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Project name and responsible



Nadine Goodman

Center for the Adolescents of San Miguel de Allende (CASA),
San Miguel de Allende, Mexico











Project description


Mexico is a large country with very few professional midwives, high maternal mortality and an over medicalization of normal birth. The cadre of Traditional Birth Attendants (TBA) in the country is of an advanced age and many not well prepared; additionally the country's 23,000 Obstetrical Nurses do not have midwifery competencies nor do the general practice physicians. (L Cragin et al / Reproductive Health Matters 2007;15(30):50–60).

The country's only government accredited professional midwifery school was opened in 1996 by the Mexico NGO called CASA ( with the goal of improving community health, particularly maternal and newborn care for indigenous groups in rural areas, in a faster and cost-effective manner. External evaluations of the graduates working in government facilities have demonstrated the effectiveness of these desperately needed, competent mid-level care providers Other evaluations have documented the excellent health outcomes for the more than 10,000 mothers and babies that have been born at the School's teaching hospital, which is run by midwives.


In 2013,CASA began an ambitious project, designed and executed by an international and interdisciplinary team, to develop online training about midwifery and the importance of information and communication technologies (ICTs), with the main objective of contributing to the building of a primary health workforce of physicians, nurses and midwives with strong midwifery skills, digital competencies, and familiarity with e/mHealth and telemedicine in Mexico.


In 2014, CASA launched its pilot 100-hour online training course from September to January 2015, composed of 7 modules, which seeks to begin to build an interdisciplinary team of online ICT trainers and tutors and effective future leaders in midwifery. The online training is in Spanish and has been approved to be made available on the PanAmerican Health virtual campus, managed in Mexico by the Health Ministry.







Project Agreement With The WeObservatory



The 100-hour online training course in Spanish includes 2 modules that educate about ICT applications that improve maternal health and displays a selection of mobile applications, web-based information and use of social media in Mexico and more broadly in Latin America. Initial results of the evaluation of these modules shows that the first group of students, (physicians, nurses and midwives) found the material extremely interesting but intense.

The objective of this agreement is to review and improve the content and presentation of these 2 modules for the Mexican organization CASA to reuse in Mexico and elsewhere and to design a new, auto-didactic online version of these materials that will be made available free of charge on the WeObservatory Platform that reaches a wide audience of health care providers from multiple Spanish-speaking countries. Plans are to reach out with CASA to Central and South America in 2016 - 2017.

Before the new versions of these materials go live, approval from CASA is required and the Mexican organization will retain copyright for these materials. CASA's intention is to make all of its online materials as accessible as possible to health care providers, governments, educational institutions and others. However the Mexican nonprofit also hopes that it can eventually generate income from its online products to reinvest in its scholarship fund for midwifery students in Mexico.







Planned Activities 2014 - 2015


-    Review and modify the contents of the 2 CASA ICT/Midwifery Modules

-    Pilot test and then make live the new versions through CASA platform and through other platforms such as PAHO Virtual Campus, WeObservatory Platform and others in accordance with mutual agreement by CASA and Milennia2025 Foundation







Contacts and Collaborations



ISfTeH – International Society for Telemedicine and eHealth – Working Group on Women -

MEDETEL 2015, Luxembourg, 22 – 24 April 2015 -









-    Redesign, test and have live modules of the online course on ICTs for Midwifery 2015 by CASA.


-    Validation by (1) CASA, and (2) by other regional and national institutions in Mexico such as the Secretaria de Salud, (3) Millennia2025 Foundation.







Links and documents




- Boletínde CASA 4, 2014

- WeObservatory achievements

- Connecting Midwives

- Fondation Sanofi Espoir





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Contact: WeObservatory [at]





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 Millennia2025 Woment and Innovation Foundation  

Millennia2025 Women and Innovation Foundation, Public Utility Foundation
in Special consultative status with
the United Nations ECOSOC since 2019


Fondation Millennia2025 Femmes et Innovation, Fondation d'utilité publique
en statut consultatif spécial auprès de l'ECOSOC des Nations Unies depuis 2019



Institut Destrée - The Destree Institute

The Destree Institute, NGO official partner of
UNESCO (consultative status) and 
in Special consultative status with
the United Nations ECOSOC since 2012 


L'Institut Destrée, ONG partenaire officiel de
l'UNESCO (statut de consultation) et 
en statut consultatif spécial auprès de l'ECOSOC
des Nations Unies depuis 2012




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with the patronage
of the UNESCO 


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