Midwifery Research and Education Unit, Hannover Medical School, Hannover, Germany.
Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.
BMJ Open. 2021 Mar 24;11(3):e047118. doi: 10.1136/bmjopen-2020-047118.
Maternal and neonatal mortality are disproportionally high in low-and middle-income countries. In 2017 the global maternal mortality ratio was estimated to be 211 per 100 000 live births. An estimated 66% of these deaths occurred in sub-Saharan Africa. Training programmes that aim to prepare providers of midwifery care vary considerably across sub-Saharan Africa in terms of length, content and quality. To overcome the shortfalls of pre-service training and support the provision of quality care, in-service training packages for providers of midwifery care have been developed and implemented in many countries in sub-Saharan Africa. We aim to identify what in-service education and training materials have been used for providers of midwifery care between 2000 and 2020 and map their content to the International Confederation of Midwives' Essential Competencies for Midwifery Practice (ICM Competencies), and the Lancet Midwifery Series Quality Maternal and Newborn Care (QMNC) framework.
A search will be conducted for the years 2000-2020 in Cumulative Index of Nursing and Allied Health Literature, PubMed/MEDLINE, Social Sciences Citation Index, African Index Medicus and Google Scholar. A manual search of reference lists from identified studies and a hand search of literature from international partner organisations will be performed. Information retrieved will include study context, providers trained, focus of training and design of training. Original content of identified education and training materials will be obtained and mapped to the ICM Competencies and the Lancet Series QMNC.
A scoping review is a secondary analysis of published literature and does not require ethical approval. This scoping review will give an overview of the education and training materials used for in-service training for providers of midwifery care in sub-Saharan Africa. Mapping the content of these education and training materials to the ICM Competencies and The Lancet Series QMNC will allow us to assess their appropriateness. Findings from the review will be reflected to stakeholders involved in the design and implementation of such materials. Additionally, findings will be published in a peer-reviewed journal, and used to inform the design and content of an in-service training package for providers of midwifery care as part of the Action Leveraging Evidence to Reduce perinatal morTality and morbidity (ALERT) study, (https://alert.ki.se/) a multi-country study in Benin, Malawi, Tanzania and Uganda.
PACTR202006793783148; Post-results.
在中低收入国家，孕产妇和新生儿死亡率过高。2017 年全球孕产妇死亡率估计为每 10 万活产儿 211 例。这些死亡中有 66%发生在撒哈拉以南非洲。旨在培养助产护理提供者的培训计划在长度、内容和质量方面在撒哈拉以南非洲差异很大。为了克服岗前培训的不足并支持提供优质护理，许多撒哈拉以南非洲国家都制定并实施了针对助产护理提供者的在职培训包。我们旨在确定 2000 年至 2020 年期间为助产护理提供者使用了哪些在职教育和培训材料，并将其内容映射到国际助产士联合会的助产实践基本能力（ICM 能力）和柳叶刀助产系列优质母婴保健（QMNC）框架。
将在 2000-2020 年期间对 Cumulative Index of Nursing and Allied Health Literature、PubMed/MEDLINE、Social Sciences Citation Index、African Index Medicus 和 Google Scholar 进行搜索。将对已确定研究的参考文献列表进行手动搜索，并对手头的国际伙伴组织的文献进行手工搜索。检索到的信息将包括研究背景、培训人员、培训重点和培训设计。将获得并将确定的教育和培训材料的原始内容映射到 ICM 能力和柳叶刀系列 QMNC。
范围审查是对已发表文献的二次分析，不需要伦理批准。这项范围审查将概述撒哈拉以南非洲地区为助产护理提供者提供的在职培训教育和培训材料。将这些教育和培训材料的内容映射到 ICM 能力和柳叶刀系列 QMNC 将使我们能够评估其适当性。审查结果将反映给参与此类材料设计和实施的利益相关者。此外，研究结果将发表在同行评议的期刊上，并用于为作为多国家研究的一部分的提供助产护理提供者的在职培训包的设计和内容提供信息，该研究是利用证据减少围产期死亡率和发病率的行动（ALERT）研究，（https://alert.ki.se/）该研究在贝宁、马拉维、坦桑尼亚和乌干达进行。
PACTRO202006793783148；Post-results。
