September 2015 - April 2017
THE MOMENTUM PROJECT
DEVELOPING A MODEL OF MENTORSHIP FOR UGANDAN MIDWIFERY
MOMENTUM was part of the Health Partnerships Scheme, funded by UK-AID (DFID) through the Tropical Health and Education Trust (THET). The MOMENTUM project ran for 20 months from the 1st September 2015 to 30 April 2017 and was jointly implemented by the Uganda Private Midwives Association and its twinned partner, the Royal College of Midwives UK.
This MOMENTUM project aimed to address the poor quality of mentorship for student midwives in Uganda. The Global Midwifery Twinning Project (2012-2015), a previous health partnerships scheme project implemented by UPMA and the RCM, had identified the felt need for a system of midwifery mentorship in Uganda. A successful pilot had been implemented in December 2014 with student midwives from the Kibuli School of Nursing and Midwifery who undertook placements in UPMA clinics for placements of 10 days. The period of mentorship in student midwives practice placements was identified as a crucial intervention point by the RCM and its Ugandan partners; good quality mentorship ensures:
· Development of practical midwifery competencies,
· Demonstration of the achievement of the required standards for midwifery mentorship practice
· Development of independent decision making capabilities and midwifery behaviours.
The MOMENTUM project aimed to improve the training of student midwives, to contribute to UPMA's vision for all mothers and babies in Uganda to have access to quality midwifery care. Specifically, the project developed:
· four clinical pilot sites as centres of student mentorship excellence (Kiwoko Hospital & training school; Mukono HC IV; Wakiso HC IV; a cohort of 4 UPMA clinics).
· a national standard for midwifery mentorship, in partnership with the Uganda Nursing and Midwifery Council, and
· a module to deliver work-based learning to midwives to prepare them to become mentors, in partnership with various Universities and Midwifery Training Schools.
The project used an Action Research approach to emphasize participation for all parties, with three distinct action/reflection cycles to generate Ugandan solutions to midwifery mentorship challenges. During the project 84 students were mentored in the four pilot sites, 40 mentors were trained and the learning environment in all 4 pilot sites was improved. External evaluation of the project found that MOMENTUM achieved a great deal more than it aimed to achieve and suggested that the project will strengthen and improve the quality of health care provision in Uganda long-term.