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REQUEST FOR PROPOSALS
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Instructional Design Orientation and Course Development for Continues Professional Development held
Health professionals should maintain their knowledge and skill in order to provide safe and quality health care services. They maintain their knowledge and skills through continually engaging in update trainings and other related activities. Capacity building of health professionals coupled with availability of infrastructure and medical equipments and leadership commitment could only ensure a satisfied society. The availability of training package helps one deliver capacity building trainings. To date health professionals in Ethiopia are not required to update their knowledge and skills to issue their professional license. However, nowadays the Ministry of Health is working to make CPD mandatory for all health professionals practicing in the country.
Therefore training courses are needed to be on board to make CPD implementation readily available for all professional reaching those residing in hard-to-reach areas to ensure equitable continues professional development for all midwives. The MOH has drafted CPD implementation guideline and directives to help implement this move.
Four courses has been identified as a gap for midwives based on the need assessment conducted in the in the 26th General Assembly. The courses are professional code of ethics and conduct, management of hypertensive disorders of pregnancy, management of postpartum hemorrhage and helping babies survive.
The Instructional design orientation and course development for continues professional development was held in Adama, Kuriftu Resort and Spa form May 14-22, 2018.The course developers were from higher education institutions and the Ethiopian midwives association.
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Association Research Advisory Committee established
The research advisory committee is established under the commitment and leadership of the Ethiopian Midwives Association containing member representatives from different midwifery training higher institutions and regional chapter offices. The aim of this research advisory committee is to propose to Ethiopia midwives Association (EMwA) and as well as its partners a menu of possible approaches to produce research in the midwifery disciple that promote the development of the disciple, put impact and practicable intervention that help policy maker and health work force on the reduction of maternal and newborn mortality through evidence based research and to raise sufficient, predictable and sustainable resources for promoting and strengthening the midwifery profession under education, association and regulation, and active engagement in policy dialogue and research over the next few years throughout the country.
The Research Advisory Committee is established under the leadership of president of Ethiopia Midwives Association, chapter officers and executive office. Hence, the Research advisory c fully operates in line committee with the Ethiopia midwives strategic direction, mission and vision.
The Research advisory committee will be chaired by Ethiopia midwives association president, where key staffs of the executive office like project coordinators and managers involved as members per need/optional. The members of the research advisory committee will also play the role of secretary in a rotation manner.
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Planetary Health Weekly,Vol. 4, No. 21, May 24, 2018
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Eating disorders during pregnancy research becomes practical resource
Research by King’s College London on eating disorders during pregnancy and parenthood has now been turned into practical training resources for midwives and other healthcare professionals.
The resources include an animated video, co-designed by the research team at King’s College London, showing women with lived experience, healthcare professionals and other key organisations including the NCT.
Senior Postdoctoral Fellow in Improvement Science at King’s College London’s Institute of Psychiatry, Psychology & Neuroscience, Dr Abigail Easter, said: “Women with eating disorders are often reluctant to disclose their illness to healthcare professionals, possibly due to a fear of stigma, and healthcare professionals may be unsure about how to identify women with eating disorders or what support they need.
“We hope that these resources will lead to greater recognition and support for women with eating disorders during pregnancy and in the postnatal period.”
Other research has found that 7.5% of women may suffer from an eating disorder during pregnancy.
The animation aims to raise awareness that eating disorders are serious mental health illnesses that impacts pregnancy and the postnatal period.
It also highlights the importance of a trusting relationship between women with eating disorders and healthcare professionals.
The animated video be found by clicking here:
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Midwifery profession related challenges and issues
Midwifery profession related challenges has been raised in different regions at different places in the country. Some of these challenges and issues are different in their nature and sometimes they are specific to some regions. Ethiopian Midwives Association (EMwA) has been dealing with FMOH, RHB, FMACA and other stakeholders so as to mitigate and get solutions. Since the depths of the challenges are different and some of them are policy related, they need time to get solutions. EMwA as the only professional association of midwives will continue to present Midwifery profession related challenges to concerned bodies by organizing different meetings. The summarized question related to the profession were submitted prior to health professional forum meeting called by FMOH.
