Innovative Tools and Strategies | Health Systems and Workforce | Targets and Metrics | Strengthening Quality of Care | Global Guidelines and Local Adaptations Room: 1.41-1.42 Oral Abstracts
May 11, 2023 11:50 - 13:05(Africa/Johannesburg)
20230511T1150 20230511T1305 Africa/Johannesburg Midwifery Education: New Approaches for New Challenges

The State of Midwifery Education, Regulation, and Practice in East and Southern Africa Region 2022

A Lancet article published in 2020 shows that achieving universal coverage of midwives could avert 67% of maternal deaths by 2035. Data and evidence-based programming is instrumental to guide and track investment in midwifery programmes. This assessment is the second regional assessment (the first being in 2017) of the state of midwives in the East and Southern Africa (ESA) region commissioned by the United Nations Population Fund (UNFPA) ESA regional office. It provides a comprehensive assessment of the current state of the region's sexual, reproductive, maternal, newborn, and adolescent health workforce in 23 countries. It gives clear evidence of the region's progress and identifies bottlenecks and challenges that must be addressed.

Setting Students Up for Success: An Innovative Orientation to Clinical Placement in Sierra Leone 

Sierra Leone has one of the world's highest maternal mortality ratios. There is currently a critical shortage of midwives to address this situation. The Government of Sierra Leone is investing in strengthening and expanding midwifery education. Major challenges hampering progress include inadequate student oversight and a lack of hands-on clinical experience. Numerous factors affect students' clinical learning; however, the absence of supportive learning environments is a significant barrier. To strengthen clinical midwifery education and create a more supportive learning environment at Makeni Regional Hospital, a comprehensive, three-day student orientation to clinical practice was developed. Content consisted of teamwork and communication concepts, clinical assessment and documentation, rotation objectives and expec ...

Room: 1.41-1.42 International Maternal Newborn Health Conference 2023 information@imnhc.org
57 attendees saved this session

The State of Midwifery Education, Regulation, and Practice in East and Southern Africa Region 2022

A Lancet article published in 2020 shows that achieving universal coverage of midwives could avert 67% of maternal deaths by 2035. Data and evidence-based programming is instrumental to guide and track investment in midwifery programmes. This assessment is the second regional assessment (the first being in 2017) of the state of midwives in the East and Southern Africa (ESA) region commissioned by the United Nations Population Fund (UNFPA) ESA regional office. It provides a comprehensive assessment of the current state of the region's sexual, reproductive, maternal, newborn, and adolescent health workforce in 23 countries. It gives clear evidence of the region's progress and identifies bottlenecks and challenges that must be addressed.


Setting Students Up for Success: An Innovative Orientation to Clinical Placement in Sierra Leone 

Sierra Leone has one of the world's highest maternal mortality ratios. There is currently a critical shortage of midwives to address this situation. The Government of Sierra Leone is investing in strengthening and expanding midwifery education. Major challenges hampering progress include inadequate student oversight and a lack of hands-on clinical experience. Numerous factors affect students' clinical learning; however, the absence of supportive learning environments is a significant barrier. To strengthen clinical midwifery education and create a more supportive learning environment at Makeni Regional Hospital, a comprehensive, three-day student orientation to clinical practice was developed. Content consisted of teamwork and communication concepts, clinical assessment and documentation, rotation objectives and expectations, self-care strategies, medical ethics, respectful maternity care, and informed consent. Orientation culminated with postpartum hemorrhage and neonatal resuscitation simulation and debrief to promote practical application of all learning content.


Systematic Review of National Continuous Professional Development Processes and Systems for Midwifery Educators in Low- and Middle-Income Countries (LMICs) 

Midwifery educators play a critical role in strengthening the midwifery workforce in low- and middle-income countries (LMICs) for achieving the maternal-newborn health Sustainable Development Goal (SDG) targets. However, midwifery educator development is grossly under-invested, with variation in quality, insufficient/poorly trained educators, scope of practice, weak regulation, and lack of opportunities for educators to update their knowledge or skill competencies in LMICs. Participating in relevant continuous professional development (CPD) is a key strategy to ensure that midwifery educators maintain their competence for quality midwifery graduates and workforce. This systematic review describes the current approaches, content, and effectiveness of midwifery educator CPD programs in LMICs.


