All too soon it is time to be leaving again. Final work to create assessments for the Community Midwifery Assistants in their clinical placements has gone well. Small expert group of tutors from key colleges as well as representatives from the Nursing and Midwifery Council of Malawi, Midwives Association of Malawi and senior clinical midwives worked to refine content of 6 assessment tools to cover areas of antenatal care; care in labour; postnatal care; neonate care; family planning and care of the healthy child to 5 yrs. Impressed at how much we got done and the way in which all reached consensus.They will now go to the Nursing and Midwifery Board for approval. Working with tutors we had met before during mentorship and emergency skills training was a highlight.
New groups of CMAs have just taken their final exams so are waiting to hear their results in June and hopefully will soon be heading out to work in their local communities.
After some more hours over the computers and editing/ formating documents we had a short visit to the local market and then the honour of joining a bridal shower with Dr Ann Phoya. It was a wonderful, women only event with much dancing, singing and giving of advice.
So now we sign off with some pictures of the colours of Malawi.
Liz & Jane
Once again, I have experienced a moving trip to Malawi. Meeting old friends and colleagues makes this feel like a second home. Again working in the north with Ellen (the project officer) facilitating Emergency Obstetric and Neonatal Emergency (EmONC) training with college tutors. This was full on and exhausting, mainly due to the stories from the participants about situations in practice. Fab team work (again) and good fun. A visit to the local health centre in Mzuzu was a real eye opener- 1000 people through the doors every day- no appointment system, no space and no resources.
The final mentorship sign off session was successful with another 6 completing the course. Once again how much the Nurse Midwife Technicians (NMTs) and Community Midwife Assistants (CMAs) can achieve with so little is sobering- no regular internet, accessing articles via a mobile phone, no access to books…). We have a lot to learn. ..
Back to Lilongwe to complete the CMA CPD programme (DONE!!) – applause and whoops at the end- what a great team we all are. Our Malawi/ Scotland partnership is strong.
Jane and Liz
Well what an amazing way to celebrate the International Day of the Midwife. No better way than spending it with a group of nurse/midwife tecnicians who deliver care in the remote health centres of Malawi. We spent the day together updating on clinical emergency skills around birth. It was great to hear their experiences and also to hear them discussing how they would/ had managed different situations. It is again humbling to realise the traumatic situations these men and women are experiencing in their practice almost on a weekly basis. Also great to see so many men midwives there are here, we have a way to go Scotland!
Internet as ever is challenging so may be some time before we post again. The next few days hold workshops around CPD training to develop a curriculum as well as work on assessment documents for this.
Liz Treasure & Jane Geddes