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Outline of the Project

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Project Name

The Project for Capacity Development of Midwives

Country

The Republic of Djibouti

Project Site

Nationwide

Term of Cooperation

From the 14th March 2013 to the 13th March 2015

Implementing Organization

Ministry of Health (MOH)

Background

The Government of the Republic of Djibouti emphasizes its focus on the improvement of maternal and child health in the National Health Development Plan (PNDS) aiming at reaching Millennium Development Goals 4, 5, and 6. As a result of its effort to tackle the challenges around maternal and child health, the related indicators, such as under five mortality rate, have gradually improved. However, especially maternal mortality ratio still remains as a challenge (200 deaths per 100,000 live births in 2010, reported by WHO) and there is an urgent need to improve the situation around mothers.

One of the crucial issues is the lack of the capacity and the confidence among midwives, who play a major role in maternal and neonatal care due to insufficient number of the doctors in Djibouti. Although in-service training for midwives has been conducted by the Ministry of Health (MOH) supported by development partners, it is necessary to re-organize the in-service training to enhance the necessary competency of midwives in Djibouti. Also, even though midwives have some opportunities to take in-service training, they still face many challenges while on duties since the follow-up of the training is not systematized for midwives to retain their knowledge and skills to provide the appropriate care.

Under this circumstance, the Government of Djibouti has requested the technical cooperation from the Government of Japan for the capacity development of midwives.

Overall Goal

Women's health at the perinatal stage in Djibouti is improved.

Project Purpose

Appropriate maternal and neonatal care is provided by midwives at the health facilities.

Outputs

  1. The knowledge and skills of midwives at health facilities to provide standard maternal and neonatal health care is improved.
  2. The supportive environment is strengthened at the health facilities to facilitate retaining midwives’ knowledge and skills.

Project Activities

1-1 To establish a task force of in-service training of midwives
1-2 To identify and analyze the capacity and needs of midwives in terms of knowledge and skills to provide maternal and neonatal care
1-3 To modify and elaborate a training package (training plans, modules, and tools) of in-service training of midwives
1-4 To provide necessary assistance (e.g. third-country training for trainers, equipment) for conducting in-service training of midwives for national referral hospitals
1-5 To conduct necessary in-service training for midwives to provide standard maternal and neonatal health care
1-6 To modify the training package from the feedbacks of the trainings conducted
2-1 To support the health facilities to elaborate and submit action plans for retaining midwives' knowledge and skills acquired by the in-service training
2-2 To provide necessary obstetric equipment to the health facilities based on the analysis of action plans and monitor its utilization
2-3 To develop a standard operational procedure checklist for midwife supervisors at the health facilities and officers in MOH headquarter to execute the follow-ups of in-service training for midwives
2-4 To conduct training for midwife supervisors at the health facilities and officers in MOH headquarter for implementing follow-ups of in-service training for midwives
2-5 Midwife supervisors at the health facilities execute the follow-ups of in-service training for midwives
2-6 Officers in MOH headquarters implement supervisions of the follow-ups of midwife supervisors at the health facilities

Input

Japanese Side:

(1) Dispatch of Experts

  • Chief Advisor / Maternal and Child Health (1), Deputy Chief Advisor / Training Planning, Maternal and Child Health (2), Strengthening of Monitoring System

(2) Machinery and Equipment

  • Basic midwifery equipment for the health facilities which provide basic emergency obstetric care (detailed equipment list will be agreed by both parties after the analyses which will be conducted by the Project)

(3) Covering Other Costs

  • Training of counterpart personnel in Japan and/or the third countries

Djiboutian side:

(1) Counterpart Personnel

Main Counterparts

  • Project Director: Director of Maternal and Child Health Department, MOH
  • Project Manager: Officer under the Department of Maternal and Child Health, MOH

Other Counterparts

  • Technical staff in charge: Department of Maternal and Child Health, MOH
  • Regional focal persons:
    Department of Regional Health, MOH
    Director of each targeted health facility
    Midwife supervisor of each targeted health facility

(2) Facility

  • Provision of the project office and facilities necessary for the project implementation

(3) Covering Other Costs

  • Running costs for electricity, water, communication, etc.
  • Expenses for implementing the specified training programs, etc.
  • Others

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