Joint Annual Performance Review 2007 - Ministry of Health

Results: Competency (9)
• The large number of days of in-serve train
undertaken by all midwives does not appear to
have a significant impact on the overall level of
competence of midwives, although the longer
trainings (4 weeks or more duration) do appear to
be associated with a higher level of competence.
Given these findings a review of all ins-service
trainings should be considered to make them
more effective and to ensure that short trainings
build and support one another.
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Results: Competency (10) -
Motivation of midwives
• Most midwives’ responses indicated recognition that
pregnancy can be dangerous and a desire to help
women through a potentially dangerous period in
their lives. Many mentioned a desire to help lower
maternal and infant mortality. Others mentioned a
desire to care for and serve people including their
family, their village/community, poor people and
people in remote, underserved areas.
• Many midwives from health centres cited a lack of
professional care in their village as being a primary
motivator. In addition, the desire to have a means
of earning a living, advice, and encouragement from
family was frequently mentioned as motivators.
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