Sunday, September 12, 2010

What can we do to support midwifery education in developing countries?

I know I cannot make sweeping statements in midwifery education in developing countries after just two weeks in Karachi, but I have come away with two main thoughts about what we can do in Western countries to support our midwifery sisters.


Curriculum development
One of the main problems that Rafat and her team (of one) has is lack of time. She is so busy with dealing with day-to-day operational issues both on a local and national level that she has very little time to sit down and go through all the detailed processes that are involved with curriculum development. And when she does get around to dealing with issues such as developing new programs, she 'wastes' so much time re-inventing the wheel...

Sharing resources
What I would like to see us in Western countries do is share our resources such as curriculum and course outlines. I am not talking about Pakistan replicating our programs but rather being able to take our ideas and processes, and adjusting them to fit the Pakistan context.

I am NOT saying that developing countries should base their programs on what we do in the Western world. But there are elements of all midwifery programs that are generic, so lets help each other as much as we can by sharing these elements.


Mentoring
The second thing I think we need to do is to mentor our colleagues....both in terms of program development and academic scholarship. This needs to include acting as an intermediary or advocate, editor or co-author on papers for publication (especially when English is not the midiwfe's first language), sounding board for curriculum development, research adviser and so on.

Publication
It is vital for midwifery academics to get their research published so the world has a better understanding of their work. Unfortunately, all the "credible" academic midwifery journals are English and based in the UK, USA or Australia. So it can be very difficult for midwives in developing countries because English is not their first language, and they just do not have the time to focus on writing. If nothing else, offering editorial support is one thing you can do.

I am also thinking about how we should support midwifery journals that are based in developing countries...we need to lift these journals so they have an academic equality with Western journals. One way we can do this is by publishing our own work in these journals, not just the journals that give us the most 'brownie points'. I will have a look at what journals are available, and write about them in a future post.

What other things do you think we can do to support midwifery education in developing countries?

6 comments:

Wendy said...

I would love to provide editorial support to midwives in this way. How would one go about connecting those who need help with those offering support?

Sarah Stewart said...

That's a good question, Wendy. For the moment, hang fire...I know the midwives in Pakistan will be looking for support in the next wee while so I'll get back to you when I have definite news and put you in touch with those concerned.

Thank you very much :)

Rebecca Evia said...

Iam an academic from Papua New Guinea teaching in Midwifery and Nursing programs at a university. I am long overdue for phD studies due to lack of availability of scholarship to do my PhD Any assistance?

Sarah Stewart said...

What assistance do you need? Why not have a talk with Carolyn Hastie...she is an Australian academic currently working in PNG...she'll have lots of contacts in Australia: http://thinkbirth.blogspot.com/p/contact.html

Ngala Elvis Mbiydzenyuy said...

What a laudable initiative. I am sure the developing countries you have in mind are not just circulating around Pakistan or Asia. Please consider the nongeographical definition. My school has taken it stronghold in the sector of midwifery education as well as maternal and child health research. We have generated alot of academic and clinical research, which we will want to let the scientific world know. To support this initiative I think we should first start by academic and research collaboration, staff exchange programs etc. By so doing, we will build fundamental bridges that get us right from the very traditional to modern midwifery practice. You may want to get us through bfra@istcameroon.org

Sarah Stewart said...

Hello Ngala

You are absolutely right. The more we all collaborate across the world, the better it will be for all of us. And I do believe open access is the key to international collaboration and access to research etc. Do let me know if there is anything I can do to help.

The first thing I can tell you about is the Virtual International Day of the Midwife which is a 24 hour free online conference which everyone is invited to - all you need is a computer and decent internet access. Here is the full information: http://internationaldayofthemidwife.wikispaces.com

Please get in touch if there is anything else you wish to know. best wishes, Sarah