The summary of Midwifery profession related challenges are listed as follows:
There are regions where midwives are not allowed to work in the leadership position at woreda, zones and in the above structure. As a result supervision of obstetric service are being done by non-midwife supervisor.
Midwives will not be assigned to plan and lead MCH activities at woredas, zonal and regional level
All midwives were assigned to labor ward only and they are not allowed to work at ANC and FP unit. These kind of assignment to work only in labor ward and prohibiting to provide ANC and FP services in the facility has affected the profession morally.
(The above challenges were reported in different regions but most prominent in Amhara, Tigray, Oromia, SNNPR and Harari Regions)
The government has given educational opportunity for MSC on clinical midwifery in different universities but problems related to this professions are:
Those graduated with this profession (MSC in Clinical midwifery) are not working in their scope of practices since they are assigned in zonal and regional hospital where Gyn/OBs are working. This is leading midwives to change their profession.
Consideration is not given for master’s program that Gondar University prepared Neonatal health curriculum, but we didn’t go further due to different problems.
There is no proper benefit package for MSc professional midwives: The salary very small and as the same time there is no risk allowances.
Poor consideration MOH and EMwA on advocacy and work for the enrollment of midwives for emergency surgical officer training
There is no job descriptions for midwife and as a result midwives perhaps engaged other than their expected role in the health facilities.
Midwives are the only key actors in contributing to combat maternal and child health problem in the countries and due to the nature of Obstetric problem, midwives are the only profession who have obligation to live in health facilities for 24/7, pass overnight standing in delivery room, follow up laboring mother, travel with referred laboring mother in the night. With these and others workload, there is no motivational mechanisms for midwives, low benefit package which is not related with practice and also there no risk allowance.
Even if the Federal Ministry of Health recommended two midwives for one health center, there is only one midwife in most of the HC and as a result there is high workload and work burden. This situation is creating burnout and also has been a challenge on their social life.
The burden of work and risk allowances payments was not comparable
Payments of risk allowances is not uniform throughout the country. There are regions paying risk allowance but there are region doesn’t pay risk allowance.
Over time payments not properly paid in some areas specially weredas level.
Absences of representatives in medico legal committee at national and regional level and as a result most of the accused midwives did not get a legal advisory support
There is no midwifery care process as a result midwives are forced to fill nursing care process. Midwives are evaluated by nursing care process
Currently midwives are changing their profession because they are not allowed to open private clinic
Regional health bureau’s and Media personnel are not using the right nomenclature of the Midwife, so it needs more advocacy among media and regional health bureaus to use the right name of Midwife
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The association has reviewed critically the JEG and found to be re-evaluated and corrected before the approval and implementation
Dear all EMwA member midwives and all others, the association would like to inform you that FMOH has posted Job Evaluation and Grading (JEG) on its website for comments. The association has reviewed critically the JEG posted on the website and found to be re-evaluated and corrected before the approval and implementation. The association has submitted an official letter to FMOH-HR Directorate to review it again and correct the JEG of midwives professionals and waiting the meeting arrangement with FMOH for discussion. The letter submitted to FMOH is as follows:
“To: - Federal Ministry of Health, HR Directorate
Addis Ababa
Subject: Requesting to re-evaluat and correct the JEG and point ratting for midwifery professions
Ethiopian Midwives Association (EMwA) is the only professional association representing midwives in Ethiopia which is established in 1992 and became an afflicted member of International Confederation of Midwives since 1993. The primary goal of the Association is to contribute towards the reduction of maternal, neonatal, and child morbidity and mortality, and improve quality of reproductive health services at the grassroots level in Ethiopia by representing, advocating and promoting midwifery profession. EMwA is highly committed to expand quality health services for Maternal, Newborn, Child Health, Adolescent and Youth through improving the quality of education and professional ethics.
