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Evaluating the results of mentorship training for community midwives in Sindh, Pakistan

02 August 2017
Volume 25 · Issue 8

Abstract

Aims

The aim of the study was to measure the impact of the mentorship training on the community midwives' knowledge, perceptions, and willingness to mentor.

Methods

A quasi-experimental pre- and post-design was used. A total of 50 community midwives were educated about mentorship, and data were collected through pre- and post-test questionnaires, and a 3-month follow-up.

Findings

There was a significant improvement in the knowledge of community midwives about mentorship (P=<0.001) and their willingness to mentor (P=<0.001). Their perceptions about the cost versus benefit of mentoring had improved (P=<0.001). During the follow-up, the majority of participants reported that they had begun working as a mentor.

Conclusions

Mentorship training was found to be effective in improving the knowledge, perceptions, and willingness of community midwives to mentor. A larger study in a different area of Pakistan is also recommended using a similar scheme.

In Pakistan, a cadre of community midwives was introduced in 2007 to increase the proportion of skilled birth attendants in the country (USAID, 2012). The community midwives participate in an 18-month training programme, approved by the Pakistan Nursing Council (PNC). PNC accreditation is based on a minimum qualification plus work experience in the community setting, and that the applicant should be a permanent resident of that community area. Evidence suggests that the role of skilled birth attendant, or community midwife, is significant for the prevention and instant treatment of maternal and child complications (Bhutta et al, 2008).

The World Health Organization (WHO)'s State of the World's Midwifery (United Nations Population Fund and WHO, 2014) report scrutinises the worldwide midwifery landscape across 73 low- and middle-income countries and emphasised the investment in high-quality midwifery as imperative for the prevention of maternal and newborn deaths. Since 2011, governments, non-governmental institutions, and reporting countries have taken crucial steps to support midwifery. However, there is still a lack of adequately educated, confident, and experienced midwives to support the health of women and infants.

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