joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

Are cases low in harar and metu because there are no

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and who will do this? Are cases low in Harar and Metu because there are no full- time surgeons? Can current strategies adopted for case detection by USAID- funded partners be sustained and scaled-up in areas they do not cover? If HFE continues to have spare capacity (4,000 in current strategic plan and 3,000 in reports) should HFE consider taking on more patients with female urinary incontinence (FUI) and uterine prolapse who number approximately five for each OF case as advised in the situation analysis? 2.2.2. Midwife training and deployment HFE’s main strategy for prevention of obstetric fistula is to train midwives who will work in rural Health Centres (HCs) for a six year period providing skilled delivery and reproductive health services. The Hamlin College of Midwives (HCM) was established in 2007 and is located at the Desta Mender site outside Addis Ababa. The objective of the College is to train midwives to a high standard in a 4 year BSc Midwifery program. The students are selected from different communities in the regions where HFE has fistula centres. The training includes both classroom theoretical teaching, skill demonstration on simulators and practical clinical teaching in different health centres/hospitals to assist student midwives to develop skills to perform independently and satisfactorily. The HCM has been fully accredited by the Higher Education Quality Assurance and Accreditation Body in Ethiopia, which is a department of the Ministry of Education. Table 5: Student enrolment HCM As shown in Table 5, HCM has increased its annual intake from 11 in 2007 to 23 in 2011 and 15 in 2012. 34 midwives have graduated at BSc level and are now deployed in 12 government Health Centres in four regions (Amhara, Tigray, SNNPR and Harar). There have only been 2 dropouts (dismissals) during this time. Since inception, academic staff increased from 7 to 10, with four staff at Masters’ degree level. The college stresses it needs more and more highly qualified staff in future and is currently working with Australian Volunteers International (AVI) to recruit suitably qualified academic midwives. Collaboration with FMOH and other partners in midwifery training The curriculum for midwife training in HCM is based on the International College of Midwives’ Model and was accredited by the Ministry of Education. Initially three years, it was extended to four years to be consistent with the FMOH’s own BSc midwifery curriculum. The HCM model is competency-based training with small class sizes and access to computers and the internet. Training environment and quality of training are far superior to government training institutions and this is well recognised by UNFPA who have close contact with both HCM and the FMOH. The FMOH’s Human Resource for Health Strategy 2009-2020 developed in 2009 has a target of training 8,635 midwives by the year 2015. The number is expected to increase AusAID Health Resource Facility 11 Managed by HLSP in association with IDSS Region 200 7 200 8 2009 201 0 201 1 20 12 Oromia 0 7 6 12 5 8 Amhara 6 0 4 4 10 4 Tigray 2 3 0 6 4 1 SNNPR 3 3 0 2 4 3 Total 11 13 10 24 23
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