Even though Midwives are working in risky situation and on stress environments, they are saving two lives at a time, which shows Midwives are the key actors when it comes to maternal and child health. One of the countries recognized globbaly for the prior achivemnts of MDG #4 and #5 is Ethiopia. Midwives in Ethiopia had played a pivotal role towards the achivemnts of MDG #4 & # 5 and now playing the same and a key role for the achivemnt of SDGs in relation to the reduction of maternal, neonatal and child morbidity and mortality in the entire country. This contributional facts is very well known by the federal ministry of health. However, inspite of all these key role in the remostes and risky work environment, the attention given to the profession is very low in terms of job gradding, evaluation, salary, risk allowance, etc…
EMwA were invited to participate on JEG workshop organized by the FMOH HR Directorate in Adama at Excutive Hotel with the objective of preparing JEG for Midwifery professionals. Based on this invitation, EMwA has assigned two senior midwives and supported the preparation of JEG for clinical midwifery specialist, Midwifery professionals and Midwifery level IV based on their scope of pratice, graduation profile and referencing Ethiopian Occuapational standard documents. Then after, the draf JEG document was sent to FMOH HR Directorate on date 01/03/2017 with Reference number EMwA/03/17. However, the document received on the second workshop organized by the FMOH HR directorate at Ethiopian Management Institute, Bishoftu was not similar with the one EMwA has sent the JEG on the first workshop.
EMwA has seen what was posted on FMOH website and would like to kindly request FMOH HR Directorate to re-evaluat and correct the JEG and point ratting for midwifery professions in order to make an appropriate adjustment on following key points:
1. All the scope of practice given on the workshop by FMOH HR Directorate described on the clinical midwifery specialist ( midwifery professional specialist) JEG are qualitative and which have not been known by EMwA
2. The current JEG prepared by FMOH, HR Directorate for clinical midwifery specialist was not found in scope of practice for health professionals in Ethiopia, and Graduation profile (Curriculum).
3. The midwife level-IV, Midwifery Professional and Clinical midwifery specialist’s point rating will not measure adequately their actual job descriptions.
In general, the workload they having at the moment and the point rating are not matching and EMwA believes, this will demotivate and discourage the midwifey Professionals. Thefore, EMwA kindly requesting your usual cooperation to see it again the point rating of all level of Midwives thoroughly in order to make appropriate adjustment.
Sincerely,
Yalewlayker Yilma
Ethiopian Midwives President”
The Association would like to request all member midwives and all others midwives to review the JEG and give us your valid and informative comments via info@midwives.org.et EMwA will summarize all your informative comments and bring to the ministry for discussion. Please send us your comments as soon as possible before or on 2nd August 2018.
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EMwA's National Research Advisory Committee (NRAC) completed research methodology training
One of EMwA strategic directions set for the period from 2016 to 2020 is research and publication. In order to realize the objectives set with this research and publication direction, EMwA has established National Research Advisory Committee (NRAC). This committee members are senior midwives who were drawn from different universities. EMwA successfully completed research methodology training to the NRAC members and five researchers who took grant from EMwA. This training is aimed at building the capacity of NARC and grantees. Thematic areas for research were identified for future intervention.
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Review meeting on updated BEmONC Training finalized in Gambela
Review meeting on updated BEmONC Training organized by Ethiopian midwives association in collaboration with FMOH, Gambela RHB and UNICEF was held in Gambela Grand hotel on the 9th of august 2018.
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Welcome, New EMwA Gambela Chapter Board Members!
Congratulations on being elected to EMwA Gambela Chapter board! There is no greater contribution than serving as a member of the leadership team that provides different opportunities for the Ethiopian Midwives and the community!
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EMwA executive board members made discussion with chapter representative
Ethiopian Midwives Association (EMwA) has been dealing professional related issues continuously with all concerned at all level. EMwA executive board members has made a thorough discussion with chapter representative who have attended the bi-annual review meeting in Adama last Saturday. These professional related issues include midwifery care process, mandatory deployment, JEG, dressing code, risk allowance, naming of midwives, new members’ registration via bank and other system, etc… Detail action plan was developed which will be executed in the rest months of the fiscal year by EB members and by respective chapters so as to mitigate those professional related challenges. In most of the places, midwives have been called as “Awalage Nurse” “›ªLÏ ’`e” and this wrong naming has determined as if the midwives activity is providing delivery services by ignoring the rest midwives competencies. In this regard, EMwA has written a letter to all regional and city administration health bureau to correct this naming in the entire health system of their respective region. This letter was also submitted to the minister of health and to all directorates of FMOH. The association strongly advice to all midwives to fight this wrong naming. All the others professionals related issues is under discussion with all concerned body at each level and EMwA will keep updating the status to all its members.
