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Joint Annual Performance Review 2007 - Ministry of Health

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Results: Competency (11) -<br />

Motivation <strong>of</strong> midwives<br />

• Interestingly over half <strong>of</strong> the sub-sample said they did not<br />

want to change from their current site <strong>of</strong> work in either 1 or 5<br />

years. Almost twice the number <strong>of</strong> primary than secondary<br />

midwives desired no change.<br />

• Those who did not want to change mentioned the fact that<br />

they lived near their family, or that they were nearing<br />

retirement as the primary factor in their desire to continue<br />

where they were working.<br />

• Those desiring a change cited the following factors<br />

influencing their wish to move: retirement, to be closer to<br />

their family (including parents, children and/or spouse), work<br />

for an NGO, work in a village without a midwife<br />

• Of those desiring a change (apart from retirement),<br />

increased salary, opportunity for clinical upgrading,<br />

adequate equipment and opportunity to work with more<br />

experienced clinicians would make them want to continue in<br />

their current posting.<br />

33<br />

Results: Pre-service Training (1)<br />

Criteria<br />

International<br />

standard<br />

1-Year Post basic<br />

nursing (3+1)<br />

1-Year Primary<br />

Nurse-Midwife<br />

Length <strong>of</strong> program<br />

Ratio theory:<br />

practice<br />

18 months<br />

minimum, (average<br />

<strong>of</strong> 72 weeks at 35<br />

hrs/week, excl.<br />

vacation<br />

40% : 60%<br />

1,370 hrs (at 35<br />

hrs/week = 39<br />

weeks)<br />

54% : 46%<br />

Midwifery content<br />

incl. IMCI = 435 hrs<br />

(at 35 hrs/week =<br />

12.5 weeks)<br />

44% : 56%<br />

Curriculum model<br />

Competency based,<br />

up-to-date evidence<br />

underpinning<br />

practice, with<br />

foundation in Public<br />

health<br />

Theory and practice<br />

not integrated.<br />

References used<br />

out <strong>of</strong> date.<br />

Includes some<br />

Public health<br />

Theory and practice<br />

not integrated.<br />

References used<br />

out <strong>of</strong> date. Has little<br />

Public health<br />

34<br />

17

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