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Evaluation of the feasibility of a midwifery educator continuous professional development (CPD) programme in Kenya and Nigeria: A mixed methods study
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1
United Nations Population Fund UNFPA, Sexual and Reproductive Health, New York, United States
2
Liverpool School of Tropical Medicine, International Public Health, Liverpool, United Kingdom
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Liverpool School of Tropical Medicine, International Public Health, Liverpool, Nigeria
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Moi University, Midwifery and Gender, Eldoret, Kenya
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Masinde Muliro University of Science and Technology, Midwifery, Kakamega, Kenya
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Maseno University, Family Medicine, Kisumu, Kenya
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Kenya Medical Training College, Nursing, Nairobi, Kenya
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Burnet Institute, Midwifery, Australia, Australia
Eur J Midwifery 2026;10(Supplement 1):A136
ABSTRACT
BACKGROUND:
Midwifery education is under-invested in developing countries with limited opportunities for midwifery educators to improve/maintain their core competencies. To update their competencies, a blended midwifery educator-specific continuous professional development (CPD) programme was designed with key stakeholders.
OBJECTIVES:
To evaluate the feasibility of a blended midwifery educator CPD program developed by UNFPA and Liverpool School of Tropical Medicine in Kenya and Nigeria.
METHODS:
A mixed-methods intervention study using a concurrent nested design among 120 midwifery educators from 81 midwifery schools. Educators completed four self-directed online learning (SDL) modules and three-day practical training on teaching methods (theory and clinical skills), assessments, effective feedback, and digital innovations in teaching/learning. Pre- and post-training knowledge in SDL modules; confidence and practical skills in preparing a teaching plan and microteaching were measured. Differences in knowledge, confidence, and skills were analyzed. Educators' and midwifery councils' reactions, including challenges to the program, were collected/analysed thematically.
RESULTS:
Mean knowledge scores in SDL modules improved from 52.4% (±10.4) to 80.4% (±8.1), preparing teaching plan median scores improved from 63.6% (IQR 45.5) to 81.8% (IQR 27.3), and confidence in applying selected pedagogy skills improved from 2.7 to 3.7 (out of 4), p<0.001. Participants rated the SDL and practicals high for relevance and satisfaction (median, 4 out of 4 for both). After training, 51.4% and 57.9% of the participants scored 75% or higher in preparing teaching plans and microteaching assessments. Country, training institution type or educator characteristics had no significant associations with overall competence in preparing teaching plans and microteaching (p>0.05). Educators found the programme educative, flexible, convenient, motivating, and interactive for learning. Internet connectivity, computer technology, costs and time constraints were challenges to completing the programme.
CONCLUSIONS:
The programme was feasible and improved educators' teaching/learning competencies.
KEY MESSAGE:
Policy for roll-out of mandatory CPD programmes for midwifery educators is needed for quality MNH care.
Education faculty development 1