The letter submitted to FMOH and all RHBs pertaining the wrong naming is as follows.
ለሁሉም ክልሎችና ከተማ አስተዳደሮች ጤና ቢሮ
በያሉበት
ጉዳዩ፡- የሚድዋይፍ ሙያ መጠሪያ አማርኛ ስያሜ እንዲስተካከል ስለመጠየቅ
የኢትዮጵያ ሚድዋይፎች ማኅበር በ1985 ዓ.ም የተቋቋመና ከ1986 ዓ.ም ጀምሮ የዓለም አቀፉ የሚድዋይፎች ኮንፌዴሬሽን (International Confederetion of Midwives/ICM) አባል የሆነ በኢትዮጵያ ከአምስት ሺህ በላይ ሚድዋይፍ አባላት ያለው ብቸኛው ሚድዋፎችን የሚወክል እና የእናቶችና ህጻናትን ሞት ለመቀነስ የድርሻውን በመወጣት ላይ የሚገኝና በአዋጅ ቁጥር 621/2001 አንቀጽ 111 (2) እና 68 (1) መሠረት በኢ.ፌ.ዴ.ሪ. የበጎ አድራጎት ድርጅቶችና ማኅበራት ኤጀንሲ በምዝገባ ቁጥር 1037 ተመዝግቦ ህጋዊነት ያለው የሙያ ማኅበር ነው፡፡ ማኅበሩ ባለፉት 27 ዓመታት የምዕተ ዓመቱ የልማት ግቦች (ግብ 4 እና 5) እንዲሳኩ የድርሻውን የተወጣ እና አሁንም ዘላቂ የልማት ግቦች እንዲሳኩ መላ አባላቱን በማስተባበር የድርሻውን በመወጣት ላይ ይገኛል፡፡
የኢትዮጵያ ሚድዋይፎች ማኅበር የሚድዋይፍ ሙያ የአማርኛ አቻ ትርጉም የሌለው በመሆኑ ‹‹ሚድዋይፍ›› እየተባለ እንዲጠራ በ----- ዓ.ም በጋዜጣ አሳውጆ ስያሜው እንዲስተካከል ያደረገ ቢሆንም አሁንም በአንዳንድ ክልሎችና ጤና ተቋማት ‹‹አዋላጅ››፣ ‹‹አዋላጅ ነርስ››፣ እየተባለ አንደሚጠራና በዚህም ስያሜ መታወቂያና ባጅ ለባለሙያዎቹ እየተሠራላቸው በመሆኑ ባለሙያዎቹ በዚህ ስያሜ መጠራት እንደማይፈልጉና አንዲስተካከለላቸው ቢጠይቁም ምላሽ ማግኘት አለመቻላቸውን የማኅበሩ አባላት ከሆኑ ሚድዋይፎች ለማወቅ ችለናል፡፡
እንደሚታወቀው አዋላጅነት (Delivery) ከሚድዋይፍ ሙያ ሰባት የሥራ /የብቃት ዘርፎች (Competencies) አንዱ ብቻ ሲሆን ስድስቱን የሙያውን የሥራ /የብቃት ዘርፎች (Competencies) ጥሎ በአንዱ ብቻ መጥራት አግባብ ካለመሆኑም ባሻገር በባለሙያው ላይ ከፍተኛ ቅሬታ እየፈጠረና በሥራውም ላይ ተጽዕኖ እያሳደረ ይገኛል፡፡
ስለሆነም በሁሉም ክልሎች የጤና ቢሮዎችና በስራቸው ባሉ መዋቅሮችና የጤና ተቋማት የሚድዋይፍ ሙያ የሚጠራበትን የእንግሊዝኛና የአማርኛ አቻ ትርጉም፡- ‹‹Midife=ሚድዋይፍ››፣ ‹‹Midwives=ሚድዋይፎች››፣ ‹‹Midwifery= ሚድዋይፈሪ›› በሚል እንዲስተካከል እና ባለሙያዎቹም በተማሩበትና በተመረቁበት በሰባቱም የሥራ /የብቃት ዘርፎች (Competencies) ላይ እንዲሠሩ እንዲደረግ እንጠይቃለን፡፡
ከሰላምታ ጋር
ዘነበ አካለ
የኢትዮጵያ ሚድዋይፎች ማኅበር ፕሬዝዳንት
ግልባጭ፡-
ለጤና ጥበቃ ሚኒስቴር ሚንስትር
በጤና ጥበቃ ሚኒስቴር ለሰው ሃብት ልማት ዳይሬክቶሬት
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Celebration of the 27th International Day of the Midwife
The International Day of the Midwife was celebrated globally on 5 May 2019 and commemorated in Ethiopia on 11 May 2019 with the theme, “Midwives defenders of women right in Gonder town.
