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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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