Publication:
Community Midwifery Education Program in Afghanistan

Simple item page
dc.contributor.authorMohmand, Khalil Ahmad
dc.date.accessioned2014-06-20T19:12:53Z
dc.date.available2014-06-20T19:12:53Z
dc.date.issued2013-08-01
dc.description.abstractIn the immediate post conflict period, Afghanistan's health services were in a deplorable and chaotic state. Access and utilization of reproductive health services and skilled care during pregnancy, childbirth, and the first month after delivery are key to saving those women at risk of dying due to pregnancy and childbirth complications. In a society where women seek care only from female providers, one barrier to expansion of services was the lack of qualified female health workers who could be deployed to remote health facilities. Very few midwives who had trained in Kabul or other big cities were willing to work in rural areas, and there were no education facilities and too few female school graduates who could be trained in the provinces. As maternal health was one of the top priorities of the health sector, the shortage of midwives to provide reproductive health services had to be tackled urgently. Hence the Community Midwifery Education (CME) Program was created. The program aimed not only to train more midwives, but also to ensure both their initial deployment in remote health facilities as well as good retention rates. These aims were realized through the creation of a new health cadre known as "community midwives," along with new competency-based curricula; establishment of CME schools in each province; relaxation of the admission criteria for students; and establishment of a strong accreditation board to ensure qualified midwives were trained by the program. The program's success is attributed to stakeholder strong engagement, equity, and strengthened human resource for health. The program should be expanded to address the continuing shortage of midwives. The Mnistry of Public Health considers the program a successful intervention and believes that there is great potential to replicate this model to train other health professionals and tackle the shortage of other human resources for health.en
dc.identifierhttp://documents.worldbank.org/curated/en/2013/08/19406500/community-midwifery-education-program-afghanistan
dc.identifier.doi10.1596/18701
dc.identifier.urihttps://hdl.handle.net/10986/18701
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition, and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABORTION
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCESS TO REPRODUCTIVE HEALTH SERVICES
dc.subjectANTENATAL CARE
dc.subjectBABIES
dc.subjectBABY
dc.subjectBASIC HEALTH SERVICES
dc.subjectBASIC REPRODUCTIVE HEALTH
dc.subjectBASIC REPRODUCTIVE HEALTH SERVICES
dc.subjectBEHAVIOR CHANGE
dc.subjectBIG CITIES
dc.subjectBIRTH ATTENDANT
dc.subjectBIRTH ATTENDANTS
dc.subjectCARE DURING PREGNANCY
dc.subjectCHILD CARE
dc.subjectCHILD HEALTH
dc.subjectCHILD HEALTH SERVICES
dc.subjectCHILDBIRTH
dc.subjectCHILDBIRTH COMPLICATIONS
dc.subjectCHILDBIRTHS
dc.subjectCLINICS
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMPLICATIONS OF PREGNANCY
dc.subjectCOMPREHENSIVE CARE
dc.subjectCULTURAL PRACTICES
dc.subjectCULTURAL REALITIES
dc.subjectDELIVERY CARE
dc.subjectDISEASE
dc.subjectDOCTOR
dc.subjectDOCTORS
dc.subjectDYING
dc.subjectEDUCATION FOR GIRLS
dc.subjectEDUCATION OF WOMEN
dc.subjectEMERGENCY CARE
dc.subjectEMERGENCY OBSTETRIC CARE
dc.subjectEQUAL ACCESS
dc.subjectEQUAL RIGHTS
dc.subjectFAMILIES
dc.subjectFAMILY CARE
dc.subjectFAMILY CARE INTERNATIONAL
dc.subjectFAMILY PLANNING
dc.subjectFAMILY SUPPORT
dc.subjectFATHER
dc.subjectFEMALE
dc.subjectFEMALE PROVIDERS
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectFORMS OF DISCRIMINATION
dc.subjectGENDER
dc.subjectGENDER ISSUES
dc.subjectGENDER MAINSTREAMING
dc.subjectGENDER SENSITIVITY
dc.subjectGYNECOLOGY
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE WORKERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH COMMITTEES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH MANAGEMENT
dc.subjectHEALTH OF MOTHERS
dc.subjectHEALTH OF WOMEN
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH STRATEGY
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH TARGETS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHEALTH-SEEKING BEHAVIOR
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN DIGNITY
dc.subjectHUMAN RESOURCES
dc.subjectHUMAN RIGHTS
dc.subjectHUMAN RIGHTS STANDARDS
dc.subjectHUSBANDS
dc.subjectINFANT
dc.subjectINFANT HEALTH
dc.subjectINFECTION PREVENTION
dc.subjectINFORMATION SYSTEM
dc.subjectINTERNATIONAL CONFEDERATION OF MIDWIVES
dc.subjectINTERNATIONAL JOURNAL OF GYNECOLOGY
