Overview
Diploma in Midwifery is three years program organized by NIHS under the leadership of MOH- Directorate of Training and Professional Development.
Availability of competent and efficient human resources in the health sector is essential in the provision of the health services expected of the Government of South Sudan. A system that enhances the delivery of right quality and caliber of human resources through training is critical.
Justification
The health sector has continuously evolved and in the process presented the health worker and in particular the midwifery with new challenges. The SRH and child health challenges in the Republic of South Sudan are enormous as shown by indicators in maternal mortality ratio (MMR), 789:100,000 and infant mortality ratio (IMR), 75:1,000 (MOH 2017) with majority of the deaths occurring in the rural areas. These high maternal and child mortality ratios have been linked to shortage of competent midwifery personnel. The situation depicted above clearly indicates a need for the education of diploma midwives to meet these challenges. The diploma midwifery curriculum is specifically designed for the education of diploma midwives who are essential to the delivery of comprehensive, gender sensitive and safe SRH care including maternal and child health services at all levels of health care delivery.
Therefore, training using a competence-based approach to work alongside other health professionals would narrow the gap in health service delivery.
Course Objective
The program is to prepare professionally competent and resourceful midwifery practitioners who are capable of providing high-level SRH and neonatal care to individuals and families in homes, communities, health centers, hospitals and clinics in the rural and urban centers of the society.
The programme will enable the graduand midwives to achieve the following objectives at the end of the training period:
1.Become safe, competent practitioners who are able to practice autonomously to promote SRHR.
2.Be caring and sensitive and able to work alongside women and their families in the community and in health facilities adopting a partnership model to educate, advise, facilitate choice and respond to individual needs.
3.Adopt a cultural, human rights and gender sensitive approach to provision of SRHR
4.Develop the ability to work well within a multi-disciplinary team to promote SRHR.
5.Build up good relationships and liaise with community leaders and other relevant personnel in the community to increase the uptake of maternity care, promote SRHR education strategies and to organize a reliable transport system for urgent referrals.
6.Make a positive contribution to the reduction of maternal and infant mortality and morbidity by recognizing life-threatening conditions early and taking timely and skilled action.
7.Take responsibility for their own learning by taking in appropriate clinical and theoretical support given/provided and encouraging the skills of reflection, critical analysis and evaluation.
8. Undertake introspection of their clinical practice so as to enhance and improve their future care of women and their families.
9.Recognize that learning is a life-long process and take every opportunity to keep up-todate with new knowledge and research findings and to enhance their practice with all available forms of continuing professional education.
10. Develop into midwives who value their profession and contribute to the development of the profession by advocating change, where necessary, and by conducting research aimed at improving the care given to women and their families.
11. Developing to effective managers of a case load and of health facilities.
After the programme a graduand will be able to:
- examine and monitored pregnant women
- assess care requirements and write care plans
- undertake antenatal care in hospitals, homes and GP practices
- carry out screening tests in pregnancy and post-pregnancy
- provide information, emotional support and reassurance to women and their partners
- take patient samples, pulses, temperatures and blood pressures
- care for and assist women in labor
- monitor and administer medication, injections, and intravenous infusions during labour
- monitor the foetus during labour
- advise about and support parents in the daily care of their newborn babies
- help parents to cope with miscarriage, termination, stillbirth, and neonatal death
- writing records
- teach student midwives
- identify high-risk pregnancies and refer appropriately.
Program structure
The programme is structured in courses that are logically and sequentially organized to take three academic years. Each year is divided into two semesters each lasting 22 weeks of learning and teaching as shown below:
Year 1 | Year 2 | Year 3 |
Semester one | Semester one | Semester one |
Communication Skills and Study | Midwifery Care II –Normal Labour | Midwifery in Community I (incl.Boma Health Initiative) |
Introduction to Information | Midwifery Care III – Normal Postpartum and Newborn Care | Midwifery Care V – Complications in Labour, |
Communication Technology Skills | Pharmacology II | Delivery and Purperium |
Foundations in Midwifery Practice | Epidemiology | Complications in the Neonate |
Psychology | Communicable Diseases | Gynecology |
Sociology |
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Microbiology |
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Semester two | Semester two | Semester two |
Anatomy, Physiology (II) and Embryology for Midwives | Sexual and Reproductive Health and Rights | Sexual and Reproductive Health and Rights Incl. Clinical Management of Rape (CMR) |
Nutrition in midwifery | Midwifery Care IV Complications in pregnancy | Midwifery in Community II Incl. Minimum Initial Services Package (MISP) |
Midwifery Care I – Normal Pregnancy incl. PMTCT (pre-requisite) | Child Health (under 5) | Principles of Management and Leadership |
Pharmacology | Introduction to Research | Teaching methodologies |
Primary Health Care | Seminar | Research Project II |
ENTRY REQUIREMENT
Admission requirement
To gain admission into the Diploma in Clinic Medicine and Public Health course, a candidate must, first of all, satisfy the general requirements for admission to NIHS at a diploma level. In addition a candidate shall be eligible for admissions to the DMW programme on meeting any of the following minimum qualifications:-
Direct Entry:
A person may be admitted to the diploma programme (entry into year one) via the diploma scheme if the person has:
Country | Level completed | Results scored |
South Sudan:
| Senior 4 certificate | Minimum 60% average total scored in science subjects.
|
Uganda | O-Level Certificate or A-Level certificate | Minimum third (3rd) Grade or One principal passed and two subsidiaries, |
Kenya | Senior 4 certificate | Minimum Passed C+ |
Others | Senior certificate | certificates equated to equivalent S.4 with at least 3 credits obtained in one sitting or a Certificate in a relevant discipline from a recognized institution. |
Field placement and attachment
DCM/PH field placement and attachment (8weeks)
COURSE FEES (PER SEMSESTER PER ACEDEMIC YEAR)
Fees | New student | Continue student |
Tuition (per semester) | $250 | $250 |
Functional/administrative | $250 | 135 |
Total | $500 | $385 |