Kubota Shogo, Ando Moe, Khambounheuang Sengmany, Theppanya Khampasong, Nanthavong Phouvanh, Tengbriacheu Chankham, Sisavanh Malouny, Khattiyod Thongchan, Asai Daisuke, Murray John, Sobel Howard
WHO Laos, Vientiane, Lao PDR.
Department of Health Personnel, Ministry of Health, Vientiane, Lao PDR.
Lancet Reg Health West Pac. 2023 Dec 5;43:100959. doi: 10.1016/j.lanwpc.2023.100959. eCollection 2024 Feb.
Ensuring midwives deliver quality essential services requires systematic and timely updates to midwifery education based on constantly evolving global evidence and local needs. However, midwifery curricula are often not updated to incorporate new evidence, consistent with national standards. This study supported the Ministry of Health of Lao People's Democratic Republic to identify gaps in the midwifery competency framework and training packages.
Stakeholder consultations and a document review were conducted to define a core package of RMNCAH interventions and care tasks that midwives should provide based on the national Essential Health Service Package (EHSP). Nationally defined midwifery competencies, the higher diploma midwifery curriculum, and in-service training packages were mapped against required interventions and care tasks. Data were used to revise midwifery education standards.
Midwives were expected to provide 47 RMNCAH interventions based on the EHSP. At baseline, 7 (14.9%), 11 (23.4%) and 35 (74.5%) of the 47 interventions were included in the midwifery competency, higher diploma in midwifery curriculum, and in-service training materials, respectively. After revision, the midwifery competency framework included 42 of 47 interventions (89.4%). The data are currently being used to review and update the national midwifery pre-service diploma curriculum.
This analysis enabled the Ministry to identify RMNCAH content gaps in national midwifery education standards and align them with the EHSP. Regular use of a quantitative approach to review educational content is essential to ensure standards are consistent with changing evidence. The approach has potential application to other service areas, cadres, and countries.
Korea Foundation for International Healthcare (KOFIH) supported research operation.
要确保助产士提供高质量的基本服务，就需要根据不断发展的全球证据和当地需求，对助产士教育进行系统且及时的更新。然而，助产士课程往往未进行更新以纳入新证据，也不符合国家标准。本研究支持老挝人民民主共和国卫生部确定助产士能力框架和培训包中的差距。
开展利益相关方协商和文件审查，以确定基于国家基本卫生服务包（EHSP）助产士应提供的一整套核心的妇幼保健和营养干预措施及护理任务。将国家定义的助产士能力、高级助产士文凭课程和在职培训包与所需的干预措施及护理任务进行比对。利用这些数据修订助产士教育标准。
根据EHSP，预计助产士要提供47项妇幼保健和营养干预措施。在基线时，47项干预措施中分别有7项（14.9%）、11项（23.4%）和35项（74.5%）纳入了助产士能力、高级助产士文凭课程及在职培训材料中。修订后，助产士能力框架纳入了47项干预措施中的42项（89.4%）。目前这些数据正用于审查和更新国家助产士职前文凭课程。
该分析使卫生部能够确定国家助产士教育标准中妇幼保健和营养方面的内容差距，并使其与EHSP保持一致。定期采用定量方法审查教育内容对于确保标准与不断变化的证据相一致至关重要。该方法在其他服务领域、人员队伍和国家具有潜在应用价值。
韩国国际医疗保健基金会（KOFIH）支持研究运作。
