Strengthening Nursing and Midwifery Education in Papua New ...
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Strengthening Nursing and Midwifery Education in Papua New Guinea Ms Michele Rumsey, Director, WHO CC UTS, Dr Nina Joseph, Registrar and Ms Mary Kililo, HR Training NDOH PNG WHO Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney Contact: Michele Rumsey, Director WHO CC UTS phone: +61 417933519 email: [email protected] web: www.spcnmoa.com BACKGROUND Skills Logbook Workshop Improvements in midwifery have been ongoing since National Department of Health (NDOH) Maternal and Child Health Taskforce Report (2009). Over this 10 year period many areas have been worked on and yet many challenges still exist. Following the task force the Maternal and Child Health Initiate (MCHI) was established 2011-2015, funded by WHO, DFAT with support from HHISP. WHO Collaborating Centre at the University of Technology, Sydney (WHO CC UTS), won the MCHI tender carrying out research, monitoring and evaluation and institutional support by recruiting fifteen midwives and two obstetricians. The main aim of the MCHI was to contribute to a decrease in maternal mortality rate in PNG through improved quality of essential maternal and newborn health care education. Objectives of the Initiative were: • To improve the standard of midwifery clinical teaching and practice in the five teaching sites, • To improve the quality of obstetrical care in two regions through the provision of clinical mentoring, supervision and teaching 1 . The WHO CC UTS used its integrated 2 approach to run the MCHI project. As outlined in Figure 1, linking education (strengthening educators, faculties improving graduate attributes), regulation (strengthening regulation and standards to protect the public), association (strengthening for midwives support) and governance (working closely with NDOH and supporting the establishment of CNMO). Across PNG 70% of health care is provided by nurses, midwives and community health workers (CHW) 3,4 . An integrated approach must be provided to improve maternal and child health, some examples include: review of nursing and CHW programs 5-7 , Australian Awards scholarships for nursing, midwives and community health workers, the reproductive health training unit (RHTU) 8-10 and a PNG Nursing Council (PNG NC) 11-14 regulation adviser. The new 18 month midwifery program was approved by the National Department of Health (NDOH). The PNG Nursing Council has advised midwifery schools to commence the 18 month program in 2019. The review of the midwifery clinical skills logbooks is for students who will be undertaking the 18 month midwifery program. The 12 month program was phased out at the end of 2018. Thus, review of the skills log book is crucial prior to the implementation of the 18 month program. The new knowledge and skills added to the national midwifery curriculum framework are not included in the old skills log books. Participants Sixteen attended the workshop from across PNG from clinical settings, midwifery schools, a medical practitioner, regulation adviser, NDOH and PNG NC. The workshop was hosted by University of Goroka and Funded by Australian Awards. Workshop Objectives: 1. Review current PNG Nursing Council Midwifery Competence and make amendments if required. 2. Review structure of National Midwifery Curriculum Framework & Implementation Plan (2014) to be able to develop contents of midwifery clinical skills log book. 3. Produce a final draft structure of midwifery clinical skills log book for validation by stakeholders. A program was followed to ensure full participant participation with group discussions and small working groups and feedback sessions. Each day started with a reflection on the previous day’s activities. The workshop created a relaxed open environment to ensure all participants contributed to the discussions. Several frank discussions were initiated on issues of concern including competency development and deficiencies of the old skills log book. Summary and Recommendations Participants agreed it was a good learning experience and extremely helpful to discuss midwifery competences, student attributes, assessments and student issues with educators and clinicians. The new 18 month curriculum covers all new national and international policies and procedures. It was however, considered quite alarming that over half of important and current skills, for example accurate use of partograph, up-to-date contraception methods, PPTC, diabetes and nutrition, are not currently captured in skills log books. All Objectives were met in the workshop, however time was limited to be able to create the whole new skills log book and then review it. Specific Recommendations: It was agreed that these were specific to the workshop objectives: 1. New midwifery competencies will need to be approved by the PNG Nursing Council Board. 