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Implementing a competency-based midwifery programme in Lesotho: A gap analysis.

Champion N Nyoni1, Yvonne Botma1

  • 1School of Nursing, University of the Free State, P.O. Box 339, 9300, Bloemfontein, South Africa.

Nurse Education in Practice
|November 23, 2018
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Summary
This summary is machine-generated.

Implementing competency-based midwifery education in Lesotho revealed significant gaps between the intended curriculum and actual practice. Structural and operational adjustments are crucial for successful program transformation and sustainability.

Keywords:
Competency-based educationImplementationMidwifery programmes

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Area of Science:

  • Health Professions Education
  • Midwifery Education
  • Curriculum Innovation

Background:

  • High maternal and neonatal mortality rates in sub-Saharan Africa necessitate educational reforms.
  • Global trends support competency-based education (CBE) models in health professions.
  • Lesotho adopted a CBE model for its post-basic midwifery program.

Purpose of the Study:

  • To explore experiences with implementing a competency-based midwifery program in Lesotho.
  • To identify gaps between the intended and enacted curriculum.
  • To understand challenges in transforming midwifery education.

Main Methods:

  • Gap analysis involving administrators, educators, and students.
  • Exploration of experiences after three years of program implementation.
  • Qualitative assessment of curriculum enactment in nursing education institutions.

Main Results:

  • A substantial gap exists between the described and enacted competency-based midwifery curriculum.
  • Essential program components were not transformed to align with CBE principles.
  • Implementation challenges hindered the intended educational shift.

Conclusions:

  • Structural and operational program elements require adjustment for successful curriculum innovation.
  • Contextually relevant frameworks are needed to support CBE implementation and sustainability.
  • Effective transformation of midwifery education demands holistic program adaptation.