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©2012 International Medical Corps Janet Meyers IAWG Annual Meeting May, 2013 Kuala Lumpur Addressing High Maternal and Newborn Mortality through Support to Midwifery Training Institutions in South Sudan
©2012 International Medical Corps Background Civil war resulted in significant HRH shortages particularly midwives Range of interim approaches to address gaps in skilled birth attendants 2010 – 96 community midwives (18 months training), 36 certified midwives (2 yrs training) and 19 registered midwives (3+ yrs training) MOH HSDP prioritizes skilled health personnel needs IMC and MOH with support from UNFPA and CIDA, re- established midwifery training programs in Kajo Keji and Wau
©2012 International Medical Corps Enrolled Midwifery Training in Kajo Keji and Wau, South Sudan 5 year program (January 2012 to July 2016) to train 150 enrolled midwives and 80 bridge midwives – 230 enrolled midwives Students selected from 10 states (tracking sex disaggregated data)
©2012 International Medical Corps Key Approaches: Curriculum and Collaboration Standardized curricula developed by MOH with support from UNFPA – 2.5 year training – 1 year for bridge training Support to 2 existing schools – NHTI and NMS Partnership and support from MOH, UNFPA, UNDP Coordination with AMREF
©2012 International Medical Corps Key Approaches: Recruitment and Foundation Courses Student recruitment – MOH led – Representation from all States International trainers and transition to local trainers Preceptor training English class as part of foundations course in Wau County
©2012 International Medical Corps Key approaches: Performance Based Skills lab ICM 7 competencies Continuous assessment test (CAT) Learning guide and checklists for clinical area Objective structured practical exam (OSPE)
©2012 International Medical Corps Key Approaches: Performance Based (continued) Database to track individual performance MOH – Final Exam
©2012 International Medical Corps Key Approaches: Deployment MOH Nursing and Midwifery Directorate Database Deployment strategy
©2012 International Medical Corps Key Approaches: Partnerships MOUs with hospitals for practicum sites Shared skills lab in Wau Chinese battalion for school farm – Wau Kenyan battalion for English classes – Wau
©2012 International Medical Corps Challenges and Innovations Shortages of qualified trainers and hospital staff to mentor students Response: UNV trainers supported by UNDP Recruitment, on the job training and mentoring of South Sudanese trainers Plan to train preceptors: hospital midwifery and nursing staff Pilot peer assistant program in Wau while working to increase number of competent preceptors
©2012 International Medical Corps Challenges and Innovations Insufficient supplies and medicines for training including practicum sites Supplement essential supplies for infection prevention and advocate for improved supply chain management of essential RH medicines MOU with private nursing school to use skills lab MOU with private hospital for practicum site
©2012 International Medical Corps Challenges and Innovations Insufficient case load for clinical experience Expanded to additional hospitals Mother – baby kits to encourage facility delivery
©2012 International Medical Corps
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