Joint Annual Performance Review 2007 - Ministry of Health
Joint Annual Performance Review 2007 - Ministry of Health
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 />
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