PMID- 21278372
OWN - NLM
STAT- MEDLINE
DCOM- 20120424
LR  - 20151119
IS  - 1460-2237 (Electronic)
IS  - 0268-1080 (Linking)
VI  - 27
IP  - 1
DP  - 2012 Jan
TI  - Midwifery training in post-conflict Afghanistan: tensions between educational 
      standards and rural community needs.
PG  - 60-8
LID - 10.1093/heapol/czr005 [doi]
AB  - OBJECTIVE: To compare the performance of students selected for midwifery 
      education by three methods: community mobilization in rural Afghanistan, a 
      regional examination by the Institute of Health Sciences (IHS), and the National 
      University Entrance Examination (NUEE). METHODS: A retrospective survey was 
      conducted in January 2009 on academic records of 178 midwives trained at the IHS 
      in Herat, including 147 graduates from 2003-08 and the cohort of 31 
      final-semester students graduating in March 2009. An interview survey of the 31 
      final semester students was also conducted. Outcome variables included knowledge, 
      skills and employment status, stratified by method of selection. Individual 
      attributes including completion of high school, marital status, age and 
      urban/rural residence were also assessed. Data analysis used STATA version 2009. 
      Significance was measured by appropriate statistical tests. Findings were 
      verified by key informant interviews. RESULTS: Ninety-six per cent of midwifery 
      graduates selected by communities were employed, compared with 74% chosen by the 
      IHS and 82% by the NUEE. Sixty-three per cent of community-selected graduates 
      were working in rural locations, compared with 43% recruited by IHS and 9% by the 
      NUEE. While fewer midwifery graduates selected by communities had completed high 
      school and their academic performance was slightly lower during training, there 
      was no difference in their pass rates and acquisition of practical skills. 
      CONCLUSIONS: Community mobilization for local selection of trainees achieved 
      significantly higher employment levels of trained midwives in high-risk rural 
      communities than usual selection methods, without compromising quality of skills.
FAU - Mansoor, Ghulam Farooq
AU  - Mansoor GF
AD  - House #P860, Street #10, Taimani, District #10, Kabul, Afghanistan. 
      farooqmansoor@uqconnect.edu.au
FAU - Hill, Peter S
AU  - Hill PS
FAU - Barss, Peter
AU  - Barss P
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110128
PL  - England
TA  - Health Policy Plan
JT  - Health policy and planning
JID - 8610614
MH  - Adolescent
MH  - Adult
MH  - Afghanistan
MH  - Competency-Based Education/*standards
MH  - Female
MH  - *Health Services Needs and Demand
MH  - Humans
MH  - Interviews as Topic
MH  - Midwifery/*education
MH  - Professional Competence/standards
MH  - Retrospective Studies
MH  - *Rural Health Services
MH  - Surveys and Questionnaires
MH  - *Warfare
MH  - Young Adult
EDAT- 2011/02/01 06:00
MHDA- 2012/04/25 06:00
CRDT- 2011/02/01 06:00
PHST- 2011/02/01 06:00 [entrez]
PHST- 2011/02/01 06:00 [pubmed]
PHST- 2012/04/25 06:00 [medline]
AID - czr005 [pii]
AID - 10.1093/heapol/czr005 [doi]
PST - ppublish
SO  - Health Policy Plan. 2012 Jan;27(1):60-8. doi: 10.1093/heapol/czr005. Epub 2011 
      Jan 28.