dc.subjectINTERNATIONAL ORGANIZATIONS
dc.subjectINTERVENTION
dc.subjectJOB OPPORTUNITIES
dc.subjectJOURNAL OF WOMEN
dc.subjectLEVELS OF EDUCATION
dc.subjectLIVE BIRTH
dc.subjectLIVE BIRTHS
dc.subjectLOCAL COMMUNITIES
dc.subjectMALE HEALTH
dc.subjectMARRIED WOMEN
dc.subjectMATERNAL CARE
dc.subjectMATERNAL DEATH
dc.subjectMATERNAL DEATHS
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL MORBIDITY
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectMEDICAL BULLETIN
dc.subjectMEDICINE
dc.subjectMIDWIFE
dc.subjectMIDWIFERY
dc.subjectMIDWIFES
dc.subjectMIDWIVES
dc.subjectMILLENNIUM DECLARATION
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTRY OF EDUCATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMORTALITY RATE
dc.subjectMOTHER
dc.subjectNATIONAL HEALTH POLICY
dc.subjectNATIONAL HEALTH SYSTEM
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL POLICY
dc.subjectNEONATAL HEALTH
dc.subjectNEONATAL MORTALITY
dc.subjectNEWBORN
dc.subjectNEWBORN CARE
dc.subjectNEWBORN HEALTH
dc.subjectNEWBORNS
dc.subjectNUMBER OF PEOPLE
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNUTRITION
dc.subjectOBSTETRIC SERVICES
dc.subjectOBSTETRICS
dc.subjectOPPORTUNITIES FOR WOMEN
dc.subjectOUTREACH ACTIVITIES
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPERSONAL BEHAVIOR
dc.subjectPHYSICIAN
dc.subjectPHYSIOTHERAPISTS
dc.subjectPOLICY LEVEL
dc.subjectPOLICY MAKERS
dc.subjectPOLICY-MAKING PROCESS
dc.subjectPOPULATION DISCUSSION
dc.subjectPOSTNATAL CARE
dc.subjectPREGNANCIES
dc.subjectPREGNANCY
dc.subjectPREGNANCY COMPLICATIONS
dc.subjectPREGNANCY-RELATED CAUSES
dc.subjectPREGNANT WOMAN
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH FACILITIES
dc.subjectPRIMARY HEALTH SERVICES
dc.subjectPROGNOSIS
dc.subjectPROGRESS
dc.subjectPROVINCIAL HOSPITAL
dc.subjectPROVINCIAL HOSPITALS
dc.subjectPROVISION OF SERVICES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH OFFICIALS
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF EDUCATION
dc.subjectQUALITY OF SERVICES
dc.subjectRELIGIOUS LEADERS
dc.subjectREPRODUCTIVE AGE
dc.subjectREPRODUCTIVE AGE MORTALITY
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH SERVICES
dc.subjectREPRODUCTIVE HEALTHCARE
dc.subjectRESPECT
dc.subjectRURAL AREAS
dc.subjectRURAL COMMUNITIES
dc.subjectSAFE MOTHERHOOD
dc.subjectSCIENTIFIC EVIDENCE
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVIDER
dc.subjectSERVICE PROVIDERS
dc.subjectSERVICE PROVISION
dc.subjectSERVICES TO WOMEN
dc.subjectSEX
dc.subjectSEXUALITY
dc.subjectSKILLED ATTENDANCE
dc.subjectSKILLED ATTENDANTS
dc.subjectSKILLED BIRTH ATTENDANCE
dc.subjectSKILLED BIRTH ATTENDANTS
dc.subjectSKILLED CARE
dc.subjectSOCIAL COMMISSION
dc.subjectSOCIAL MARKETING
dc.subjectSOCIAL STATUS
dc.subjectSPECIALIST
dc.subjectSPECIALISTS
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTECHNICAL CAPACITY
dc.subjectTRADITIONAL BIRTH ATTENDANTS
dc.subjectTRADITIONAL HEALERS
dc.subjectUNFPA
dc.subjectUNITED NATIONS POPULATION FUND
dc.subjectUNSAFE ABORTION
dc.subjectURBAN POPULATIONS
dc.subjectVULNERABILITY
dc.subjectWOMAN
dc.subjectWOMEN'S HEALTH
dc.subjectWORKERS
dc.subjectWORKFORCE
dc.subjectWORKING CONDITIONS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleCommunity Midwifery Education Program in Afghanistanen
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.date.disclosure2014-04-18
okr.date.doiregistration2025-05-05T12:20:23.923132Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2013/08/19406500/community-midwifery-education-program-afghanistan
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticeHealth, Nutrition, and Population
okr.guid138781468185951486
okr.identifier.externaldocumentum000016351_20140418101113
okr.identifier.internaldocumentum19406500
okr.identifier.report87076
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/04/18/000016351_20140418101113/Rendered/PDF/870760WP0Box030fery0Education0FINAL.pdfen
okr.region.administrativeSouth Asia
okr.region.countryAfghanistan
okr.topicHealth Monitoring and Evaluation
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHousing and Human Habitats
okr.topicGender::Gender and Health
okr.topicHealth Systems Development and Reform
okr.topicCommunities and Human Settlements
okr.unitHealth, Nutrition, and Population (HNP) Family of the World Bank's Human Development Network
okr.volume1 of 1
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
870760WP0Box030fery0Education0FINAL.pdf
Size:
1.49 MB
Format:
Adobe Portable Document Format
Download
No Thumbnail Available
Name:
870760WP0Box030fery0Education0FINAL.txt
Size:
110.11 KB
Format:
Plain Text
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download
Collections
Health, Nutrition and Population (HNP) Discussion Papers