Latest news with #LMCs
New Indian Express
a day ago
- General
- New Indian Express
Global plastic treaty: Nurdles escape scrutiny, coastal states bear the scrutiny
The global plastics treaty negotiations in Geneva ended without agreement, and one of the most preventable yet damaging sources of microplastic pollution has been left off the table. Plastic pellets — commonly known as nurdles — are the raw feedstock of the plastics industry. Spills from their production and transport release an estimated 4,45,000 tonnes into the environment every year. Once they escape, they are almost impossible to clean up, spreading across borders and ecosystems. Yet, the revised treaty text that collapsed contained no binding language to regulate pellet loss, a gap experts say could undermine the entire ambition of the agreement. For India, this omission is especially jarring. Just this May, the sinking of the MSC Elsa 3 off Kerala spilled millions of pellets that washed ashore from Kochi to Tamil Nadu's Dhanushkodi. Local communities organised beach clean-ups, but the scale of the contamination was overwhelming. Pellets blanketed shorelines, entered fishing grounds, and were even found in the Dhanushkodi Flamingo Sanctuary, threatening migratory bird populations. The spill echoed the catastrophic X-Press Pearl disaster of 2021 off Sri Lanka, which released over 1,600 tonnes of nurdles and remains the world's worst recorded pellet spill. Despite these direct impacts, India did not push for pellet regulation in Geneva. Instead, it aligned with the Like-Minded Countries (LMCs), a bloc dominated by oil-producing nations such as Saudi Arabia, Kuwait, and Iran, which went so far as to call for deleting the treaty article on 'releases and leakages' altogether. Their argument: plastic pellets are raw materials, not waste, and should not fall within the treaty's scope. This position has sparked outrage from environmental experts and coastal representatives in India. 'India's alignment with the Like-Minded Group is a missed opportunity for leadership,' Thamizhachi Thangapandian, Member of Parliament from South Chennai and part of the Interparliamentary Coalition to End Plastic Pollution, told TNIE. 'With 7,500 km of coastline and millions dependent on marine ecosystems, we cannot afford silence. Sri Lanka has shown what leadership looks like—calling for binding measures, accountability, and compensation. By contrast, India's reticence sidelines states like Tamil Nadu and Kerala, which are living the consequences of pellet pollution.'
India Today
3 days ago
- Politics
- India Today
Global divide widens over plastic cuts as treaty talks hit deadlock
The lack of a clear definition of plastics, the continued use of toxic chemicals, and disagreements over cutting plastic production have brought global treaty negotiations to a to the limited time left to finalise the talks and reach consensus, Vayas Valdivieso, chair of the Intergovernmental Negotiating Committee (INC), said, 'It builds on those areas where convergence exists.'From August 5 to 14, around 190 countries gathered in Geneva, Switzerland, to negotiate the first-ever treaty aimed at ending plastic happened in Geneva? On the final day, negotiators cut about 1,500 brackets from the draft text but also removed several key proposals backed by over 100 nations. These include a ban on problematic plastics, restrictions on hazardous chemicals, and measures to curb virgin plastic provisions—such as recognising Indigenous knowledge, addressing human health impacts, and ensuring a just transition—were also like-minded countries (LMCs) hailed the draft as a 'milestone,' the coalition of 100 nations pushing for plastic production cuts called it 'imbalanced.' They wanted the treaty to address the entire life cycle of plastics, including manufacturing, banning toxic chemicals, and listing products for phase-out. India, siding with LMCs, called for a balanced approach that would not hinder trade. Naresh Pal Gangwar, Joint Secretary of the Union Ministry of Environment, Forest and Climate Change (MoEF&CC) and head of India's delegation, said:'We have some serious concerns about the text proposed by you, as we see many fundamental elements (scope) missing from the text. Having said this, we consider this as a good enough starting point to further our work We also urge other member states to have trust in your leadership and express their concern during the consultation process.'If current trends continue, plastic production is set to triple by 2060. Focusing solely on managing plastic waste, without cutting production, will not reduce greenhouse gas emissions—plastics already account for 3.4% of global addressing the harmful health impacts of plastic manufacturing, the treaty risks going in circles, while plastics continue to accumulate in oceans, air, land, and even human bloodstreams.- EndsMust Watch
Scoop
10-06-2025
- Health
- Scoop
Opportunities Identified To Strengthen Equitable Access To Midwifery Continuity Of Care
