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Level of adherence to ICM global standards of midwifery education in Brunei: Survey results

02 September 2017
Volume 25 · Issue 9



The International Confederation of Midwives' (ICM) Global Standards of Midwifery Education aim to address dissimilarities in undergraduate midwifery education. Adherence to ICM standards is expected, in order to maintain high standards of midwifery education and yield high quality, competent midwives.


To explore levels of adherence to the ICM Global Standards of Midwifery Education in Brunei.


An online survey was developed, comprising 22 questions. Cross-sectional data were gathered among midwifery faculty members and students at one of Brunei's national universities. Data were analysed using descriptive and inferential statistics.


Although students perceived a few categories to be slightly less adherent to the ICM Global Standards than the faculty members, there was no significant difference between students and faculty members in terms of the ICM Global Standards score.


Adherence to the ICM Global Standards of Midwifery Education was found to be satisfactory, although there are some ways in which this could be improved.

Producing competent health professionals is imperative for effective national health outcomes. Similarly, developing a qualified and competent midwifery workforce is claimed to be essential for effective maternal health outcomes (International Confederation of Midwives (ICM), 2010a). The ICM defines a midwife as ‘a person who has successfully completed a midwifery education programme that is duly recognised in the country where it is located’. However, there are global differences and similarities in the way pre-registration midwifery education is delivered. For example, pre-registration midwifery education in the UK is delivered as a 3-year programme (Nursing and Midwifery Council (NMC), 2015), while Brunei has a 4-year programme (Department of Nursing Services, 2014).

The World Health Organization (WHO) has advocated for the development of quality midwives by further strengthening midwifery educational institutions (WHO, 2008). It recommended that institutions develop and monitor their midwifery programme not just to produce quality midwives, but to also build the capacity of midwifery faculties (WHO, 2008). The United Nation's (UN) Sustainable Development Goal Three (ensuring healthy lives and promoting well-being for all at all ages) indicates that reproductive health care and reducing global maternal death rates are particularly important if this goal is to be accomplished by 2030 (UNFPA, 2017).

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