2. The National Midwifery Curriculum Framework & Implementation Plan (2014) will be revised with minimum changes to clarify missing areas and will be circulated to all SOM and stakeholders. 3. A second workshop will be required to finish this important work. General Recommendations: It was agreed during workshop discussion that: • Future work would be required for other nursing specialist areas and advanced nursing practice. • The nursing and CHW curriculum review was now well overdue and urgent, especially as midwives are registered nurses before studying midwifery. • Australian Awards will review scholarship support to universities to have money ring-fenced or put in a trust fund to ensure midwifery and nursing programs have access to funds to be able run the programs • The Health Practitioners’ Bill reviewed to be finalised to include continuing professional development requirements. • Ongoing support for PNG NDOH to establish Chief Nursing and Midwifery Officer especially as the position would oversee and advise on 70% of the health workforce. • Ongoing discussions between institutes and NDOH to continue preceptorship programs across PNG. • Need to utilise existing resources and upload information to www.ndoh.pg MCHI, RHTU, NDOH and Regulation carried out reviews, research and extensive monitoring and evaluation over the five year period (2011-2016). Some outcomes include: • Strengthening of regulation processes. 12 • Increase in midwives from 293 – 780. 11,15-17 • Midwives registered for first time in 2014. 12 • RHTU trained 1,600 practitioners from all Provinces providing health workforce support for MCH. 8 • O&G improvements in two regional hospitals. 18 • Supported Midwifery Schools increasing from 4 to 5 . 11,18 Positive Impacts Strengthened and revived the Midwifery Society which is linked to international organisations and has an annual conference and provides continuing midwifery professional development (CPD). 18-20 • Australian Awards scholarships and DFAT diagnostic audit proposed increasing nursing and midwifery enrolments over that 5 year period 2011-2016. • PNG NC audit review showed student enrolments had exceed above projections from 211-705. 11,21 • Accreditation of new and existing nursing institutes were carried out by PNG NC over the last 5 years with an increase from 8-17 institutes. 3,11,13 Challenges • Midwifery entry in PNG is available to registered nurses so the quality of the nurse effects the maternal child health (MCH) in PNG. • There is a 28% shortage of nursing and midwifery educators in PNG 6,7,11,22 with only 50% holding an education qualification, resulting in low quality graduates. • There are very few opportunities for continuing professional development. 23 • Midwifery is a post registration program so does not attract DHERST student funding. • Whilst Australian Awards funds are essential funds, they are not ring- fenced and often go to the university administration, leaving midwifery unit without educators, transport and resources. 1 • Political influence to have a School of Nursing in each province has resulted in a mushrooming of nursing schools from 8-17 without an increase in educators to run them. 11 • Increase in numbers of nursing students is now being achieved however the PNG NC has significant concerns about the quality of graduates from outdated and old curriculums (late 1990’s). 3,8 • PNG is the only country in Pacific without a Chief Nursing and Midwifery Officer. 24,25 • WHO states you need 1 midwife for every 175 births 26 or to cover health outcomes and SDGs 4.5 nurses, midwives and doctors per 1,000 population. 4,25,27 • For every 1,000 births as many as 9 mothers and 24 babies die, WHO and PNG Health Minister 2019 meeting estimates 6000 more skilled birth attendants needed to meet the global standard. Midwifery Curriculum Review A clear outcome of the MCHI M&E was the need to revise the 12 month midwifery curriculum to an 18 month program to improve the quality of midwifery graduates to meet academic standards (diploma to degree), improve clinical skills requirements and update midwifery curriculum to 21st century thinking 18 . This was carried out by developing the National Midwifery Curriculum Framework & Implementation Plan (2014)28 with extensive stakeholder consultation. This Curriculum then followed the national approved processes as outlined in the PNG Nursing Council (PNG NC) Accreditation, Monitoring and Evaluation of Nursing and Midwifery Education Programs (2005) and met both PNG NC and NDOH Health Curriculum Advisory Committee (HCAC) requirements in 2017. References 1. Homer C, Copeland F, Rumsey M. Papua New Guinea Maternal and Child Health Initiative: Monitoring and Evaluation Report. Sydney, Australia . Sydney, Australia: DFAT and World Health Organization, 2012. 