Furthermore to inadequate amounts of midwives, the report reveals that insurance coverage within countries is usually unequal, as is normally quality. There exists a shortage of training institutions and employment opportunities for midwives. Furthermore, poor regulation, weak professional associations, an incomplete plan environment, and the omission of midwifery from human resource costing programs for maternal and neonatal wellness are significant challenges. The report makes some recommendations to governments, regulatory bodies, educational organizations, professional associations and international organizations that would help remedy these complications and reinforce the status of midwifery in the 58 countries surveyed.?.. Adequate midwifery could save 3.6 million lives, new report shows Up to 3.6 million deaths could be avoided each full year in 58 developing countries if midwifery solutions are upgraded by 2015, according to a significant new report released here today by UNFPA, the United Nations Population Fund, and partners.Overall survival, the principal end stage, was calculated at the date of loss of life from any trigger. Secondary end factors included disease-particular mortality, distant metastases, biochemical failure , and the price of positive results on replicate prostate biopsy at 24 months. Disease-particular mortality included all deaths from prostate treatment or cancer complications, as well as deaths from unidentified causes in individuals with either active cancer or a previously documented relapse. The analysis cochairs reviewed the reported causes of death, and complicated situations were examined by committee. The scoring of distant metastasis required documentation of metastatic disease.