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Associate Degree in Midwifery

Associate Degree in Midwifery

    Course Objective

    To prepare midwifery students with the knowledge, skills and attitudes that will enable them to function effectively as a midwife in contributing to decrease maternal and peri-natal mortality and morbidity in Cambodia.

    Learning Outcomes

    Graduates from this program will:

    • Apply the knowledge of policies and procedural guidelines that have legal implications for practice.
    • Apply the midwifery process with emphasis on critical thinking, therapeutic midwifery inventions and effective interpersonal communication skills as they relate for success in midwifery profession
    • Apply of ethical, legal, economic and political concepts, showing a positive attitude and respect for people regardless of economic status, customs and beliefs
    • Demonstrate ability to coordinate comprehensive and high quality care to patients, families and the communities in line with the standards of midwifery practice for safe motherhood
    • Use the primary health care approach to help meet basic health needs in the community through participation by the community
    • Be responsible for continuing personal and professional development with an awareness of changing health trends
    • Demonstrate ability to assume leadership and consultative role within the health ……?
    • Participate in community activities that contribute to improvement of reproductive health status.
    • Course Requirements
    • The students can leave with school permission for 15% of Semester hours or 10% on leave without school permission, but they are not allowed to leave the whole single credit hours (theory and practice hours)
    • The students can leave only 15% of Semester hours with or without school permission
    • They have to attend at least 85% or 90% and fulfill at least 70% of Semester clinical requirements before allowing sitting the exam of related Semester. The remain 30% of clinical requirements will be completed during their internship in the 6th Semester or upon arrangement of the school
    • If attendance is within 50-84% of Semester hours or 50-89% or fulfilling of clinical requirement is within 50-69% they are allowed only to sit the 2nd session exam at the end of each semester
    • If attendance is less than 50% of Semester hours or fulfilling of clinical requirement is less than 50% they have to repeat class

    Admission Requirements

    In principle, applicant shall fulfill the following criteria:

    • Females aged under 26 years old
    • Have High school diploma
    • Be in a good health

    Note:

          Number of intakes to the ADM Program is limited based on MoH health workforce projection and capacity of production of each training institution

    Validity and transfer of Credits

    • Student could fulfill their ADN credits in 5-year period
    • Before transferring to another school student must fulfill credits of:
    • First year requirement or
    • Each year program
    • The transfer should be based on the agreement set by both sides.
    • Curriculum structure (See annex 1)

    ADM Program Total Credits Hours

    YearTheory (T)Class PracticePractice (P)Field study Internship (*)Total by Term
    CrHrHrCrHrCrHrCrHr
    Ⅰ36548914180  40819
    Ⅱ304639562702*18036+2*1008
    Ⅲ1827510073158*72025+8*1410
    Total84128628617765108900101+10*3237

    Note:

                -ADM Program Total Credits=111 Credits (Included *Credits)

                -ADM Program Total Hours= 3237 hours (Included *Credits)

                            -Theory = 1286 Hr = 39.70%

                            -Practice = 1951 Hr = 60.30%   

    Clinical requirements for ADM Midwife Students

     Nursing Procedures    #Requirement
    NoFundamental nursing Ⅰ,Ⅱ,ⅢS2S3S4S5ObserverPerform
    1Sterile glovingX    10
    2Measuring body temperatureX    20
    3Assessing radial pulseX    20
    4Assessing respirationsX    20
    5Assessing arterial blood pressureX    20
    6Administering intra dermal injections X   10
    7Administering subcutaneous injections X   10
    8Administering intramuscular injections X   10
    9Initiating intravenous therapy X   10
    10Performing oro-pharyngeal suctioning X   5
    11Applying nasal cannula or oxygen mask X   5
    12Intubating the patient with a naso gastric feeding tube X   5
    13Inserting an indwelling catheter X   5
     Midwifery ProceduresS2S3S4S5#Requirement
    ObservePerform
    ⅠAt Health Center      
    14Consultation of Ante-natal care  X  40
    15Filling on mother health card  X  40
    16Birth spacing service (Counseling)  X  05
    17Mother Health Education  X  40
    18Immunization for child and mother  X  40
    19Filling on child and mother immunization-card  X  40
    ⅡAt delivery ward      
    20Filling on Partograph   X 20
    21Normal delivery (Primipara and multipara)   X 20
    22Repairing perineum   X 05
    23Abnormal delivery   X5 
    24Post-natal care   X 15
    25Education on breastfeeding, nutrition, BS, risk sign of the new born, STDs/AIDS…   X 15
    ⅢAt Newborn ward      
    26Newborn resuscitation   X2 
    27Baby bathing   X 10
    28Care of normal baby   X 10
    29Care of premature baby   X2 
    ⅣAt ICU/ Post-operative Unit      
    30Pre-operative care to woman   X2 
    31Post-operative care to woman   X2 
    32Wound dressing   X 2
    33Emergency care to woman with obstetric and gynecological Problems   X2 
    Total = 33 Procedures      
    ⅤOutreach Activity at the community      
     In addition to the above mentioned clinical requirements Students have to go to community for outreach activity in semester IV focusing on health education for one month which equals to 2 credits gained from that requirement.      

