Adoption of harmonisation policy for the midwives' training programme in Mali: A policy analysis.

Autor:	Sidibé CS; Institut National de Formation en Sciences de la Santé, Bamako, Mali.; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Vrije Universiteit, Amsterdam, Netherlands., Becquet V; Institut national d'études démographiques (Ined), Aubervilliers, France., Brückner TY; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Vrije Universiteit, Amsterdam, Netherlands., Touré O; Département d'Enseignement et de Recherche en Santé Publique, Faculté de Médecine et d'Odontostomatologie, Bamako, Mali., Traoré LF; Département d'Enseignement et de Recherche en Santé Publique, Faculté de Médecine et d'Odontostomatologie, Bamako, Mali., Broerse JEW; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Vrije Universiteit, Amsterdam, Netherlands., Dieleman M; Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Vrije Universiteit, Amsterdam, Netherlands.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2022 Nov 29; Vol. 2 (11), pp. e0001296. Date of Electronic Publication: 2022 Nov 29 (Print Publication: 2022).
DOI:	10.1371/journal.pgph.0001296
Abstrakt:	West Africa is engaged in a process of harmonising health workers' training programmes as a means to regulate regional training standards and thus improve their quality. There is currently a lack of documented information regarding the adoption of these revised training programmes. In 2012 a harmonised programme, the WAHO competency-based curriculum, was introduced in Mali for training midwives. The present study explores the barriers and facilitators of the adoption of this programme and how the content, context, process, and actor-related factors influenced this. We used a qualitative research design consisting of document analysis (n = 25) and semi-structured interviews (n = 21) with policymakers, students, and those in charge of implementing the training programme. Information was collected on education and training policies, the context and process of the harmonised curriculum development, its adoption, and the actors involved in the adoption strategy, along with their role. The study shows that the adoption of the harmonised curriculum in Mali offered midwives an opportunity to attain a higher standard of training and level of qualification than before. It also displayed both the government's and the public school's willingness and commitment to improve maternal and child health through enhancing midwives' training standards. The most salient factors that influenced adoption were the lack of available resources, and the lack of involvement of, and coordination with, relevant actors for successful policy adoption. Mali's experience of adopting the harmonisation policy of training curricula demonstrates the need for the authorities to collaborate with relevant actors for information dissemination and in the adoption process. It also demonstrates the need for finding innovative ways to secure and diversify funding opportunities, as well as establish a supervisory body for health worker training. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2022 Sidibé et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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