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Document Type

Article

Country of Origin

Afghanistan

Abstract

Background

Midwives working in remote facilities have little opportunity to receive technical support and coaching services. To close this gap and support rural midwives the Afghan Midwives Association (AMA) designed a field-based mentorship program for midwives working in remote areas.

Methods

The process included five stages:

  1. Conduct base line assessment of mentees (midwives) and health facilities.
  2. Identify and select of mentees through competitive process.
  3. Provide on-the-job coaching and mentoring services to the mentees.
  4. Assess the progress of the midwives regularly using existing quality assurance performance standards.
  5. End-line / final evaluation

Results:

That results of assessments were encouraging antenatal care (ANC), rising from an average of 20% at the baseline to 88% in the final assessment round. Comparable improvements were found for normal labor, childbirth, and immediate newborn care (19% to 85%), postnatal care (16% to 85%), management of antenatal, intra-partum and postpartum complications (15% to 94%), and support systems (38% to 81%).

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