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A review and comparison of post registration midwifery curriculum in Sri Lanka with global standards

  • Sunethra Jayathilake EMAIL logo , Vathsala Jayasuriya-Illesinghe , Himani Molligoda , Kerstin Samarasinghe and Rasika Perera

Abstract

This paper presents the findings of a study comparing the post-registration midwifery curriculum (PRMC) taught in Sri Lanka with the International Confederation of Midwives (ICM) curriculum and five other selected curricula from other parts of the world to train midwifery trained registered nurses (MTRNs). In so doing, we consider the historical origins of post-registration midwifery training and its implications for modern teachings in Sri Lanka and other low-middle income countries (LMICs). Data collected through document review are read, summarized, and compared using checklists across different curricula components, content, and length. The wide variation in terms of length of the programs, content covered, the ratio of theoretical to practical content, and the range of skills and competencies developed has implications for the individual and professional growth of MTRNs. While there is a need to align the PRMC with the ICM standards to ensure safer maternity care in Sri Lanka, implications for developing and promoting the growth of midwifery as a strong independent body in LMIC is discussed.


Corresponding author: Sunethra Jayathilake, University of Sri Jayewardenepura, Nugegoda, 10100, Sri Lanka, E-mail:

Acknowledgments

Academic staff of Midwifery Programme, Lund University, Sweden. Ms. Kumari Jayasundara, Senior tutor, National Nurses’ Training School, Sri Jayewardenepura.

  1. Research funding: World Class University Project (WCUP), University of Sri Jayewardenepura (Grant No-Ph.D./13/2012)

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: Ethical approval for the main study was obtained from Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayewardenepura. This is a small part of the main study.

References

Adegoke, A. A., Mani, S., Abubakar, A., & Van Den Broek, N. (2013). Capacity building of skilled birth attendants: A review of pre-service education curricula. Midwifery, 29(7), e64–e72. https://doi.org/10.1016/j.midw.2012.08.009.Search in Google Scholar PubMed

Bahri, N., Tabatabaeichehr, M., & Latifnejad Roudsari, R. (2018). Comparative assessment of Iranian midwifery education curriculum against ICM global standards for midwifery education. Future of Medical Education Journal, 8(4), 25–30.Search in Google Scholar

Berg, M. (2005). A midwifery model of care for childbearing women at high risk: Genuine caring in caring for the genuine. The Journal of Perinatal Education, 14(1), 9–21. https://doi.org/10.1624/105812405x23577.Search in Google Scholar PubMed PubMed Central

Bogren, M. U., Teijlingen, E. V., & Berg, M. (2013). Where midwives are not yet recognized: A feasibility study of professional midwives in Nepal. Midwifery, 29(10), 1103–1109. https://doi.org/10.1016/j.midw.2013.07.019.Search in Google Scholar PubMed

Hiratsuka, S. (2010). Legal and systemic issues regarding the role of nurse-midwives for sound maternity healthcare in Japan. Journal of Philosophy and Ethics in Health Care and Medicine, 4, 38–54.Search in Google Scholar

International Confederation of Midwives (ICM). (2012). International confederat ion of midwives’ model curriculum outlines for professional midwifery education. http://www.internationalmidwives.org/assets/uploads/documents/Model%20Curriculum%20Outlines%20for%20Professional%20Midwifery%20Education/ICM%20Resource%20Packet%202%20Model%20Curriculum%20Outline%20NEW.pdf (accessed June 25, 2016).Search in Google Scholar

International Confederation of Midwives (ICM). (2013). Essential competencies for basic midwifery practice (2010). Amended 2013. ICM. http://internationalmidwives.org/assets/uploads/documents/CoreDocuments/ICM%20Essential%20Competencies%20for%20Basic%20Midwifery%20Practice%202010,%20revised%202013.pdf (accessed June 25, 2016).Search in Google Scholar

Japanese Nursing Association. (2015). Midwifery in Japan. http://www.nurse.or.jp/jna/english/ (accessed June 25, 2016).Search in Google Scholar

Jayathilake, S., Jayasuriya-Illesinghe, V., Perera, R., Molligoda, H., & Samarasinghe, K. (2016). “Competent, but not allowed to blossom”: Midwifery-trained registered nurses’ perceptions of their service: A qualitative study in Sri Lanka. Journal of Asian Midwives, 3(2), 39–54Search in Google Scholar

Jayathilake, S., Jayasuriya-Illesinghe, V., Samarasinghe, K., Molligoda, H., & Perera, R. (2021). Midwifery trained registered nurses’ perceptions of their role in the labor unit. Journal of Holistic Nursing and Midwifery, 31(3), 175–183. https://doi.org/10.32598/jhnm.31.3.2078.Search in Google Scholar

