presented by susan. background rationale for introducing cma? successes challenges
TRANSCRIPT
COMMUNITY MIDWIFERY ASSISTANT
TRAINING IN MALAWIPRESENTED BY
SUSAN
PRESENTATION OUTLINE
BACKGROUND
RATIONALE FOR INTRODUCING
CMA?
SUCCESSES
CHALLENGES
BACKGROUND The Millennium Development
Goals 4 and 5 focus on improving maternal and child health.
In Malawi, Shortage and poor retention of midwives is a challenge for achieving these MDGs.
This also contributes to a shortfall in skilled birth attendants.
BACKGROUND One mechanism developed by Malawi government to try to increase skilled attendance at birth, particularly in rural areas, was the introduction of CMA training
(18-month training programme).
BACKGROUND CMA training started as a pilot program in 2011
25 female students enrolled at St. Joseph’s
College of Nursing and Midwifery
23 at St. Lukes College of Nursing and Midwifery
All deployed now
Currently enrolled at St. Joseph, MCHS,
Ekwendeni, st.Johns, Mulanje, Phalombe,
St.Lukes, Nkhoma.
RATIONALE To reduce MMR currently 675/100 000 live birth and neonatal mortality rate 33 per 1000 live births
To increase skilled birth attendants in the rural areas.
RATIONALE
80% of population live in rural
areas
Challenges to access health
services due geographical and
infrastructure problems
RATIONALE Many midwives refuse to work in rural settings
CMA understands community cultural background.
CMAs stay in communities
SUCCESSES CMAs are adding to number of skilled attendants in the communities.
Curriculum revised to incorporate care of emergencies
SUCCESSES Mentorship training for NMTs to mentor CMAs
Support from local organisations.
CHALLENGES No grass root level
infrastructures for CMAs to practice close to their communities.
Retention of CMAs poses a challenge as most of them are young and will get married or want to continue with education.
CHALLENGES Mentors not always available to give the necessary support
Recruitment done at a district level and not at local level.
Curriculum still in draft form.
RECOMMENDATIONS Provision of infrastructures for CMAs to practice in their communities after six months of working with a mentor- this will improve access to skilled attendance at grass root level.
RECOMMENDATIONS Finalise curriculum Revise retention strategy
MALAWI ZIKOMO