Press Release – NZ College Of Midwives A new analysis commissioned by Health NZ | Te Whatu Ora, Analysis of claims under the Primary Maternity Services Notice, reinforces the vital role of the midwifery lead maternity carer (LMC) model of care in delivering quality maternity report recognises that continuity of care is the standard that all pregnant women, gender diverse people and their whānau should be able to access and shows that three quarters of women receive care from an LMC across the full course of pregnancy, labour, and the postnatal period. The findings provide strong evidence for Health NZ to invest in strengthening and supporting the LMC model to ensure equitable access for whānau who don't currently receive full continuity of care. The analysis of 2022 maternity care data shows that 91.5% of women registered with an LMC in pregnancy and over 95% of LMCs are midwives. This highlights LMC midwives' commitment to meet communities' needs despite a 40% workforce shortage at that time. However, the data also highlights inequity of access to midwifery care, driven by significant workforce shortages in Auckland, Counties Manukau, and Hutt Valley. These shortages disproportionately affect Māori, Pacific, Indian, and MELAA families. The College has long been calling for targeted investment to expand access to midwifery continuity of care and to establish navigational support to register with a midwife in pregnancy. This report provides clear data supporting that call — especially in regions facing chronic midwife shortages and among communities that lack equitable access to care. 'The Kahu Taurima policy work being undertaken by Health NZ offers a critical opportunity to reimagine maternity funding and workforce strategies,' says Alison Eddy, CE of the College of Midwives. 'We have strong evidence and a dedicated midwifery workforce. Now is the time to back our maternity system with the investment it needs to deliver equitable access to continuity of care for all.' Additional information Analysis of Claims under the Primary Maternity Services Notice 1. What is this report about? The report analyses payment data under the Primary Maternity Services Notice to understand how maternity care was accessed and provided in 2022. It focuses particularly on continuity of care provided by Lead Maternity Carers (LMCs), most of whom are midwives. 2. Why was 2022 such a significant year for midwifery? In 2022, midwifery was the most acutely understaffed health profession in Aotearoa, with a documented workforce shortage of around 40%. Despite this, the majority of women still received continuous care from midwives—an achievement that deserves recognition. 3. What positive findings are highlighted in the report? • 95.2% of LMCs were midwives. • 91.5% of pregnant women were registered with an LMC. • 74% received full continuity of care from a single midwife across antenatal, birth, and postnatal care. • 89% of clients who registered with an LMC midwife received all care modules. • 93.3% of women received labour care from a midwife they had met during pregnancy. These figures are especially impressive given the workforce strain at the time. 4. Does the report show problems with access to care? Yes, but the issue is more nuanced than the framing suggests. About 8.2% of birthing women in 2022 didn't access an LMC during pregnancy. This access issue was not related to rurality, but was strongly linked to ethnicity and concentrated in a few districts: Auckland, Counties Manukau, Hutt Valley, and Marlborough. The report is not able to clarify the reasons people did not receive LMC midwifery care. 5. Is continuity of care still the standard in NZ? Yes. Despite significant system pressure, three out of four women received complete care from a single LMC midwife. Even where more than one midwife was involved, most women still received all modules of care (antenatal, birth, postnatal), showing the commitment of midwives to providing wraparound support. 6. What does the report say about postnatal care models? The report found that 10% of midwives claimed only for postnatal care, mostly in Auckland and Hutt Valley. This indicates that 90% of midwives continued to offer care across the full maternity spectrum. While some practice models split care stages, continuity remains a key feature of most midwifery practice. 7. Were there any issues with the report's data or analysis? Yes. The analysis combines data from two different sources, one of which (MAT) appears to cover only five months and ends in December. This could skew results, especially as women due over the Christmas period may be less likely to have access to full continuity. Some statistical methods and definitions (e.g. what constitutes a change of LMC) are also unclear, which may impact interpretation. 8. What are the areas for improvement? The report reveals: • Ethnic inequities in access to LMC continuity of care. • Regional variations, particularly in urban centres under workforce strain. • Opportunities to improve postnatal continuity and reduce care fragmentation. These findings point to the need for targeted, equity-focused investment to ensure improved access to the optimal model of care. 9. What does the College of Midwives recommend? We are calling for: • Sustainable investment in the midwifery workforce to ensure consistent coverage and continuity. • Targeted support in high-need areas to address inequity in access. • Funded navigational support for whānau needing to access maternity care • Funding and policy reform to protect and strengthen continuity of care models. • Recognition of the resilience and professionalism of midwives, who continue to deliver high-quality care even under pressure.
