MIDWIVES Saving Lives

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@ivansomlai8346 3 жыл бұрын

Where I noted in my previous comment “Dr.” I had meant to write “MD”. To further elaborate about midwifery training: Nepal used to have a midwifery course built into all nursing programmes. Even the original ANM programme used to have strong components of midwifery and included about a dozen deliveries by the ANM students during their programme. With the passing of time, the course content lapsed certificates were distributed in the name of training minus the formerly strong practicum and hospital duties. Nursing students in most cases nowadays do not have night duties and their teachers are too shy to wear nursing caps which used to indicate their rank and be a symbol of discipline. In the WHO-supported Sudeni training, ANMs were confident in performing even episiotomy in emergencies. As knowledge and skill levels increased, I think midwifery became more sophisticated. In 1973, a new education system came into force and various institutes, including the IOM were built. Alongside came the refined curriculum, including generic nursing certificates. With the demand for enhanced midwifery, IOM introduced the undergrad BN in midwifery. Still, a debate remained whether Nepal needed a pure Midwifery course or just refinement of existing provisions. So in any event, to claim an absolute novelty in this GIZ-funded initiative is somewhat disingenuous. Is the quest for funding dependent on unresearched backgrounds of preliminary efforts?

@ivansomlai8346 3 жыл бұрын

If I recall, the UMN initiated midwifery training in 1973. Sudeni training continued for many years. Not considering Sudeni is like not accepting MBBS because Dr. is higher rank with more training.