Tools to Guide School-Specific Investments in Pre-service Midwifery Education: Results from a Field Test in Three African Countries 

The COVID-19 pandemic exacerbated global challenges to quality pre-service midwifery education. In resource-constrained settings, educational institutions' needs are complex and investments may not address the specific needs of a school, creating or even worsening inefficiencies. To address this challenge, African midwifery leaders co-created five educational capacity frameworks (ECFs), one for each of five pre-service education domains: clinical sites, curriculum, faculty, students, and infrastructure/management. The ECFs quantify a school's capacity, or ability to meet international and/or regional standards, in each domain. They are intended for internal school self-assessment that guides identification of school-specific investment and improvement priorities. The ECFs have recently been field-tested. Our objectives were to (1) report the findings from a field test of ECFs for five domains of pre-service midwifery education and (2) describe participants' feedback using the ECFs.

The State of Midwifery Education, Regulation, and Practice in East and Southern Africa Region 2022
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Health Systems and Workforce
Global Guidelines and Local Adaptations
Presenters Muna Abdullah Ali
Health System Specialist , UNFPA ESARO
Co-authors
J
Jyoti Tewari
Regional Health Systems Adviser, UNFPA ESARO
Setting Students Up for Success: An Innovative Orientation to Clinical Placement in Sierra Leone
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Health Systems and Workforce
Strengthening Quality of Care
Presenters Chrisencia Owoko
Midwifery Educator, Seed Global Health
Co-authors
JN
Jennifer Neczypor
Seed Midwifery Educator, Seed Global Health
JW
Jenny Rose Wilson
Seed Midwifery Educator, Seed Global Health
IS
Isha Beckie Sesay
Seed Clinical Advisor, Seed Global Health
Systematic Review of National Continuous Professional Development Processes and Systems for Midwifery Educators in Low- and Middle-Income Countries (LMICs)
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
None
Strengthening Quality of Care
Presenters
DS
DUNCAN SHIKUKU
PhD Student, Liverpool School Of Tropical Medicine
Co-authors
MM
McCauley McCauley
Senior Research Associate, Liverpool School Of Tropical Medicine
SB
Sarah Bar-Zeev
Technical Specialist - Midwifery/Maternal Health, United Nations Population Fund (UNFPA)
Charles A Ameh
HoD International Public Health/ Professor , Liverpool School Of Tropical Medicine
Tools to Guide School-Specific Investments in Pre-service Midwifery Education: Results from a Field Test in Three African Countries
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Innovative Tools and Strategies
Targets and Metrics
Presenters
PM
Phelelo Marole
Regional Senior Technical Advisor, Jhpiego
Co-authors Nicole Warren
Associate Professor Johns Hopkins University School Of Nursing, Johns Hopkins University School Of Nursing
KK
Keoagetse Kgwabi
ECSACON Immediate Past President , ECSACON
EF
Etta Forson-Addom
Fellow, West African College Of Nursing
HA
Heloise Adanogou-d'Almeida
President, Federation Of Associations Of Midwives Of Francophone Africa
AG
Ashley Gresh
PhD Candidate, Johns Hopkins University School Of Nursing
JM
Julie Mann
Director Of Midwifery, Seed Global Health
Frances Ganges
Senior Maternal Newborn Health Advisor, Jhpiego
Regional Senior Technical Advisor
,
jhpiego
PhD Student
,
Liverpool School of Tropical Medicine
Midwifery Educator
,
Seed Global Health
Health System Specialist
,
UNFPA ESARO
Advisory Board
,
Afghan Midwives Association
Dr. Pandora Hardtman
CNMO
,
Jhpiego
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