Scoop
10-06-2025
- Health
- Scoop
Opportunities Identified To Strengthen Equitable Access To Midwifery Continuity Of Care
Press Release – NZ College Of Midwives The Kahu Taurima policy work being undertaken by Health NZ offers a critical opportunity to reimagine maternity funding and workforce strategies, says Alison Eddy, CE of the College of Midwives. A new analysis commissioned by Health NZ | Te Whatu Ora, Analysis of claims under the Primary Maternity Services Notice, reinforces the vital role of the midwifery lead maternity carer (LMC) model of care in delivering quality maternity care. The report recognises that continuity of care is the standard that all pregnant women, gender diverse people and their whānau should be able to access and shows that three quarters of women receive care from an LMC across the full course of pregnancy, labour, and the postnatal period. The findings provide strong evidence for Health NZ to invest in strengthening and supporting the LMC model to ensure equitable access for whānau who don't currently receive full continuity of care. The analysis of 2022 maternity care data shows that 91.5% of women registered with an LMC in pregnancy and over 95% of LMCs are midwives. This highlights LMC midwives' commitment to meet communities' needs despite a 40% workforce shortage at that time. However, the data also highlights inequity of access to midwifery care, driven by significant workforce shortages in Auckland, Counties Manukau, and Hutt Valley. These shortages disproportionately affect Māori, Pacific, Indian, and MELAA families. The College has long been calling for targeted investment to expand access to midwifery continuity of care and to establish navigational support to register with a midwife in pregnancy. This report provides clear data supporting that call — especially in regions facing chronic midwife shortages and among communities that lack equitable access to care. 'The Kahu Taurima policy work being undertaken by Health NZ offers a critical opportunity to reimagine maternity funding and workforce strategies,' says Alison Eddy, CE of the College of Midwives. 'We have strong evidence and a dedicated midwifery workforce. Now is the time to back our maternity system with the investment it needs to deliver equitable access to continuity of care for all.' Additional information Analysis of Claims under the Primary Maternity Services Notice 1. What is this report about? The report analyses payment data under the Primary Maternity Services Notice to understand how maternity care was accessed and provided in 2022. It focuses particularly on continuity of care provided by Lead Maternity Carers (LMCs), most of whom are midwives. 2. Why was 2022 such a significant year for midwifery? In 2022, midwifery was the most acutely understaffed health profession in Aotearoa, with a documented workforce shortage of around 40%. Despite this, the majority of women still received continuous care from midwives—an achievement that deserves recognition. 3. What positive findings are highlighted in the report? • 95.2% of LMCs were midwives. • 91.5% of pregnant women were registered with an LMC. • 74% received full continuity of care from a single midwife across antenatal, birth, and postnatal care. • 89% of clients who registered with an LMC midwife received all care modules. • 93.3% of women received labour care from a midwife they had met during pregnancy. These figures are especially impressive given the workforce strain at the time. 4. Does the report show problems with access to care? Yes, but the issue is more nuanced than the framing suggests. About 8.2% of birthing women in 2022 didn't access an LMC during pregnancy. This access issue was not related to rurality, but was strongly linked to ethnicity and concentrated in a few districts: Auckland, Counties Manukau, Hutt Valley, and Marlborough. The report is not able to clarify the reasons people did not receive LMC midwifery care. 5. Is continuity of care still the standard in NZ? Yes. Despite significant system pressure, three out of four women received complete care from a single LMC midwife. Even where more than one midwife was involved, most women still received all modules of care (antenatal, birth, postnatal), showing the commitment of midwives to providing wraparound support. 6. What does the report say about postnatal care models? The report found that 10% of midwives claimed only for postnatal care, mostly in Auckland and Hutt Valley. This indicates that 90% of midwives continued to offer care across the full maternity spectrum. While some practice models split care stages, continuity remains a key feature of most midwifery practice. 7. Were there any issues with the report's data or analysis? Yes. The analysis combines data from two different sources, one of which (MAT) appears to cover only five months and ends in December. This could skew results, especially as women due over the Christmas period may be less likely to have access to full continuity. Some statistical methods and definitions (e.g. what constitutes a change of LMC) are also unclear, which may impact interpretation. 8. What are the areas for improvement? The report reveals: • Ethnic inequities in access to LMC continuity of care. • Regional variations, particularly in urban centres under workforce strain. • Opportunities to improve postnatal continuity and reduce care fragmentation. These findings point to the need for targeted, equity-focused investment to ensure improved access to the optimal model of care. 9. What does the College of Midwives recommend? We are calling for: • Sustainable investment in the midwifery workforce to ensure consistent coverage and continuity. • Targeted support in high-need areas to address inequity in access. • Funded navigational support for whānau needing to access maternity care • Funding and policy reform to protect and strengthen continuity of care models. • Recognition of the resilience and professionalism of midwives, who continue to deliver high-quality care even under pressure.
