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Joint Annual Performance Review 2007 - Ministry of Health

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Results: In-service Training (3)<br />

4 month midwifery course for Primary nurses<br />

working at a HC where there is no midwife<br />

posted:<br />

• As the 4 month course utilizes the same teachers,<br />

facilities and learning resources as for Pre-service<br />

midwifery, this was not considered a major problem.<br />

• As the number <strong>of</strong> HCs with no midwife reduces, so will<br />

the necessity for this programme. However, MoH may<br />

wish to consider using this course as a route for primary<br />

nurses who wish career advancement to be able to train<br />

as a primary midwife, then later as a secondary midwife,<br />

as the duration <strong>of</strong> 4 months is currently longer than the<br />

midwifery component <strong>of</strong> the 1-year Primary Nursemidwife<br />

programme.<br />

45<br />

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

• There is great need for better coordination <strong>of</strong> Inservice<br />

training programmes, especially the very<br />

short courses.<br />

• There is great need for a total Quality Assurance<br />

and Improve mechanism that supports, not just<br />

monitoring <strong>of</strong> these trainings, but follow up <strong>of</strong> all<br />

trainings and improvements, based on trainee<br />

feedback and on measurable impact.<br />

• There is a need for more clarity about national<br />

standards <strong>of</strong> midwifery.<br />

46<br />

23

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