Abstract
The Swedish care model MIDWIZE defined as midwife-led interdisciplinary care and zero separation between mother and newborn, was implemented in 2020–21 in Ethiopia, Kenya, Malawi, and Somalia in a capacity building programme funded by the Swedish Institute. ObjectiveTo determine the feasibility of using an internet-based capacity building programme contributing to effective midwifery practices in the labour rooms through implementation of dynamic birthing positions, delayed umbilical cord clamping and skin-to-skin care of newborns in the immediate postnatal period. MethodsThe design is inspired by process evaluation. Focus group discussions with policy leaders, academicians, and clinicians who participated in the capacity building programme were carried out. Before and after the intervention, the numbers for dynamic birthing positions, delayed umbilical cord clamping and skin-to-skin care of the newborn in the immediate postnatal period were detected. ResultsParticipants believed the internet-based programme was appropriate for their countries’ contexts based on their need for improved leadership and collaboration, the need for strengthened human resources, and the vast need for improved outcomes of maternal and newborn health. ConclusionThe findings provide insight into the feasibility to expand similar online capacity building programmes in collaboration with onsite policy leaders, academicians, and clinicians in sub-Saharan African countries with an agenda for improvements in maternal and child health.
Highlights
Worldwide, two-thirds of maternal and neonatal deaths and still births can be averted if midwives provide care when integrated into health systems, working in multidisciplinary teams [1]
We aimed to determine the feasibility of the internet-based capacity building pro gramme contributing to effective midwifery practices in the labour rooms through implementation of the effective midwifery practice components: dynamic birthing positions, delayed umbilical cord
This paper presents experiences from a capacity building programme for leaders at policy level, in academia and at clinical level, and the implementation of effective midwifery practices in Ethiopia, Kenya, Malawi, and Somalia
Summary
Two-thirds of maternal and neonatal deaths and still births can be averted if midwives provide care when integrated into health systems, working in multidisciplinary teams [1]. A midwife’s care includes dynamic birthing posi tions, delayed umbilical cord clamping, and immediate skin-to-skin contact [2]. The midwife is supporting the woman with dynamic birthing positions, delayed umbilical cord clamping and immediate skin-to-skin contact between the newborn and the mother after birth. Our point of departure is that quality maternity care can be achieved via instituting multidisciplinary teamwork within obstetric care, thereby up-grading nursing and family importance in newborn care, which is in line with the recently released State of the World’s Midwifery report 2021 [5]. Midwifery leaders in Sweden constructed and delivered an internet-based capacity building programme based off of the MIDWIZE care model with leaders in Ethiopia, Kenya, Malawi, and Somalia [7]
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