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PRESENTED BY SUSAN.  BACKGROUND  RATIONALE FOR INTRODUCING CMA?  SUCCESSES  CHALLENGES.

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Presentation on theme: "PRESENTED BY SUSAN.  BACKGROUND  RATIONALE FOR INTRODUCING CMA?  SUCCESSES  CHALLENGES."— Presentation transcript:

1 PRESENTED BY SUSAN

2  BACKGROUND  RATIONALE FOR INTRODUCING CMA?  SUCCESSES  CHALLENGES

3  The Millennium Development Goals 4 and 5 focus on improving maternal and child health.  In Malawi, Shortage and poor retention of midwives is a challenge for achieving these MDGs.  This also contributes to a shortfall in skilled birth attendants.

4  One mechanism developed by Malawi government to try to increase skilled attendance at birth, particularly in rural areas, was the introduction of CMA training (18-month training programme).

5  CMA training started as a pilot program in 2011  25 female students enrolled at St. Joseph’s College of Nursing and Midwifery  23 at St. Lukes College of Nursing and Midwifery  All deployed now  Currently enrolled at St. Joseph, MCHS, Ekwendeni, st.Johns, Mulanje, Phalombe, St.Lukes, Nkhoma.

6  To reduce MMR currently 675/ live birth and neonatal mortality rate 33 per 1000 live births  To increase skilled birth attendants in the rural areas.

7  80% of population live in rural areas  Challenges to access health services due geographical and infrastructure problems

8  Many midwives refuse to work in rural settings  CMA understands community cultural background.  CMAs stay in communities

9  CMAs are adding to number of skilled attendants in the communities.  Curriculum revised to incorporate care of emergencies

10  Mentorship training for NMTs to mentor CMAs  Support from local organisations.

11  No grass root level infrastructures for CMAs to practice close to their communities.  Retention of CMAs poses a challenge as most of them are young and will get married or want to continue with education.

12  Mentors not always available to give the necessary support  Recruitment done at a district level and not at local level.  Curriculum still in draft form.

13  Provision of infrastructures for CMAs to practice in their communities after six months of working with a mentor- this will improve access to skilled attendance at grass root level.

14  Finalise curriculum  Revise retention strategy

15  ZIKOMO


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