2012 International Medical Corps Janet Meyers IAWG Annual
Meeting May, 2013 Kuala Lumpur Addressing High Maternal and Newborn
Mortality through Support to Midwifery Training Institutions in
South Sudan
Slide 2
2012 International Medical Corps 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
Kajo Keji and Wau
Slide 3
2012 International Medical Corps Enrolled Midwifery Training in
Kajo Keji 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)
Slide 4
2012 International Medical Corps 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
Slide 5
2012 International Medical Corps 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
Slide 6
2012 International Medical Corps 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)
Slide 7
2012 International Medical Corps Key Approaches: Performance
Based (continued) Database to track individual performance MOH
Final Exam
Slide 8
2012 International Medical Corps Key Approaches: Deployment MOH
Nursing and Midwifery Directorate Database Deployment strategy
Slide 9
2012 International Medical Corps 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
Slide 10
2012 International Medical Corps 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
Slide 11
2012 International Medical Corps 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
Slide 12
2012 International Medical Corps Challenges and Innovations
Insufficient case load for clinical experience Expanded to
additional hospitals Mother baby kits to encourage facility
delivery