Scoop
10-06-2025
- Health
- Scoop
Opportunities Identified To Strengthen Equitable Access To Midwifery Continuity Of Care
A new analysis commissioned by Health NZ | Te Whatu Ora, Analysis of claims under the Primary Maternity Services Notice, reinforces the vital role of the midwifery lead maternity carer (LMC) model of care in delivering quality maternity care. The report recognises that continuity of care is the standard that all pregnant women, gender diverse people and their whānau should be able to access and shows that three quarters of women receive care from an LMC across the full course of pregnancy, labour, and the postnatal period. The findings provide strong evidence for Health NZ to invest in strengthening and supporting the LMC model to ensure equitable access for whānau who don't currently receive full continuity of care. The analysis of 2022 maternity care data shows that 91.5% of women registered with an LMC in pregnancy and over 95% of LMCs are midwives. This highlights LMC midwives' commitment to meet communities' needs despite a 40% workforce shortage at that time. However, the data also highlights inequity of access to midwifery care, driven by significant workforce shortages in Auckland, Counties Manukau, and Hutt Valley. These shortages disproportionately affect Māori, Pacific, Indian, and MELAA families. The College has long been calling for targeted investment to expand access to midwifery continuity of care and to establish navigational support to register with a midwife in pregnancy. This report provides clear data supporting that call — especially in regions facing chronic midwife shortages and among communities that lack equitable access to care. 'The Kahu Taurima policy work being undertaken by Health NZ offers a critical opportunity to reimagine maternity funding and workforce strategies,' says Alison Eddy, CE of the College of Midwives. 'We have strong evidence and a dedicated midwifery workforce. Now is the time to back our maternity system with the investment it needs to deliver equitable access to continuity of care for all.' Additional information Analysis of Claims under the Primary Maternity Services Notice 1. What is this report about? The report analyses payment data under the Primary Maternity Services Notice to understand how maternity care was accessed and provided in 2022. It focuses particularly on continuity of care provided by Lead Maternity Carers (LMCs), most of whom are midwives. 2. Why was 2022 such a significant year for midwifery? In 2022, midwifery was the most acutely understaffed health profession in Aotearoa, with a documented workforce shortage of around 40%. Despite this, the majority of women still received continuous care from midwives—an achievement that deserves recognition. 3. What positive findings are highlighted in the report? • 95.2% of LMCs were midwives. • 91.5% of pregnant women were registered with an LMC. • 74% received full continuity of care from a single midwife across antenatal, birth, and postnatal care. • 89% of clients who registered with an LMC midwife received all care modules. • 93.3% of women received labour care from a midwife they had met during pregnancy. These figures are especially impressive given the workforce strain at the time. 4. Does the report show problems with access to care? Yes, but the issue is more nuanced than the framing suggests. About 8.2% of birthing women in 2022 didn't access an LMC during pregnancy. This access issue was not related to rurality, but was strongly linked to ethnicity and concentrated in a few districts: Auckland, Counties Manukau, Hutt Valley, and Marlborough. The report is not able to clarify the reasons people did not receive LMC midwifery care. 5. Is continuity of care still the standard in NZ? Yes. Despite significant system pressure, three out of four women received complete care from a single LMC midwife. Even where more than one midwife was involved, most women still received all modules of care (antenatal, birth, postnatal), showing the commitment of midwives to providing wraparound support. 6. What does the report say about postnatal care models? The report found that 10% of midwives claimed only for postnatal care, mostly in Auckland and Hutt Valley. This indicates that 90% of midwives continued to offer care across the full maternity spectrum. While some practice models split care stages, continuity remains a key feature of most midwifery practice. 7. Were there any issues with the report's data or analysis? Yes. The analysis combines data from two different sources, one of which (MAT) appears to cover only five months and ends in December. This could skew results, especially as women due over the Christmas period may be less likely to have access to full continuity. Some statistical methods and definitions (e.g. what constitutes a change of LMC) are also unclear, which may impact interpretation. 8. What are the areas for improvement? The report reveals: • Ethnic inequities in access to LMC continuity of care. • Regional variations, particularly in urban centres under workforce strain. • Opportunities to improve postnatal continuity and reduce care fragmentation. These findings point to the need for targeted, equity-focused investment to ensure improved access to the optimal model of care. 9. What does the College of Midwives recommend? We are calling for: • Sustainable investment in the midwifery workforce to ensure consistent coverage and continuity. • Targeted support in high-need areas to address inequity in access. • Funded navigational support for whānau needing to access maternity care • Funding and policy reform to protect and strengthen continuity of care models. • Recognition of the resilience and professionalism of midwives, who continue to deliver high-quality care even under pressure.