2. Rumsey M. Global Health and Nursing. In: Daly J, Speedy S, Jackson D, eds. Contexts of Nursing 5th ed. Australia Elsevier; 2017: 371. 3. Rumsey M, Joesph N. Papua New Guinea Nursing Council 2018 Board Report. NDOH, editor. PNG National Department of Health; 2018. 4. World Health Organization Health Workforce Development in the Pacific: Scoping paper developed for the Pacific Health Minister Meeting 2017 Fiji,: WHO, 2017. 5. Rumsey M, Thiessen J, Sayers J, Kassian C. Scaling-Up Nursing through Global Nursing and Midwifery Faculty Development. Sydney: WHO CC UTS; 2013. 6. Lock L, Ninkama J, Handen B. Department of Foreign Affairs - Community Health Workers School Diagnostic Audit: Final Report. Sydney, Australia: World Health Organization – Western Pacific Region and the University of Technology Sydney, 2013. 7. Rumsey M, Roroi M, Polaiap A. Department of Foreign Affairs - Papua New Guinea Capacity Nursing School Diagnostic Audit: Final Report. Sydney, Australia: World Health Organization – Western Pacific Region and the University of Technology Sydney, 2013. 8. Thiessen J, Rumsey M, Homer C. Papua New Guinea Reproductive Health Training Unit (RHTU): Monitoring and evaluation final report. 2017. http:// dfat.gov.au/about-us/publications/Pages/png-reproductive-health-training-unit-monitoring-evaluation-report.aspx. 9. Thiessen J, Rumsey M, Homer C. RHTU: Report on the Knowledge, Attitude, Practice of EOC and EmOC Participants and Observers. Sydney, Australia: WHO Collaborating Centre for Nursing Midwifery and Health Development, University of Technology, Sydney, 2016. 10. Thiessen J, Rumsey M, Homer C. RHTU Monitoring and Evaluation Final Report 2015. Sydney: WHO Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney, 2016. 11. Rumsey M, Joseph N. Papua New Guinea Nursing Council 2016 Report In: Health NDo, editor. PNG National Department of Health; 2017. 12. Papua New Guinea Nursing Council. PNG Nursing Council Annual Report 2014-2015. Papua New Guinea Papua New Guinea Nursing Council National Department of Health 2015. 13. Rumsey M, Thiessen J. PNG NC National Framework for the Accreditation, Monitoring and Evaluation of Nursing and Midwifery Education Programs - Audit Tool 2014: Papua New Guinea Nursing Council, 2014. 14. Rumsey M, Thiessen J. Papua New Guinea Nursing Council - Schools Of Nursing And Midwifery Audit Checklist. Papua New Guinea Nursing Council, 2014. 15. Moores A, Catling C, West F, et al. What motivates midwifery students to study midwifery in Papua New Guinea, Pacific Journal of Reproductive Health 2016; 1(2): 60-7. 16. Moores A, Puawe P, Buasi N, et al. Continuing Professional Development and Challenges Facing Newly Graduated Midwives in Papua New Guinea. Pacific Journal of Reproductive Health 2016; 1(4): 168-77. 17. Moores A, Puawe P, Buasi N, et al. Education, employment and practice: Midwifery graduates in Papua New Guinea. Midwifery 2016; 41: 22-9. 18. Rumsey M, Neill A, Kililo M, Homer C. PNG Maternal and Child Health Initiative Phase II: Final Report2016. http://dfat.gov.au/about- us/publications/Pages/png-maternal-and-child-health-initiative-phase-2-final-report.aspx (accessed 2018). 19. Dawson A, Kililo M, Geita L, et al. Midwifery capacity building in Papua New Guinea: Key achievements and ways forward. Women and Birth 2016; 29(2): 180-8. 20. Homer C. Improving nursing and midwifery workforce for primary health care in Samoa. Pacific Society for Reproductive Health; 2013. 21. World Bank. PNG Health Workforce Crisis: A call to action. New Hampshire, USA: World Bank, 2011. 22. World Health Organization. World Health Organization and Australia forge new strategic partnership. In: Joint media release of the Australian Government Department of Health and WHO, editor. BRISBANE, Australia, 9 October 2017: World Health Organization, Manila, Philipines; 2017. 23. Rumsey M, Theissen J, Neill A. World Health Organization, Review of Pacific Open Learning Health Net (POLHN),. World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney,, 2017 24. Rumsey M, Neill A. South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) meeting - November 2016 Solomon Islands - Meeting Brief. Sydney, Australia: World Health Organization – Western Pacific Region, 2016. 25. Rumsey M, Neill A. South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) meeting - November 2018 Cook Islands - Meeting Brief. Sydney, Australia: World Health Organization – Western Pacific Region, 2018. 