Abstract

The needs assessment explored the Zimbabwe Confederation of Midwives’ (ZICOM) current status, strengths and challenges leading to agreed priorities for improving ZICOM's capacity to transform itself into a vibrant professional body. Sixty-three midwives participated in the focus group discussions (FGDs). ZICOM's documents were reviewed and provided additional valuable information. ZICOM's needs included capacity building in leadership to run the confederation as a professional association; strengthening its national structures to raise its profile; capacity building in strategic planning process and action plans; formulating polices, regulatory systems, and professional standards of practice; lobbying and advocacy; and developing communication, accounting and documentation systems. Midwives perceived themselves as independent practitioners with interdependent and dependent roles and that their work was not valued. They encounter challenges in midwifery education, practice, research, leadership and management because of acute shortages of resources in the work environment.

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