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CONFERENCE PROCEEDING
Assessing maternal and perinatal death surveillance and response (MPDSR) competency gaps in pre-service midwifery curricula in Kenya and Nigeria: A mixed methods study
1
Moi University, Midwifery and Gender, Eldoret, Kenya
2
UNFPA, Maternal Health, New York, United States
3
LSTM, Quality of Care, Abuja, Nigeria
4
LSTM, Quality of Care, Liverpool, United Kingdom
Eur J Midwifery 2026;10(Supplement 1):A110
ABSTRACT
BACKGROUND:
About 5 years to the end of the Sustainable Development Goals (SDG), targets for maternal and newborn health are off track with a significant burden of maternal and perinatal deaths in sub-Saharan Africa. MPDSR is a strategy used to identify and review causes of maternal and perinatal deaths and develop continuous quality of care improvement plans.
OBJECTIVES:
To develop and validate a generic MPDSR module content using global guidance and determine the extent, acceptability, and demand for integrating the MPDSR content in pre-service midwifery education in Kenya and Nigeria.
METHODS:
A multi-country, multi-site cross sectional mixed methods study design was used with 224 participants purposively selected. An MPDSR pre-service content, developed using global standards and validated in a global maternal and newborn healthcare stakeholder meeting, was used to measure curricula content. Two Institutional (22-086; 393/22) and national IRB (NACOSTI 890538/23;NHREC 01/01/2007) approvals were received before data collection using curriculum content checklist, self-administered questionnaires, and interview guides. All participants provided consent before data collection. Chi-square tests for association within and between groups were used to describe differences (p<.05), and thematic analysis was conducted.
RESULTS:
Integrating MPDSR in midwifery curriculum was perceived as timely, and midwifery educators indicated unclear guidance on the scope of MPDSR in midwifery education, low capacity for MPDSR competency training, with over 90% of educators indicating a need for upskilling. The majority of the students had covered causes 72(84%) and prevention of maternal deaths 68(79%), with the least content being assigning causes of perinatal death 36(42%), bereavement care 33(38%), and ‘no blame culture’ 19(22%). More middle-level college students reported studying classification, reporting, and review of maternal death compared to university students (p<.009).
CONCLUSIONS:
MPDSR competencies have not been fully embraced in preservice midwifery education.
KEY MESSAGE:
Clear guidelines on the scope of MPDSR in midwifery and educator capacity building is recommended. Education - curriculum 1
About 5 years to the end of the Sustainable Development Goals (SDG), targets for maternal and newborn health are off track with a significant burden of maternal and perinatal deaths in sub-Saharan Africa. MPDSR is a strategy used to identify and review causes of maternal and perinatal deaths and develop continuous quality of care improvement plans.
OBJECTIVES:
To develop and validate a generic MPDSR module content using global guidance and determine the extent, acceptability, and demand for integrating the MPDSR content in pre-service midwifery education in Kenya and Nigeria.
METHODS:
A multi-country, multi-site cross sectional mixed methods study design was used with 224 participants purposively selected. An MPDSR pre-service content, developed using global standards and validated in a global maternal and newborn healthcare stakeholder meeting, was used to measure curricula content. Two Institutional (22-086; 393/22) and national IRB (NACOSTI 890538/23;NHREC 01/01/2007) approvals were received before data collection using curriculum content checklist, self-administered questionnaires, and interview guides. All participants provided consent before data collection. Chi-square tests for association within and between groups were used to describe differences (p<.05), and thematic analysis was conducted.
RESULTS:
Integrating MPDSR in midwifery curriculum was perceived as timely, and midwifery educators indicated unclear guidance on the scope of MPDSR in midwifery education, low capacity for MPDSR competency training, with over 90% of educators indicating a need for upskilling. The majority of the students had covered causes 72(84%) and prevention of maternal deaths 68(79%), with the least content being assigning causes of perinatal death 36(42%), bereavement care 33(38%), and ‘no blame culture’ 19(22%). More middle-level college students reported studying classification, reporting, and review of maternal death compared to university students (p<.009).
CONCLUSIONS:
MPDSR competencies have not been fully embraced in preservice midwifery education.
KEY MESSAGE:
Clear guidelines on the scope of MPDSR in midwifery and educator capacity building is recommended. Education - curriculum 1
| eISSN: | 2585-2906 |
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