26. Nove A, Homer CS, Pozo-Martin F, Sochas L, ten Hoope-Bender P, Matthews Z. The ‘Dream Team’for sexual, reproductive, maternal, newborn and adolescent health: an adjusted service target model to estimate the ideal mix of health care professionals to cover population need. Human resources for health 2017; 15(1): 46. 27. World Health Organization. Global Strategy on Human Resources for Health Workforce 2030. Geneva, World Health Organization, 2016. 28. Lock L. PNG NC National Midwifery Curriculum Framework & Implementation Plan Sydney, Australia: National Department of Health 2014. PNG Nursing Council and NDOH thanked the sponsors – Australian Awards, Department of Foreign Affairs and Trade (DFAT), WHO and HHISP support. Figure 1 Integrated approach: Rumsey M. Global Health and Nursing. In: Daly J, Speedy S, Jackson D, eds. Contexts of Nursing 5th ed. Australia Elsevier; 2017: 371. Governance Regulation Education Association strengthening health workforce Government task force NDOH Maternal and Child Health Task Force settings road map with many stakeholders WHO CC UTS 10 years in Maternal and Child in Papua New Guinea Regulation Ongoing support policy, process and competence's midwives registered for first time. 2009 2019 Program Ends MCHI Maternal Child Health Initiative WHO & AusAID WHO CC UTS 8 Midwifery Educators 2 O & G #211 MW Small projected started due to funding constraints RHTU Reproductive Health Training Unit (PPP) Established Accreditation Ongoing review of programs for maternal health highlight many challenges Curriculum M &E clearly showed need for review and upgrade of midwifery curriculum from 12-18 months Funding Negotiations Michele Rumsey Director WHO Collaborating Center University of Technology Sydney 2012 2010 2014 monitoring and evaluation, research, capacity building and stakeholder communication improving quality management systems, faculty development, regulation and accreditation, RHTU Trained 1,600 practitioners across PNG EOC, EMOC MCHI Increase from 4- 5 Schools of Midwifery tool of 15 Midwifery educators in country Program Ends 2016 2017 Curriculum Approved by NDOH and Regulation Committees #780 MW 2018 Government WHO task force highlights Maternal and Child Health workforce shortfall by up to 6,000 Curriculum now approved skills log book, competencies stakeholder revision Australian Awards have provided CHW, nursing and midwifery Scholarships assisting Institutes and increase workforce number Urgent - CHW and Nursing Curriculum review and revised MCH programs
Transcript of Strengthening Nursing and Midwifery Education in Papua New ...
Strengthening Nursing and Midwifery Education in Papua New GuineaMs Michele Rumsey, Director, WHO CC UTS, Dr Nina Joseph, Registrar and Ms Mary Kililo, HR Training NDOH PNG
WHO Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney
Contact: Michele Rumsey, Director WHO CC UTS phone: +61 417933519
email: [email protected] web: www.spcnmoa.com
BACKGROUND Skills Logbook Workshop
Improvements in midwifery have been ongoingsince National Department of Health (NDOH)Maternal and Child Health Taskforce Report(2009). Over this 10 year period many areashave been worked on and yet many challengesstill exist. Following the task force the Maternaland Child Health Initiate (MCHI) wasestablished 2011-2015, funded by WHO, DFATwith support from HHISP.
WHO Collaborating Centre at the University ofTechnology, Sydney (WHO CC UTS), won the
MCHI tender carrying out research, monitoring and evaluation andinstitutional support by recruiting fifteen midwives and twoobstetricians. The main aim of the MCHI was to contribute to adecrease in maternal mortality rate in PNG through improvedquality of essential maternal and newborn health care education.Objectives of the Initiative were:• To improve the standard of midwifery clinical teaching andpractice in the five teaching sites,• To improve the quality of obstetrical care in two regions throughthe provision of clinical mentoring, supervision and teaching1.The WHO CC UTS used its integrated2 approach to run the MCHIproject.
As outlined in Figure 1, linking education (strengthening educators,faculties improving graduate attributes), regulation (strengtheningregulation and standards to protect the public), association(strengthening for midwives support) and governance (workingclosely with NDOH and supporting the establishment of CNMO).Across PNG 70% of health care is provided by nurses, midwivesand community health workers (CHW)3,4. An integrated approachmust be provided to improve maternal and child health, someexamples include: review of nursing and CHW programs5-7,Australian Awards scholarships for nursing, midwives andcommunity health workers, the reproductive health training unit(RHTU)8-10 and a PNG Nursing Council (PNG NC)11-14 regulationadviser.
