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Do the pre-service education programmes for midwives in India prepare confident 'registered midwives'?: A survey from India
Karolinska Inst, Dept Womens & Childrens Hlth, Solna, Sweden.;Indian Inst Management, Ctr Management Hlth Serv, Ahmadabad 380015, Gujarat, India..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. Karolinska Inst, Dept Womens & Childrens Hlth, Solna, Sweden.;Mid Sweden Univ, Dept Nursing, Sundsvall, Sweden..
Karolinska Inst, Global Hlth, Solna, Sweden..
Acad Nursing Studies & Womens Empowerment Res, Hyderabad, Andhra Pradesh, India..
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2015 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, 29553Article in journal (Refereed) PublishedText
Abstract [en]

Objective: The graduates of the diploma and degree programmes of nursing and midwifery in India are considered skilled birth attendants (SBAs). This paper aimed to assess the confidence of final-year students from pre-service education programmes (diploma and bachelor's) in selected midwifery skills from the list of midwifery competencies of the International Confederation of Midwives (ICM). Design: A cross-sectional survey was conducted in Gujarat, India, involving 633 final-year students from 25 educational institutions (private or government), randomly selected, stratified by the type of programme (diploma and bachelor's). Students assessed their confidence on a four-point scale, in four midwifery competency domains - antepartum, intrapartum, postpartum, and newborn care. Explorative factor analysis was used to reduce skill statements into separate subscales for each domain. Results: Overall, 25-40% of students scored above the 75th percentile and 38-50% below the 50th percentile of confidence in all subscales for antepartum, intrapartum, postpartum, and newborn care. The majority had not attended the required number of births prescribed by the Indian Nursing Council. Conclusions: The pre-service education offered in the diploma and bachelor's programmes in Gujarat does not prepare confident SBAs, as measured on selected midwifery competencies of the ICM. One of the underlying reasons was less clinical experience during their education. The duration, content, and pedagogy of midwifery education within the integrated programmes need to be reviewed.

Place, publisher, year, edition, pages
2015. Vol. 8, 29553
Keyword [en]
midwifery skills, confidence, nurses, India
National Category
Obstetrics, Gynecology and Reproductive Medicine Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:uu:diva-274372DOI: 10.3402/gha.v8.29553ISI: 000366522200001OAI: diva2:896322
Sida - Swedish International Development Cooperation Agency
Available from: 2016-01-21 Created: 2016-01-21 Last updated: 2016-01-21Bibliographically approved

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Hildingsson, Ingegerd
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