DESCRIPTION OF TOPIC:
Improving the quality of midwifery education to international standards is critical to prepare competent midwives. Despite the recognized impact of competent midwives, little is known concerning the implementation of Competency-Based Education (CBE), especially in Africa, where poor investment in quality midwifery education has been reported. The aim of this study is to scope and synthesize the existing literature on the implementation of CBE for midwifery programs and its sustainability in Africa. The scoping review methodology outlined by Arksey and O’Malley’s framework was adopted to explore the extent of the literature on the implementation of CBE for midwifery programs and its sustainability in Africa. A total of 72 studies were finally included in this scoping review. Reporting of the scoping review findings follows the PRISMA- ScR format. The study showed that of the 54 African countries as per the World Bank classification, after review of the full articles following the eligibility criteria for inclusion, the literature on midwifery education programs only spanned 17 African countries as at the time of this report. Of which, 11 are implementing CBE, 5 are still using Traditionally Based Approaches (TBA), while Problem-Based Learning (PBL) is the main teaching pedagogy used in Botswana.

RELEVANCE TO MIDWIFERY:
This review revealed that for the successful implementation of CBE, a CBE curriculum implementation process must be strictly observed. Evidence from the literature confirmed that CBE has not been sustained in Africa. There is still a struggle to fully integrate the major components of the competency-based midwifery program due to inadequate support and an inadequate monitoring system. It is expedient that CBE implementation should be planned concurrently with its sustainability for it to be effective. Adequate training and support should be continuously provided to faculties, institutions, policy makers, professional bodies, students, and other stakeholders for successful implementation and sustainability. Obstetric violence (including a three-minute presentation competition)