The midwifery curriculum is based on a global curriculum which can be used for three adapted programmes according to the learning needs.
This programme has been delivered in Sierra Leone since 2022.
The Midwifery curriculum
The Midwifery Clinical Care curriculum is a global curriculum composed of five independent moduless. They are linked together to offer different curriculums adapted to the needs of midwives and maternity staff learners according to the competencies involved in their daily work (depending on the context it can also be offered to clinical officers, maternity nurses or midwife assistants). The curriculum consists of 33 units grouped into the five modules:
Module A: General competencies
Module B: Supporting the woman in sexual health and contraception
Module C: Supporting the woman during pregnancy
Module D: Supporting the woman during labour and delivery
Module E: Post natal care
Modules and units can be implemented separately according to the learning needs and adjusted according to the set-up. Three adapted programmes are then proposed: Comprehensive Emergency Obstetrical and Neonatal Care (CEmONC), Basic Emergency Obstetrical and Neonatal Care (BEmONC) or Outreach programme.
The curriculum covers several competencies:
- Communication (with the patients, the families, and also interprofessional communication)
- Patient-centered care (informed consent, respectful maternity care including respect of medical secret and privacy)
- Nursing (nursing procedures, IPC, nursing care)
- Clinical reasoning (analysing, diagnostic process, decision making, making an action plan, prioritizing, benefits-risk balance, including in emergency situations)
- Midwifery care (obstetrical clinical, paediatric care for neonates, screening, health promotion and technical procedures)
The competencies, which include knowledge, technical skills and soft skills, are developed to be in line with the daily work of MSF maternity staff, MSF protocols, MSF’s midwife job profile and with the international updated recommendations (International Confederation of Midwifes, WHO, ACOG, AAFP).
The learning content of the Midwifery Care curriculum is validated by relevant working groups in MSF (Sexual and Reproductive Health and Sexual Violence, Paediatrics) and it is a cooperative work with other MSF initiatives, such as as MSF Field Simulation, STI’s group or Mental health.