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IHI Open School Online Courses
IHI (Institute for Healthcare Improvement ) want to let you know about a new opportunity to obtain the Basic Certificate in Quality and Safety through the Ubuntu Learning Community. Beginning in June, you can join a cohort of individuals passionate about leading improvement to take two to four 1-hour online QI courses with the Ubuntu team every month, for 6 months, in pursuit of certification.
IHI’s newsletter for the Africa quality and safety community, Ubuntu, will offer examples of real-world applications and personal stories of the tools we learn in the courses each month. To support the courses, we will also hold monthly calls on the last Tuesday of each month at 1:00 PM GMT to discuss the content of the courses. You will have the chance to share experiences, deliberate questions, and complete cases studies to complement your learning’s from that month.
IHI’s blog post here explains more about how you can get involved in this free opportunity and register for our first monthly call on June 25 at 1:00 PM GMT. If you have questions, please contact our team at Ubuntu@ihi.org, and look for future call information in the Ubuntu newsletter.
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በ2011ዓ.ም መጨረሻ ከተለያዩ የመንግስትና የግል ከፍተኛ ትምህርት ተቋማት በጤና ሙያ በመጀመሪያ ዲግሪ ለምትመረቁ ተማሪዎች በሙሉ
የጤና ሚኒስቴር በ2011ዓ.ም መጨረሻ ከተለያዩ የከፍተኛ ትምህርት ተቋማት በሰባት የጤና ሙያ ዘርፎች በመጀመሪያ ዲግሪ ለሚመረቁ ተማሪዎች በ2011ዓ.ም መጨረሻ የብቃት ምዘና ፈተና ከዚህ ቀደም ባሳወቅነው መሰረት ከሃምሌ 1-9/2011ዓ.ም የሚሰጥ ሲሆን የፈተና ፕሮግራሙም ፡-
1 ሀምሌ 1/2011ዓ.ም ነርሲንግ
2 ሀምሌ 2/2011ዓ.ም ህክምና
3 ሀምሌ 3/2011ዓ.ም አንስቴዢያ
4 ሀምሌ 4/2011ዓ.ም ጤና መኮነን
5 ሀምሌ 5/2011ዓ.ም ሚድዋይፈሪ
6 ሀምሌ 8/2011ዓ.ም ፋርማሲ
7 ሀምሌ 9/2011ዓ.ም ሜዲካል ላብራቶሪ ቴክኖሎጂ መሆኑን እየገለፅን ፈተናው የሚሰጠው በሁለት ፈረቃ ጠዋት ከ3፡00 እስከ 5፡30 እና ከሰዓት በኃላ ከ8፡00 እስከ 10፡30 መሆኑን እናሳውቃለን፡፡ በተጨማሪም ተፈታኞች የሚፈተኑበትን ቦታ ከየመጡበት ተቋም ማወቅ የሚችሉ መሆኑን ለማሳወቅ እንወዳለን፡፡
የኢፌዴሪ ጤና ሚኒስቴር
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The association conducted integrated supportive supervision
The Ethiopian Midwives Association in collaboration with FMOH, and Tigray Regional Health Bureaus has conducted integrated supportive supervision in Tigray region of Frewoyni and Enticho Primary hospitals. The supervision was conducted from June 18 -21/2019 In order to assess the progress of implementation, integrated supportive activities in the selected catchment health centers.