The new 18 month midwifery program was approved bythe National Department of Health (NDOH). The PNGNursing Council has advised midwifery schools tocommence the 18 month program in 2019. The review ofthe midwifery clinical skills logbooks is for students whowill be undertaking the 18 month midwifery program. The12 month program was phased out at the end of 2018.Thus, review of the skills log book is crucial prior to theimplementation of the 18 month program. The newknowledge and skills added to the national midwiferycurriculum framework are not included in the old skills logbooks.
Participants Sixteen attended the workshop from across PNG from clinical settings, midwifery schools, a medical practitioner, regulation adviser, NDOH and PNG NC. The workshop was hosted by University of Goroka and Funded by Australian Awards.
Workshop Objectives:1. Review current PNG Nursing Council Midwifery
Competence and make amendments if required.
2. Review structure of National Midwifery Curriculum Framework &
Implementation Plan (2014) to be able to develop contents of
midwifery clinical skills log book.3. Produce a final draft structure of midwifery clinical
skills log book for validation by stakeholders.
A program was followed to ensure full participant participation with group discussions and small working groups and feedback sessions. Each day started with a reflection on the previous day’s activities. The workshop created a relaxed open environment to ensure all participants contributed to the discussions. Several frank discussions were initiated on issues of concern including competency development and deficiencies of the old skills log book.
Summary and RecommendationsParticipants agreed it was a good learning experience and extremely helpful to discuss midwifery competences, student attributes, assessments and student issues with educators and clinicians. The new 18 month curriculum covers all new national and international policies and procedures. It was however, considered quite alarming that over half of important and current skills, for example accurate use of partograph, up-to-date contraception methods, PPTC, diabetes and nutrition, are not currently captured in skills log books.All Objectives were met in the workshop, however time was limited to be able to create the whole new skills log book and then review it.
Specific Recommendations:It was agreed that these were specific to the workshop objectives:
1. New midwifery competencies will need to be approved by the PNG Nursing Council Board.
2. The National Midwifery Curriculum Framework & Implementation Plan (2014) will be revised with minimum changes to clarify missing areas and will be circulated to all SOM and stakeholders.
3. A second workshop will be required to finish this important work.
General Recommendations:It was agreed during workshop discussion that:• Future work would be required for other nursing specialist areas and advanced nursing practice.• The nursing and CHW curriculum review was now well overdue and urgent, especially as midwives are registered nurses before studying midwifery.• Australian Awards will review scholarship support to universities to have money ring-fenced or put in a trust fund to ensure midwifery and nursing programs have access to funds to be able run the programs• The Health Practitioners’ Bill reviewed to be finalised to include continuing professional development requirements.• Ongoing support for PNG NDOH to establish Chief Nursing and Midwifery Officer especially as the position would oversee and advise on 70% of the health workforce. • Ongoing discussions between institutes and NDOH to continue preceptorship programs across PNG.• Need to utilise existing resources and upload information to www.ndoh.pg
MCHI, RHTU, NDOH and Regulation carried out reviews, research and extensive monitoring and evaluation over the five year period (2011-2016). Some outcomes include: • Strengthening of regulation processes.12
• Increase in midwives from 293 – 780.11,15-17
• Midwives registered for first time in 2014.12
• RHTU trained 1,600 practitioners from all Provinces providing health workforce support for MCH.8
• O&G improvements in two regional hospitals.18
• Supported Midwifery Schools increasing from 4 to 5 .11,18
Positive ImpactsStrengthened and revived the Midwifery Society which is linked to international organisations and has an annual conference and provides continuing midwifery professional development (CPD).18-20
• Australian Awards scholarships and DFAT diagnostic audit proposed increasing nursing and midwifery enrolments over that 5 year period 2011-2016. • PNG NC audit review showed student enrolments had exceed above projections from 211-705.11,21
• Accreditation of new and existing nursing institutes were carried out by PNG NC over the last 5 years with an increase from 8-17 institutes.3,11,13
Challenges• Midwifery entry in PNG is available to registered nurses so the quality of the nurse effects the maternal child health (MCH) in PNG. • There is a 28% shortage of nursing and midwifery educators in PNG6,7,11,22 with only 50% holding an education qualification, resulting in low quality graduates.• There are very few opportunities for continuing professional development.23
• Midwifery is a post registration program so does not attract DHERST student funding. • Whilst Australian Awards funds are essential funds, they are not ring-fenced and often go to the university administration, leaving midwifery unit without educators, transport and resources.
