Ali SA, Lakhani A, Jan R, Shahid S, Baig M. Enhancement of knowledge and skills of community midwives in Sindh, Pakistan. Journal of Asian Midwives. 2015; 2:(2)36-56

Ann M, Cooke M, Creedy DK, Walker R. Mentor evaluation of a year-long mentorship program: A quality improvement initiative. Collegian. 1999; 13:(2)26-30

Beecroft PC, Santner S, Lacy ML, Kunzman L, Dorey F. New graduate nurses' perceptions of mentoring: six-year programme evaluation. J Adv Nurs. 2006; 55:(6)736-47

Bhutta ZA, Ali S, Cousens S, Ali TM, Haider BA, Rizvi A. Interventions to address maternal, newborn, and child survival: What difference can integrated Primary Health Care strategies make?. Lancet. 2008; 372:(9642)972-89

Booth J, Huthison C, Beech C, Robertson K. New nursing roles: the experience of Scotland's consultant nurse/midwives. J Nurs Manag. 2006; 14:(2)83-9

Burns N, Grove SK. The Practice of Nursing Research: Conduct, Critique, and Utilization, 5th edition. St. Louis, MO: Elsevier; 2005

Achieving Excellence in Professional Practice: A Guide to Preceptorship and Mentoring.Ottawa: CNA; 2004

Chen CM, Lou MF. The effectiveness and application of mentorship programmes for recently registered nurses: a systematic review. J Nurs Manag. 2014; 22:(4)433-42

Cummins AM, Denney-Wilson E, Homer CSE. The experiences of new graduate midwives working in midwifery continuity of care models in Australia. Midwifery. 2015; 31:(4)438-44

Dixon L, Calvert S, Tumilty E Supporting New Zealand graduate midwives to stay in the profession: an evaluation of the Midwifery First Year of Practice programme. Midwifery. 2015; 31:(6)633-9

Finnerty G, Graham L, Magnusson C, Pope R. Empowering midwife mentors with adequate training and support. British Journal of Midwifery. 2006; 14:(4)187-190

Henderson A, Fox R, Malko-Nyhan K. An evaluation of preceptors' perceptions of educational preparation and organizational support for their role. J Contin Educ Nurs. 2006; 37:(3)130-6

Jones D. An evaluation of midwifery mentors and their perception of mentoring. MIDIRS Midwifery Digest. 2004; 14:(2)157-62

Kensington M. The faces of mentoring in New Zealand: realities for the new graduate midwife. New Zealand College of Midwives Journal. 2006; 35:22-27

Kensington M, Campbell CN, Gray CE New Zealand's midwifery profession: embracing graduate midwives' transition to practice. New Zealand College of Midwives Journal. 2016; 52:20-25

Komaratat S, Oumtanee A. Using a mentorship model to prepare newly graduated nurses for competency. J Contin Educ Nurs. 2009; 40:(10)475-80

Lau C, Ford J, Lieshout RJV, Saperson K, McConnell M, McCabe R. Developing mentoring competency: does a one session training workshop have impact?. Acad Psychiatry. 2016; 40:(3)429-33

Lee T, Tzeng W, Lin C, Yeh M. Effects of a preceptorship programme on turnover rate, cost, quality and professional development. J Clin Nurs. 2009; 18:(8)1217-25

Lennox S, Skinner J, Foureur M. Mentorship, preceptorship and clinical supervision: Three key processes for supporting midwives. New Zealand College of Midwives Journal. 2008; 39:7-13

Lennox S, Jutel A, Foureur M. The concerns of competent novices during a mentoring year. Nurs Res Pract. 2012; 2012

McDonald G, Mohan S, Jackson D, Vickers MH, Wilkes L. Continuing connections: the experiences of retired and senior working nurse mentors. J Clin Nurs. 2010; 19:(23-24)3547-54

McKenna L. Nurturing the future of midwifery through mentoring. Aust J Midwifery. 2003; 16:(2)7-10

Mohammad Y, Jan R, McIntyre H, Lakhani A, Anwar S. Community midwives' workplace experiences: a case study from are source-poor country. British Journal of Midwifery. 2015; 23:(12)886-893

Myall M, Lathlean J. Mentorship in contemporary practice: the experiences of nursing students and practice mentors. J Clin Nurs. 2008; 17:(14)1834-42

Pfund TC, House SC, Asquith P Training mentors of clinical and translational research scholars: A randomized controlled trial. Acad Med. 2014; 89:(5)774-82

Ragin BR, Scandura TA. Burden or blessing? Expected costs and benefits of being a mentor. Journal of Organizational Behavior. 1999; 20:(4)439-509

Rohatinsky NK. Mentoring Perceptions of Registered Nurses (Unpublished master's thesis).Saskatchewan: University of Saskatchewan; 2008

Saleem Z, Rukanuddin RJ, Rattani SA. Midwives' perception about their practice in a midwifery-led care model in Karachi, Pakistan. British Journal of Midwifery. 2015; 23:(3)200-207

Sarfraz M, Hamid S. Challenges in delivery of skilled maternal care—experiences of community midwives in Pakistan. BMC Pregnancy Childbirth. 2014; 14

Steele R. Gaining competence and confidence as a midwife. British Journal of Midwifery. 2009; 17:(7)441-7

Theobald K, Mitchell M. Mentoring: Improving transition to practice. Aust J Adv Nurs. 2002; 20:(1)27-33

Thomson OB, Freemantle N, Oxman AD Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2001; 2

Turkmani S, Gohar F, Zyaee PA, Musawi M, Azimi M. Provision of mentorship services for midwives working in remote areas in the workplaces of Afghanistan. Journal of Asian Midwives. 2014; 1:(1)11-16

Wallen GR, Mitchell SA, Melnyk B Implementing evidence-based practice: effectiveness of a structured multifaceted mentorship programme. J Adv Nurs. 2010; 66:(12)2761-71

Waters D, Clarke M, Ingall AH, Dean-Jones M Evaluation of a pilot mentoring programme for nurse managers. J Adv Nurs. 2003; 42:(5)516-26

The State of the World's Midwifery 2014: A Universal Pathway—A Woman's Right to Health.New York, NY: UNFPA; 2014

USAID. The community midwives programme in Pakistan. Research and Development Solutions. 2012.

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

02 August 2017
Volume 25 · Issue 8



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


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.


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.


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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