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Communities of Practice
Strengthening Pre-Service Education of NPCs for
Maternal Survival
The Africa Network for
Non-Physician Clinicians
 303 registered members of our CoP
 34 countries are represented
 314 contributions
August 1, 2011
Members
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Zambia
Malawi
Ethiopia
Tanzania
United Kingdom
Canada
Ghana
Burkina Faso
Kenya
South Africa
Sudan
Uganda
Switzerland
DRC
Bangladesh
Bhutan
Burundi
Congo
Eritrea
Hungary
Ireland
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Norway
Cameroon
India
Israel
Mozambique
Netherlands
Nigeria
Sierra Leone
Belgium
Haiti
Liberia
Australia
Mauritius
Morocco
Namibia
New Zealand
Philippines
Rwanda
Sweden
Yemen
United States of America
Distribution of Membership
(Countries with 5 or more members)
United States of America
Zambia
USA
Malawi
Ethiopia
Tanzania
Canada
United Kingdom
Canada
UK
Ghana
Burkina Faso
Kenya
Tanzania
South Africa
Zambia
Sudan
Uganda
Ethiopia
Malawi
Switzerland
Distribution of Membership
(Countries with 5 or more members)
United States of America
USA
Zambia
Malawi
Ethiopia
Tanzania
Canada
United Kingdom
Canada
UK
Ghana
Burkina Faso
Kenya
Tanzania
South Africa
Zambia
Sudan
Uganda
Ethiopia
Malawi
Switzerland
70% of membership from Africa
Contributions
(Countries with 5 or more contributions since inception)
Zambia
Malawi
Zambia
Ethiopia
Malawi
Burkina Faso
Kenya
USA
Ethiopia
Uganda
Norway
Burkina Faso
Cameroon
Yemen
Kenya
Bangladesh
Liberia
Tanzania
Uganda
Sierra Leone
Nigeria
Nigeria
Sierra Leone
UK
Netherlands
UK
Tanzania
US
Global Discussion Forums
1. “Using a Community of Practice to Strengthen
Non-Physician Clinician Education and
Training” February 21-25, 2011
2.
“Approaches to Teaching Emergency Obstetric
and Neonatal Care (EmONC) in Non Physician
Clinician Curriculum” July 11-15, 2011
Using a Community of Practice to
Strengthen Non-Physician Clinician
Education and Training
February, 2011
 THE LAUNCH
 55 postings from Bangladesh, Bhutan, Burkina Faso,
Egypt, Eritrea, Ethiopia, Haiti, India, Malawi,
Netherlands, Nigeria, Rwanda, Scotland, Sierra Leone,
South Africa, Sweden, Switzerland, Tanzania, Uganda,
UK, USA, Yemen and Zambia
Focus
 Why members were interested in this NPC network?
 How they would like to see the Community evolve?
 Share successes, challenges, and barriers faced in NPC
practice
 Dr. Peter Mwaba Permanent Secretary from the
Zambia Ministry of Health– Honored Guest
Themes
1) Strengthening links and collaborations to accelerate
the sharing of information, resources, opportunities,
and support
2) Increasing global awareness about NPCs
3) An interest in NPC education and competency based
training with common standards and definitions
across countries
4) Wanting to “give voice” and “empower” NPCs to carry
out their work and impact health outcomes
Themes (con’t)
5) Recognition of the value of specialist expertise and its
networks that allow all groups to benefit from their
insights, ideas and experience
6) Training/ Facilitating to NPCs working in primary
and emergency situations
7) Need to scale up training of NPCs
Challenges & Strengths
Challenges
 Level of expectation for
performance
 Career opportunities
 Lack of equity, professional
development, and
social/professional recognition
 Cultural and attitudinal barriers to
NPCs
 Weaknesses mentoring, supportive
supervision and evaluation
 Lack of information technologies to
support the work of NPCs
Strengths
 Appreciation from the community
and other providers
 Short courses
 Support from donors
Opportunities
 Continuing education, workshops,
advancing own knowledge
 Empowerment
Threats
 Closed or restricted communities
Ideas & Future Direction for CoP
 Resources for education and
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training
Newsletter or journal specific
to NPCs
Twinning programs
NPCs as a workforce to
address MDGs 4 & 5
Job opportunities
Discuss titles for NPCs not
involved in direct patient care
Turning evidence based
research into action
 NPCs collectively shape a
strong international national
organization and from that
platform seek transnational
contacts via the CoP
 Publish scientific evidence
about the role and
importance of NPCs
particularly to save mothers'
and newborns' lives
 Development of an
entrepreneurial model for
NPC run clinics
Approaches to Teaching Emergency
Obstetric and Neonatal Care (EmONC) in
Non Physician Clinician Curriculum
July, 2011
 40 postings from Netherlands, Tanzania, Uganda,
USA, Burkina Faso, Kenya, Malawi, Scotland, Sudan,
Sweden, Tanzania, Zambia, Malawi, Ethiopia , Liberia,
Focus
 To promote dialogue and exchange around the
similarities and differences within various countries'
(and institutions') approaches to teaching EmONC
competencies to NPCs
Themes
 Clinical topics
 Tubal ligation with Csection
 Medical training film on
Early Warning Signs in
Pregnancy
 Neonatal survival
 Vacuum extraction
 Destructive delivery
 The value of “bed-side
teaching” or experiential
learning
 The need to share
information/lessons
learned with each other
 Harmonize approaches
& tools for training
 Use of competency
based training
Themes (con’t)
 The need for an evidence based curriculum
 The need to share information/curriculum and
teaching strategies
 Identifying skills and competencies that are often
missing from pre-service education, or poorly taught,
including assisted vaginal deliveries - vacuum
deliveries and the use of the partograph as a means of
early identification of obstructed labour
Themes (con’t)
 A request for guidance and input into a training
resource
 Desire to share curriculum
 Share experiences on supervising AMO trainees in
clinical practice
Practical Implications
 Sharing information through links
 The newly published International Confederation of
Midwifery competencies
 JHPIEGO links
 Sharing of powerpoints & video
 Sharing of curriculum
 Tanzanian Training Centre for International Health,
Ifakara Tanzania (TTCIH)
Next Steps
 How do we use the CoP to move forward the agenda
for NPC’s?