR, Cuba, Mexico (sponsored by UNFPA), and El Salvador.
    • Action: This technical consultation for supporting the implementation a CBE curriculum started in 2015.
    • Action: During 2018 the collaboration with the School of Midwifery (Licenciatura en Salud Materno-Infantil) University of El Salvador (UES), included three workshops and technical support in Competency Based Education and Evaluation (May, July and October 2018). This training program 2018, included a 2 weeks study visit of 6 faculty members from the UES, to different levels of clinical settings in Santiago-Chile (August and October), supervised by member staff. During the visit in October, meetings were held with PAHO and UNFPA country offices to introduce this program. Development of Midwifery multisite research in the region through the Midwifery Research Network.
    • Iribarren, S., Stonbraker, S., Larsen, B., Santos, I., Faria, R., Góes, F., Binfa, L., & Larson, E. (2018). Clinical nursing and midwifery research in Latin American and Caribbean countries: A scoping review.Int J Nurs Pract. doi: 10.1111/ijn.12623
    • Seijmonsbergen-Schermers, A., de Jonge, A., van den Akker, T., Beeckman, K., Bogaerts, A., Barros, M., Janssen, P., Binfa, L., Rydahl, E., Frith, L., Gross, M., Hálfdánsdóttir, B., Daly, D., Calleja-Agius, J., Gillen, P., Vika Nilsen, AB., & Declercq, E. (2018). Variations in childbirth interventions in high-income countries: protocol for a multinational cross-sectional study. BMJ Open; 8(1): e017993. doi: 10.1136/bmjopen-2017-017993.
    • Pantoja, L., Weeks, F., Ortiz, J., Cavada, G., Foster, J., & Binfa, L. (2019). Dimensions of childbirth care associated with maternal satisfaction among low-risk Chilean women. Health Care for Women International. Retrieved from
    • 17 July 2018: JAMES COOK UNIVERSITY, CAIRNS, AUSTRALIA. Midwifery Network: Leads of the two dedicated midwifery WHO CCs co-leads for the network Professor Billie Hunter (WHO Collaborating Centre for Midwifery Development, University of Cardiff, Wales) and Professor Lorena Binfa (WHO Collaborating Centre for Development of Midwifery, University of Chile).