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Amplify Change project
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2020 Year of the Nurse and the Midwife
Ethiopian Midwives Association and Ethiopian Nurses Association conducted press release to advocate the year 2020 as “Year of The Nurses and the Midwives”. Nurses and midwives play a vital role in providing health services. These are the people who devote their lives to caring for mothers and children; giving lifesaving immunizations and health advice; looking after older people and generally meeting everyday essential health needs. They are often, the first and only point of care in their communities. The world needs 9 million more nurses and midwives if it is to achieve universal health coverage by 2030.
That’s why the World Health Assembly has designated 2020 the International Year of the Nurse and the Midwife.
https://www.who.int/news-room/campaigns/year-of-the-nurse-and-the-midwife-2020
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Infection prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV
Coronavirus disease 2019 (COVID-19), caused by the COVID-19 virus, was first detected in Wuhan, China, in December 2019. On 30 January 2020, the WHO Director-General declared that the current outbreak constituted a public health emergency of international concern. Based on the available evidence, the COVID-19 virus is transmitted between people through close contact and droplets, not by airborne transmission. The people most at risk of infection are those who are in close contact with COVID-19 patients or who care for COVID-19 patients.
Preventive and mitigation measures are key in both healthcare and community settings. The most effective preventive measures in the community include:
- Performing hand hygiene frequently with an alcohol-based hand rub if your hands are not visibly dirty or with soap and water if hands are dirty;
- Avoiding touching your eyes, nose, and mouth;
- practicing respiratory hygiene by coughing or sneezing into a bent elbow or tissue and then immediately disposing of the tissue;
- Wearing a medical mask if you have respiratory symptoms and performing hand hygiene after disposing of the mask;
- Maintaining social distance (a minimum of 1 m) from individuals with respiratory symptoms.
Routine person protective equipment (PPE) for healthcare workers (HCW) caring for patients with suspected or confirmed 2019-nCoV infection:
- Boots
- Impermeable aprons, or coverall suits required
- Disposable medical face masks
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የኮሮና ቫይረስን ለመከላከል ሊወሠዱ የሚገቡ ጥንቃቄዎች
የጤና ሚኒስቴር እና የኢትዮጵያ የሕብረተሰብ ጤና ኢንስቲትዩት መንግስት የበሽታውን ስርጭት ለመግታት እና ለመቆጣጠር ተገቢውን እርምጃ እየወሰደ ሲሆን፣ ማህበረሰቡ የሚከተሉትን የመከላከያ መንገዶችን ችላ ሳይል እና ሳይደናገጥ ተግባር ላይ በማዋል፣የበሽታውን ስርጭት ለመግታት የበኩሉን እንዲወጣ ያሳስባል።
- ሳል ወይም ትኩሳት ካለው ግለሰብ ቢያንስ ሁለት የአዋቂ እርምጃ ርቀት ያህል መራቅ
- እጅዎን በአግባቡ ሳይታጠቡ አይንና አፍንጫዎን አይንኩ
- ከሰዎችጋር አይጨባበጡ፣
- እጅን በንጹህ ውሃና ሳሙና አዘውትረው ይታጠቡ፣
- ሰዎች ወደ በሚበዙባቸው ቦታዎች በተለይም የህመም ስሜት ካልዎት አይሂዱ፣
- በሚያነጥሱበት እና በሚያስሉበት ጊዜ አፍና አፍንጫዎን በሶፍት ወይም ክርንዎን አጥፈው በመጠቀም ወደ ሌሎች እንዳያስተላልፉ ይጠንቀቁ፣ የተጠቀሙበትን ሶፍትና ተመሳሳይ ነገሮች በቆሻሻ ክዳን ባላቸው ማጠራቀሚያ ያስወግዱ፣
- በስራ ቦታ፣በትራንስፖርት እና መኖሪያ ወይም የመኝታ ክፍል መስኮት በመክፈት በቂ አየር እንዲገባ ማድረግ
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Demonstrate your solidarity for the midwives
Photo cred: Zohre Fallah, Iranian-based midwife
A reminder to everyone, everywhere: throughout the Coronavirus global pandemic, babies are still being born and mothers and their communities continue to require the support of midwives.Please share this post to demonstrate your solidarity for the midwives and healthcare professionals who continue to go to work despite the great personal health risk this presents.
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