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A frican Health Profession R egulatory C ollaborative (ARC): Overview and Objectives

A frican Health Profession R egulatory C ollaborative (ARC): Overview and Objectives. Peggy Vidot, RN, FRCN Commonwealth Secretariat Patricia Riley, CNM, MPH, FACNM CDC, Atlanta, GA February 28, 2011 Nairobi, Kenya. Why strengthening nursing and midwifery matters.

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A frican Health Profession R egulatory C ollaborative (ARC): Overview and Objectives

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  1. African Health ProfessionRegulatory Collaborative (ARC):Overview and Objectives Peggy Vidot, RN, FRCN Commonwealth Secretariat Patricia Riley, CNM, MPH, FACNM CDC, Atlanta, GA February 28, 2011 Nairobi, Kenya

  2. Why strengthening nursing and midwifery matters • Proven correlation between the numbers of providers and health outcomes • Disproportionate correlation between high burden of disease in sub-Saharan Africa with available workforce -25% of global disease burden and 1% of global health workforce • Global initiatives have invested in patient services without comparable investments in workforce issues • Largest workforce in Africa’s health delivery system are nurses and midwives • Holistic vision for improving care which includes patients investments, nursing/midwifery education investments and nursing/midwifery regulation

  3. Figure: 2 Association between HRH density and mortality rates Chen L, Evans T, Anand S, et al. Human resources of health: overcoming the crisis. Lancet 2004; 364:1984-90.

  4. Figure 3: Association between HRH density and service coverage Chen L, Evans T, Anand S, et al. Human resources of health: overcoming the crisis. Lancet 2004; 364:1984-90.

  5. ARC Background • March 2005: Emory/ECSA/Commonwealth/CDC collaboration and Regional Meeting • ECSA Nursing and Midwifery Workforce Challenges • 42% births attended by trained personnel • Acute shortage of nursing and midwifery personnel • Lack of capacity for scaling up education of nurses and midwives • Inadequate data to inform policies and workforce planning

  6. The Commonwealth Secretariat and ECSA HC: Midwifery Initiative • Response to MDG 4 & 5 • Goal: Improve Midwifery Practice within ECSA Region by making available a prototype curriculum compliant with Regional and International standards for Midwifery Educators • Features: • Discrete module for increasing the number and quality of midwifery educators – thereby increasing the number of practicing midwives • Discrete module targeting practicing midwives • Discrete module for service managers and supervisors involved in overseeing midwifery care

  7. Midwifery Initiative • Launch: 2006 Meeting of partners • Curriculum Development: 2006-2007 • Officially presented to ECSA Ministers of Health: 2008 • Malawi – first country to incorporate/adapt prototype curriculum (2008) • Launched a distance-learning collaborative for ECSA countries lacking capacity (2009)

  8. Midwifery Initiative • Issue: There remained a need to address regional lack of capacity for rolling out the curriculum • Response: Hired a ECSA Midwifery Coordinator to work with institutions of higher learning interested in implementing the curriculum and to build midwifery faculty capacity (2011)

  9. ARC Background (continued) • Dec. 2009: Preliminary discussion of a Regional approach to strengthening nursing and midwifery • April 2010: PEPFAR/WHO Educating Nurses for the Future – opportunity for networking/ plans for ARC proposal • June 2010: Meeting in Atlanta to refine concept • November 2010: Meeting finalize project implementation • On-going communication with partners

  10. ARC Purpose Enable countries to expand high quality nursing and midwifery services through strengthening and harmonizing regulation and practice in ECSA Region

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