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Joint Annual Performance Review 2007 - Ministry of Health

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Results: Pre-service Training (8)<br />

Educational process:<br />

• Educational process were not very student-centered, did<br />

not support problem-based learning, critical thinking and<br />

decision making<br />

• None had adequate QI mechanism - none had formal<br />

mechanism for monitoring progress <strong>of</strong> students that<br />

included clinical staff<br />

Clinical practice:<br />

• Most RTCs had inadequate clinical sites, both in terms <strong>of</strong><br />

number <strong>of</strong> sites and quality <strong>of</strong> sites for clinical practice<br />

• No RTCs had a formal mechanism for preparing clinical<br />

sites for students prior placement or for involving clinical<br />

staff in the assessment <strong>of</strong> students' progress<br />

• Clinical facilities were not interested in students<br />

• Teachers form RTCs did not come to work with their<br />

students<br />

41<br />

Results: Pre-service Training (9)<br />

Competencies in new graduates: the overall<br />

competency is uniformly well below other midwives<br />

assessed, questions must be asked concerning if current<br />

graduates are exiting from programmes with the full<br />

compliment <strong>of</strong> essential core competencies<br />

Chart 5.1. Comparison <strong>of</strong> competency in selected<br />

skills: New graduates/All midwives<br />

60<br />

53.4<br />

% <strong>of</strong> MWs observed to be competent<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

41.4<br />

25.9<br />

22<br />

22 22<br />

8.6<br />

0<br />

infect prev inf resus bimanual active mgmt<br />

selected skills<br />

all MW (n= 58)<br />

new (n= 9)<br />

42<br />

21

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