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Int J Gynaecol Obstet. 2010 Aug;110(2):186-90. doi: 10.1016/j.ijgo.2010.05.003.

An evaluation of a national intervention to improve the postabortion care content of midwifery education in Nigeria.

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1
Ipas Nigeria, Abuja, Nigeria.

Abstract

OBJECTIVE:

To examine the impact of a national intervention to improve the postabortion care (PAC) content of midwifery education in Nigeria.

METHODS:

A 3-part quantitative assessment was carried out during and post-intervention. The first baseline component developed and examined the intervention to improve teaching capacity and improve the PAC curriculum among 6 midwifery schools that were to become regional training centers. The second survey was a pre- and post-assessment conducted among midwifery instructors from all schools of midwifery in the country. In the third component, 149 midwives graduating from the 6 regional midwifery schools were interviewed once 3-9 months after graduation to evaluate whether the intervention had improved their knowledge of PAC and clinical practice, and the likelihood that they would provide PAC after graduation.

RESULTS:

Data from 6 schools of midwifery in 2003 showed that none offered PAC or had educators trained in PAC prior to the intervention. Incorporation of PAC content and teaching capacity increased in all 6 study schools during the 3 years after a national intervention. Midwifery instructors demonstrated statistically significant improvements in knowledge of and exposure to PAC and manual vacuum aspiration (MVA) after the intervention. A follow-up interview with 149 student midwives post graduation showed increased knowledge, exposure to, and use of MVA in the workplace.

CONCLUSION:

Significant changes in graduate midwives' exposure, practice, and provision of PAC services resulted from a national intervention to improve the training environment and skills of midwifery instructors and students in the 6 schools of midwifery selected for evaluation.

PMID:
20638991
DOI:
10.1016/j.ijgo.2010.05.003
[Indexed for MEDLINE]

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