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Janet Meyers IAWG Annual Meeting May, 2013 Kuala Lumpur

Janet Meyers IAWG Annual Meeting May, 2013 Kuala Lumpur. Addressing High Maternal and Newborn Mortality through Support to Midwifery Training Institutions in South Sudan. Background. Civil war resulted in significant HRH shortages particularly midwives

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Janet Meyers IAWG Annual Meeting May, 2013 Kuala Lumpur

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  1. Janet MeyersIAWG Annual MeetingMay, 2013Kuala Lumpur Addressing High Maternal and Newborn Mortality through Support to Midwifery Training Institutions in South Sudan

  2. 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 KajoKeji and Wau

  3. Enrolled Midwifery Training in KajoKeji 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)

  4. 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

  5. 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

  6. 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)

  7. Key Approaches: Performance Based (continued) • Database to track individual performance • MOH – Final Exam

  8. Key Approaches: Deployment • MOH Nursing and Midwifery Directorate Database • Deployment strategy

  9. 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

  10. 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

  11. 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

  12. Challenges and Innovations • Insufficient case load for clinical experience • Expanded to additional hospitals • Mother – baby kits to encourage facility delivery

  13. Thank You!

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