An audit review of midwifery qualifications and distribution in Zambia

Abstract

Background In Zambia, the last decade has seen the development of multiple midwifery qualification, including direct-entry midwifery, an advanced diploma in nursing and midwifery, or a Bachelor of Science, Master of Science or Doctor of Philosophy in midwifery programme. Despite advancements in midwifery training, there is no research on different categories of midwifery qualifications in Zambia and their competencies. Therefore, there is a need to review midwifery qualifications and the distribution of midwives in Zambia. The aim of this audit review was to evaluate qualification categories of midwives currently registered with the General Nursing and Midwifery Council of Zambia and the distribution of midwives across Zambia. Methods An audit review of midwifery qualifications and their distribution across Zambia was undertaken using the General Nursing and Midwifery Council of Zambia's register of nurses and midwives 2020. Data were extracted from the report and presented as frequencies. Results A total of 6112 midwives were registered by the General Nursing and Midwifery Council of Zambia at the time of data collection, of which the majority (87.6%) were women and registered nurse midwives (52.7%). The most common place of practice was a hospital (41.5%) and the greatest proportion of midwives worked in Lusaka (24.6%). Conclusions This audit review provides insights into midwifery qualification categories in Zambia and their distribution, and indicates that levels of practice should be clearly defined in terms of their competencies. With advancements in midwifery training, the authors believe there will be an increase in midwives' autonomy and their involvement in decision making at all levels of care.