1
• Political influence to have a School of Nursing in each
province has resulted in a mushrooming of nursing schools from 8-17 without an increase in educators to run them.11
• Increase in numbers of nursing students is now being achieved however the PNG NC has significant concerns about the quality of graduates from outdated and old curriculums (late 1990’s).3,8
• PNG is the only country in Pacific without a Chief Nursing and Midwifery Officer.24,25
• WHO states you need 1 midwife for every 175 births26 or to cover health outcomes and SDGs 4.5 nurses, midwives and doctors per 1,000 population.4,25,27
• For every 1,000 births as many as 9 mothers and 24 babies die, WHO and PNG Health Minister 2019 meeting estimates 6000 more skilled birth attendants needed to meet the global standard.
Midwifery Curriculum ReviewA clear outcome of the MCHI M&E was the need to revise the 12 month midwifery curriculum to an 18 month program to improve the quality of midwifery graduates to meet academic standards (diploma to degree), improve clinical skills requirements and update midwifery curriculum to 21st century thinking18. This was carried out by developing the National Midwifery Curriculum Framework & Implementation Plan (2014)28 with extensive stakeholder consultation. This Curriculum then followed the national approved processes as outlined in the PNG Nursing Council (PNG NC) Accreditation, Monitoring and Evaluation of Nursing and Midwifery Education Programs (2005) and met both PNG NC and NDOH Health Curriculum Advisory Committee (HCAC) requirements in 2017.
References1. Homer C, Copeland F, Rumsey M. Papua New Guinea Maternal and Child Health Initiative: Monitoring and Evaluation Report. Sydney, Australia . Sydney, Australia: DFAT and World Health Organization, 2012.2. Rumsey M. Global Health and Nursing. In: Daly J, Speedy S, Jackson D, eds. Contexts of Nursing 5th ed. Australia Elsevier; 2017: 371.
3. Rumsey M, Joesph N. Papua New Guinea Nursing Council 2018 Board Report. NDOH, editor. PNG National Department of Health; 2018.
4. World Health Organization Health Workforce Development in the Pacific: Scoping paper developed for the Pacific Health Minister Meeting 2017 Fiji,: WHO, 2017.5. Rumsey M, Thiessen J, Sayers J, Kassian C. Scaling-Up Nursing through Global Nursing and Midwifery Faculty Development. Sydney: WHO CC UTS; 2013.6. Lock L, Ninkama J, Handen B. Department of Foreign Affairs - Community Health Workers School Diagnostic Audit: Final Report. Sydney, Australia: World Health Organization – Western Pacific Region and the University of Technology Sydney, 2013.7. Rumsey M, Roroi M, Polaiap A. Department of Foreign Affairs - Papua New Guinea Capacity Nursing School Diagnostic Audit: Final Report. Sydney, Australia: World Health Organization – Western Pacific Region and the University of Technology Sydney, 2013.8. Thiessen J, Rumsey M, Homer C. Papua New Guinea Reproductive Health Training Unit (RHTU): Monitoring and evaluation final report. 2017. http://dfat.gov.au/about-us/publications/Pages/png-reproductive-health-training-unit-monitoring-evaluation-report.aspx.
9. Thiessen J, Rumsey M, Homer C. RHTU: Report on the Knowledge, Attitude, Practice of EOC and EmOC Participants and Observers. Sydney, Australia: WHO Collaborating Centre for Nursing Midwifery and Health Development, University of Technology, Sydney, 2016.
10. Thiessen J, Rumsey M, Homer C. RHTU Monitoring and Evaluation Final Report 2015. Sydney: WHO Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney, 2016.11. Rumsey M, Joseph N. Papua New Guinea Nursing Council 2016 Report In: Health NDo, editor. PNG National Department of Health; 2017.
12. Papua New Guinea Nursing Council. PNG Nursing Council Annual Report 2014-2015. Papua New Guinea Papua New Guinea Nursing CouncilNational Department of Health 2015.13. Rumsey M, Thiessen J. PNG NC National Framework for the Accreditation, Monitoring and Evaluation of Nursing and Midwifery Education Programs -Audit Tool 2014: Papua New Guinea Nursing Council, 2014.14. Rumsey M, Thiessen J. Papua New Guinea Nursing Council - Schools Of Nursing And Midwifery Audit Checklist. Papua New Guinea Nursing Council, 2014.15. Moores A, Catling C, West F, et al. What motivates midwifery students to study midwifery in Papua New Guinea, Pacific Journal of Reproductive Health 2016; 1(2): 60-7.16. Moores A, Puawe P, Buasi N, et al. Continuing Professional Development and Challenges Facing Newly Graduated Midwives in Papua New Guinea. Pacific Journal of Reproductive Health 2016; 1(4): 168-77.17. Moores A, Puawe P, Buasi N, et al. Education, employment and practice: Midwifery graduates in Papua New Guinea. Midwifery 2016; 41: 22-9.