Lee, K. H. (2006). Nurse-midwifery education through graduate programs to provide a sufficient number of high quality nurse-midwives. Journal of Educational Evaluation for Health Professions, 3, 5. https://doi.org/10.3352/jeehp.2006.3.5.Search in Google Scholar PubMed PubMed Central

Lukasse, M., & Pajalic, Z. (2016). Norwegian midwives’ perceptions of empowerment. Sexual & Reproductive Healthcare, 7, 58–64. https://doi.org/10.1016/j.srhc.2015.11.010.Search in Google Scholar PubMed

Lund University. (2008). Midwifery programme. Programme syllabus 2008. Board of the Faculty of Medicine, Lund University.Search in Google Scholar

Ministry of Health. (2015). Six months midwifery training for nursing officers – 2015. Education, Training and Research Unit, Ministry of Health & Indigenous Medicine. http://www.health.gov.lk/enWeb/training/2015%20Midw.pdf.Search in Google Scholar

Morin, K. H., & Yan, J. (2007). Developing global standards for initial nursing and midwifery education. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36(3), 201–202. https://doi.org/10.1111/j.1552-6909.2007.00139.x Search in Google Scholar PubMed

Okereke, E., Suleiman, I., & Jibril, A. (2019). Strengthening Bauchi State College of nursing and midwifery by updating its training curricula. In Procedure manuals and student handbooks. Population Council. https://knowledgecommons.popcouncil.org/cgi/viewcontent.cgi?article=1561&context=departments_sbsr-rh 10.31899/rh6.1029Search in Google Scholar

Post Basic College of Nursing. (n.d). Course in midwifery. Post Basic College of Nursing.Search in Google Scholar

Rooks, J. P. (2016). Relationships between CNMs and CMs and other midwives, nurses, and physicians. Jones and Bartlett Publishers.Search in Google Scholar

Senanayake, H., Goonewardene, M., Ranatunga, A., Hattotuwa, R., Amarasekera, S., & Amarasinghe, I. (2011). Achieving millennium development goals 4 and 5 in Sri Lanka. BJOG: An International Journal of Obstetrics and Gynaecology, 118, 78–87. https://doi.org/10.1111/j.1471-0528.2011.03115.x.Search in Google Scholar PubMed

Seneviratne, H. R. (2004). De Soysa Hospital for women: 125 years service to the nation. http://www.rootsweb.ancestry.com/∼lkawgw/desoysah.htm (accessed February 12, 2016).Search in Google Scholar

Sharma, B., Johansson, E., Prakasamma, M., Mavalankar, D., & Christensson, K. (2013). Midwifery scope of practice among staff nurses: A grounded theory study in Gujarat, India. Midwifery, 29(6), 628–636. https://doi.org/10.1016/j.midw.2012.05.008.Search in Google Scholar PubMed

Sharma, B., & Mavalankar, D. (2012). Health policy processes in Gujarat: A case study of the policy for independent nurse practitioners in midwifery.Search in Google Scholar

Smith, A. H. K., Dixon, A. L., & Page, L. A. (2009). Health-care professionals’ views about safety in maternity services: A qualitative study. Midwifery, 25(1), 21–31. https://doi.org/10.1016/j.midw.2008.11.004.Search in Google Scholar PubMed

Trinity College Dublin University. (2017). Higher diploma in midwifery. http://nursing-midwifery.tcd.ie/postgraduate/higher-diploma/midwifery/ (accessed February 28, 2017).Search in Google Scholar

Uragoda, C. G. (1987). A history of medicine in Sri Lanka. Sri Lanka Medical Association.Search in Google Scholar

Vidyasagara, N. W. (2003). Maternal mortality reduction in Sri Lanka. World Health Organization.Search in Google Scholar

WHO. (2019). Strengthening quality midwifery education for universal health coverage 2030: Framework for action. file:///D:/user/Desktop/PERSONAL%20july%202020/8th%20Abstract/7th%20abstract/3rd%20Article/9789241515849-eng%20(1).pdf.Search in Google Scholar

World Health Organization. (2019). WHO Europe midwifery curriculum for qualified nurses. WHO Europe. http://www.euro.who.int/__data/assets/pdf_file/0019/102268/e81557.pdf (accessed February 22, 2016).Search in Google Scholar

Received: 2021-01-13
Accepted: 2022-09-28
Published Online: 2023-05-25

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