肯尼亚高级助产实践(APM)的机遇与挑战:讨论文件

F. Mbuthia, Joyce Jebet, Elijah K. Kirop
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引用次数: 0

摘要

背景:孕产妇和新生儿死亡率高仍然是全球关注的问题,特别是在低收入和中等收入国家。这在很大程度上是由于熟练劳动力有限,包括需要提供高质量孕产妇和新生儿护理的助产士。高级助产实践培训被强调为在所有环境和国家实现高质量孕产妇和新生儿护理的关键。在肯尼亚,APM培训已于2022年5月启动,目前处于初始阶段。本文介绍了关于APM培训和实践的机遇和挑战的文献综述的结果,目的是为任何愿意在肯尼亚和其他中低收入国家开展该计划的机构提供信息。方法:通过对相关本地和国际文献的快速文献回顾,进行了描述性概述,以突出基于肯尼亚背景的APM培训和实践的机遇和挑战。结果:APM培训和实践具有广阔的机会,如对高质量护理和降低成本服务的需求增加,支持政策,技术进步,职业认可和培训的正规化以及低水平培训的助产士的可用性。APM培训可能遇到的挑战包括:缺乏专业培训师、技术挑战、大量需要服务的人口带来的工作量挑战以及临床环境挑战。结论:APM的培训和实践尽管面临挑战,但仍有巨大的机遇。因此,对于任何准备开展APM培训的机构来说,都需要利用现有的机会并应对可能出现的挑战,以确保APM培训和实践达到预期的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Opportunities and Challenges of Advanced Practice Midwifery (APM) in Kenya: A Discussion Paper
Background: The high maternal and neonatal deaths remain a global concern especially in Low- and Middle-Income Countries. This is largely attributed to the limited skilled workforce including midwives who are required to offer quality maternal and neonatal care. Advanced Practice Midwifery (APM) training has been highlighted as critical in achieving high-quality maternal and neonatal care in all settings and countries. In Kenya, the APM training is at the initial stages, having been launched in May 2022. This paper presents the results of a literature review regarding opportunities and challenges for the APM training and practice with a goal of availing information to any institution willing to begin the program in Kenya and other LMICs. Methodology: A descriptive overview was undertaken through a rapid literature review of the relevant local and international literature to highlight the opportunities and challenges for the APM training and practice based on the Kenyan Context. Results: The APM training and practice has expansive opportunities such as the increased demand for quality care and reduced cost services, supportive policies, advances in technology, profession recognition and regularisation of the training and availability of midwives trained at lower levels. The challenges that the APM training is likely to experience includes; Lack of expert trainers, technological challenges, workload challenges due to the high population in need of the services and clinical environment challenges. Conclusion: APM training and practice has enormous opportunities despite the challenges that may be experienced. Therefore, for any institution preparing to start the APM training, there is need to exploit the existing opportunities and address the likely challenges to ensure the APM training and practice meets the desired outcomes.
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