18. Rumsey M, Neill A, Kililo M, Homer C. PNG Maternal and Child Health Initiative Phase II: Final Report2016. http://dfat.gov.au/about-us/publications/Pages/png-maternal-and-child-health-initiative-phase-2-final-report.aspx (accessed 2018).
19. Dawson A, Kililo M, Geita L, et al. Midwifery capacity building in Papua New Guinea: Key achievements and ways forward. Women and Birth 2016; 29(2): 180-8.
20. Homer C. Improving nursing and midwifery workforce for primary health care in Samoa. Pacific Society for Reproductive Health; 2013.
21. World Bank. PNG Health Workforce Crisis: A call to action. New Hampshire, USA: World Bank, 2011.
22. World Health Organization. World Health Organization and Australia forge new strategic partnership. In: Joint media release of the Australian Government Department of Health and WHO, editor. BRISBANE, Australia, 9 October 2017: World Health Organization, Manila, Philipines; 2017.23. Rumsey M, Theissen J, Neill A. World Health Organization, Review of Pacific Open Learning Health Net (POLHN),. World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney,, 2017 24. Rumsey M, Neill A. South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) meeting - November 2016 Solomon Islands - Meeting Brief. Sydney, Australia: World Health Organization – Western Pacific Region, 2016.25. Rumsey M, Neill A. South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) meeting - November 2018 Cook Islands - Meeting Brief. Sydney, Australia: World Health Organization – Western Pacific Region, 2018.26. Nove A, Homer CS, Pozo-Martin F, Sochas L, ten Hoope-Bender P, Matthews Z. The ‘Dream Team’for sexual, reproductive, maternal, newborn and adolescent health: an adjusted service target model to estimate the ideal mix of health care professionals to cover population need. Human resources for health 2017; 15(1): 46.27. World Health Organization. Global Strategy on Human Resources for Health Workforce 2030. Geneva, World Health Organization, 2016.
28. Lock L. PNG NC National Midwifery Curriculum Framework & Implementation Plan Sydney, Australia: National Department of Health 2014.
PNG Nursing Council and NDOH thanked the sponsors –Australian Awards, Department of Foreign Affairs and Trade (DFAT), WHO and HHISP support.
Figure 1 Integrated approach: Rumsey M. Global Health and Nursing. In: Daly J, Speedy S, Jackson D, eds. Contexts of Nursing 5th ed. Australia Elsevier; 2017: 371.
Governance
Regulation Education
Association
strengtheninghealth
workforce
Governmenttask force
NDOH Maternaland Child Health
Task Forcesettings road map
with manystakeholders
WHO CC UTS 10 years in Maternal and Child in Papua New Guinea
Regulation
Ongoing supportpolicy, process and
competence'smidwives registered
for first time.
2009 2019
Program Ends
MCHI
Maternal Child Health InitiativeWHO & AusAID WHO CC UTS
8 Midwifery Educators 2 O & G
#211MW
Small projectedstarted due to funding
constraints
RHTU
ReproductiveHealth Training
Unit (PPP)Established
Accreditation
Ongoing review ofprograms for maternalhealth highlight many
challenges
Curriculum
M &E clearly showed needfor review and upgrade of
midwifery curriculum from12-18 months
Funding Negotiations
Michele Rumsey Director WHO Collaborating Center University of Technology Sydney
20122010 2014
monitoring and evaluation, research, capacity building and stakeholder communication
improving quality management systems, faculty development, regulation and accreditation,
RHTU
Trained 1,600practitionersacross PNGEOC, EMOC
MCHI
Increase from 4- 5 Schools of
Midwiferytool of 15Midwifery
educators incountry
Program Ends
2016 2017
CurriculumApproved by
NDOH andRegulation
Committees #780MW
2018
GovernmentWHO task force
highlights Maternaland Child Health
workforce shortfallby up to 6,000
Curriculumnow approved
skills log book,competencies
stakeholderrevision
Australian Awards have provided CHW, nursing and midwifery Scholarships assisting Institutes and increase workforce number
Urgent - CHW and Nursing Curriculum review and revised MCH programs
