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Preparing Frontline Health Workers

The Role Midwifery Schools

Rosemary KamunyaSenior Technical Midwifery Advisor

Contributors

Kamunya R, Sanghvi H, Johnson P, Malonza I, Cherrie E, Lynam P

1Jhpiego/ Kenya2 Jhpiego Baltimore

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FOCUS

Strengthening nursing and midwifery services in Africa by

focusing on quality education and training on targeted

skills

Empowering midwives to lead frontline workers inmaintaining skills and quality

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Background

In Africa: Midwives are the frontline health care workers in delivery

of health services (80 %)

Shortage of health workers is below the WHO benchmark

of 23/10,000

Brain drain of health care providers in search of greener

pastures

Competency Based and problem-based learning is limitedin most Africa countries

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Background

National health policy:

Nurses and midwives often

not mobilized or involved

in policy formulation

Leadership skills needs

enhancement

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WHY Focus in the Midwifery schools

The midwives must

graduate with effective

skills to immediately

enter workforce Policies must favor

retention of midwife for

stable predictable

midwifery workforce

5

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Solutions

Midwifery schools should emphasize the major causes of

MM as well as Maternal and newborn wellbeing.

Innovative approaches to address morbidity and mortality

on the day of birth:Postpartum Hemorrhage (PPH), Pre Eclampsia and Eclampsia (PE/E)

Newborn asphyxia

Contraceptive needs

Focus not just on facility midwifery but also communitymidwifery

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Solutions

Focus skills acquisition and

learn to maintain.

Promote direct entrymidwifery training rather

than require midwives to

be first trained as nurses

** (The State of the Worlds Midwifery 2011

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Pictures on Helping Mothers Servive

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JHPIEGO INNOVATIVE APPROACHES

Faculty

Standardize key skills with midwifery faculty and clinical preceptors

Empower faculty through training in Effective Teaching Skills (ETS) Faculty members train students using the updated content

Training

Use cost effective training approaches - MamaNatalie / NeoNataliesimulators for on the job training HBB, BAB

Support tutors, preceptors and students through live or electronicdemonstrations

Facility

Supportive supervision with mentorship

Train preceptors from facilities to mentor and coach nurses ormidwives on best practices in MNH on the labour ward

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Effects of innovative training approaches

The aim is to create a midwife with distinct

capabilities responsibility with sound

decision-making processes at all levels

Use of best available MNH practicesfor the care of individuals, families

and communities

Midwives take charge and lead thematernal and newborn service.

Supportive workplace environments

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KEY WORDS

Midwifery schools

are vital in

creating/arming thefrontline workforce

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