Scaling-up Nursing and Midwifery Capacity to Contribute to the Millennium Development Goals




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Key Deliverables for 2008 - 2009

The following are key deliverables for the period 2008-2009.


  1. Six countries from across six regions participate in the implementation of the GPW for strengthening capacity of nursing and midwifery to contribute to the achievement of the MDGS.

  2. A global Network for strengthening N&M drawn from all WHO regions, working in partnership with policy makers, academic institutions, professional associations, regulatory bodies and other stakeholders .

  3. Finalized Global standards for N&M education based on consultations in all regions of WHO and field experiences of partners

  4. Virtual bank of HRH and educational resources accessible to 6 participating countries(trailblazer) and partners

  5. Compendium of successful PHC models from all WHO regions widely disseminated to Member States and partners

  6. Framework on inter professional education and collaborative practice finalized

  7. Updated PHC curriculum and practice

  8. Programmes on positive workplace environment accessible via HRH Department Website and field tested in selected countries

  9. Evaluation reports on implementation of the ILO Convection 149 and Recommendation 157

  10. Fact sheets on workforce resilience developed

  11. Actionable data from tracer studies on health professions particularly nurses and midwives and PHC published

  12. Mapping of talent for PHC and key areas of interventions

  13. Access to existing leadership and management training programs

  14. Database of nursing and midwifery partners and resource mobilization group established

  15. Joint proposal on strengthening nursing and midwifery global, regional or country level funded



8. PLAN OF ACTION 2008-2009

Plan of actions on each of the core elements follows in the subsequent tables. The activities in the plan of action reflect what is achievable during 2008-2009.

EDUCATION AND TRAINING


Preparing the workforce towards attainment of the MDG’s represents one of the most important challenges and opportunities for the health systems (WHR 2006). As plans on scaling up production of health workers are formulated and implemented, it will be critical that all educational programs leading to enrolment or registration as a nurse or midwife are of good quality. Quality is dependent upon the availability of appropriate resources and infrastructure. It is also dependent upon programmes that prepare students to achieve global standards for nursing and midwifery practice in PHC. In order to achieve this there needs to be sufficient numbers of competent nurse educators

In most countries in the developing world investment in nursing and midwifery education has been reduced as evidenced by closure of many schools and a reduction in the number of posts for nurse and midwifery educators. Those schools that have remained open have been under resourced with very limited library facilities, information technology and learning and teaching materials. It has been observed that nursing and midwifery programmes vary in scope and depth so they do not meet Global Standards and therefore have in many instances failed to support the strengthening of health systems and utilization of PHC principles.


Educators of nurses and midwives are limited in number and expertise and are leaving the profession for a number o reasons including lack of flexible training opportunities, insufficient mentoring and career development and mobility, heavy administrative loads and large classes.

One solution to this problem is to encourage clinical nurses to accept teaching and mentoring responsibilities as part of their role. This short term solution when complemented by competent educators and effective academic leadership will be the foundation for transformational change in nursing and midwifery education which will lead to a sustainable workforce in the future.


The main goal of this aspect of the programme of work is to ensure availability of adequate competent educators to prepare competent nurses and midwives to work in PHC. This work plan will focus on;


  1. Regional mechanisms to support educational institutions in the delivery of quality nursing and midwifery programmes

  2. Capacity of nursing and midwifery educators to increase the numbers of nurses and midwives in order to meet the needs of the population

  3. The quality of nursing and midwifery education programmes that will meet global standards

ACTION PLAN: EDUCATION AND TRAINING

This core element will address issues of nursing and midwifery workforce shortage through faculty development, guidelines for accreditation of education institutions, supportive mechanisms such as information technology to ensure access to quality health care.

Table 1: Education and training.



objective

activity

Target Date

indicator

expected results

  1. To develop Regional mechanisms to support educational institutions in the development of quality nursing and midwifery programmes




Identify the capacity of existing WHOCC’s and mobilize the necessary resources in order that they can respond to the needs of training institutions


Develop a global, virtually accessible bank of educational resources to support N&M educators for better delivery of quality N&M programmes


Develop CoP of nursing and midwifery Educators to share information regarding best practices in various regions through virtual meetings

Dec 2008


Dec 2008


An identified WHOCC in each region with a minimum of three institutions per region receiving support.


An established infrastructure to support access to a virtual bank of educational resources


An established virtual platform for networking and knowledge exchange among training institutions

Three institutions in each region actively utilizing the resources and support available


  1. To develop the capacity of N&M Educators to increase the numbers of nurses and midwives in order to meet the needs of the population




Providing a framework and core competencies for continuous professional development programmes for N&M Educators, preceptors, Deans and Principals of N&M educational institutions


Facilitating the delivery of Continuous Professional Development (CPD) programmes through a range of mechanisms including workshops, seminars, work based learning, virtual learning etc.


Assisting institutions in the development of strategies to increase the numbers of nurse and midwifery educators


Jan. 2009


March 2008




December 2008

Core competencies for nurse educators including preceptors, deans and principals published.


Each identified institution has undergone a programme of education


The development of institutional plan and strategies for production of adequate numbers of competent nurses and midwives.


An increase in the number of educators and clinical preceptors / mentors by 50%


Increased efforts to scaling up the development of nurses and midwives through the availability of more, and better qualified nursing and midwifery Educators.

  1. To improve the quality of nursing and midwifery education programmes that will meet global standards

Dissemination of Global standards on nursing and midwifery education for PHC.


Provide support to countries to implement the Global Standards on nursing and midwifery education


Develop common mechanisms for evaluating compliance and approval of programs by academic or nursing and midwifery professional regulatory bodies based on global standards and region/country specific requirements and expectations


December 2008


July 2009


Dec 2009


Global Standards on nursing and midwifery education disseminated to all Member States


6 partner institutions providing support in at

least 50% of identified countries by Dec 2009


Common guidelines for academic accreditation and program approval developed and shared with regions


Improvement in nursing and midwifery programmes in line with Global standards, leading to the development of more competent nursing and midwifery workforce for PHC.

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