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Joint Annual Performance Review 2007 - Ministry of Health

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Results: Pre-service Training (4)<br />

The 1-Year Primary Nurse-midwife curriculum:<br />

• There is need to increase the amount <strong>of</strong> midwifery hours and<br />

content and increase the time for clinical hands-on experience, by<br />

reducing the number <strong>of</strong> hours for unnecessary nursing procedures.<br />

• Midwifery content (both theory and practice) should be spread<br />

throughout the full duration <strong>of</strong> the programme and not confined only<br />

to term 3, to avoid overloading clinical areas in Term 3 due to the<br />

overlap with the 1-year Post basic-nursing (3+1) midwifery students.<br />

• Having a more flexible allocation, one where smaller groups <strong>of</strong><br />

students can rotate through clinical areas, ideally more than once<br />

(so they can follow the principles <strong>of</strong> adult learning and have<br />

opportunity for repeated reflective practice) would be highly<br />

beneficial.<br />

• A career plan needs to be devised for PMWs that will allow them to<br />

progress and develop the full competencies <strong>of</strong> a midwife and be<br />

able to upgrade to secondary midwife<br />

37<br />

Results: Pre-service Training (5)<br />

The 1-Year Post basic Nursing (3+1) midwifery<br />

curriculum:<br />

• Need some modifications.<br />

• Evaluate clinical competencies <strong>of</strong> graduates and consider if<br />

the clinical allocation could not be more integrated<br />

throughout the duration <strong>of</strong> the course and if experience <strong>of</strong><br />

normal births could be include much earlier in the program<br />

than it is at present.<br />

• More focus is required on the skills that will save lives,<br />

especially care <strong>of</strong> newborns, newborn resuscitation and on<br />

interpersonal skill development- to foster a more womanfriendly<br />

approach to service delivery<br />

38<br />

19

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