    Course assessment

    The Three-year Course of Midwifery Training Program (Associate Degree in Midwifery – ADM) shall be assessed on a basis of continuous assessment. Students will be informed on assessment schedule, assessment process and conditions for successful completion credits of each semester at the commencement of the course. Students will not be graduated unless they pass successfully the school graduation exam by completing all credits (theory and clinical practice). They receive Certificate of Graduation issued by training Institution. Graduates are required to pass the National Exit Exam in order to receive their Diploma of Associate Degree in Midwifery.

    1. Purpose of the course assessment
    2. To provide feedback to the student and the teacher as to how learning is progressing that assists

    the students to determine their strengths and weaknesses (Formative assessment)

    • To measure competence in both knowledge and skills of students at the end of the course

    (Summative assessment)

    • Assessment process
    • Formative assessment

    a – Theory Assessment

    The Theory Assessment is the continuous assessment to be conducted during the course and occurred at the end of each semester:

    • Theory exam is credit-based assessment
    • The ADM Course has 6 semesters which consist of 6 months per semester
    • Theory assessment will be done at the end of the first and second semester of each year program
    • The students who failed any credit of the two semesters are allowed to re-sit the 2nd session exam at the end of the 2nd semester
    • If still failed of the 2nd session exam, they have to repeat the class.

    b – Clinical Performance Assessment

    The clinical performance assessment will be conducted from the 2nd semester based on clinical requirements stipulated in the curriculum:

    • Students shall have their Clinical Logbook for preceptor to monitoring, evaluating, and recording their skill performance progress
    • Clinical instructors and Preceptors will use clinical checklists to evaluate the competency of midwifery students
    • Assessment during the internship in the 6th semester is aimed to allow the students to complete remaining clinical requirement in which they could not fulfill in the previous semester and to provide more opportunity to students for other midwifery skill practices.
    • Summative assessment or graduation exam
    • It is the exam of theory and clinical performance at the end of the course
    • Students have to complete clinical requirements and pass all theory credits before allowing sitting the first graduation exam. If requirements could not be completed, they have to sit the second graduation exam
    • Students who do not pass the first graduation exam will be allowed to re-sit the second exam two months after the first exam (theory and/or clinical performance they failed)
    • The graduation exam will be conducted by the training institution under the supervision of relevant authorities.
    • References

    -WHO toolkits (ICM)

    -IMPAC

    -PAC national protocol

    -Life saving skill

    -MNCHC/UNFPA 2000 Safe motherhood Assessment and Management Protocols Health Center

     MoH, Phnom Penh

    -NMCHC/UNFPA 2000 Safe motherhood Assessment and Management Protocols Referral Hospital,

     MoH, Phnom Penh

    -NMCHC 1999 Counseling skill for Birth Spacing Provider. Phnom Penh Curriculum Guide

     Teacher’s Resource Manual 2-3

    -NMCHC 1997 Manual for Birth Spacing Provider MoH, Phnom Penh Khmer Book

    -MoH NMCHC 1997 Safe Motherhood Policy, National Policy and Strategies, MoH, Phnom Penh

     Khmer Book

    -MoH NMCHC 2002 សៀវភៅគោលនយោបាយជាតិ ស្តីពីការអនុវត្តចិញ្ចឹមទារក និងកុមារ

    -MoH NMCHC/ JICA 2005 វគ្គវិក្រិត្យការឆ្មបថ្នាក់មន្ទីពេទ្យបង្អែក តាមកម្មវិធីសំណុំសកម្មភាពបង្គ្រប់លើកទី១

    -NMCHC/ UNFPA 2002 Manual for Birth Spacing Providers at Health Center, MoH, Phnom Penh Khmer book

    -MoH NMCHC 2003 គោលនយោបាយកម្មវិធីពង្រីកការចាក់ថ្នាំបង្ការ

     -MoH NMCHC ការផ្តល់ថ្នាំបង្ការប្រកបដោយសុវត្ថិភាពសម្រាប់ថ្នាក់មណ្ឌលសុខភាព

    -NAA. 1999 National Policy and Priority Strategies for HIV/AIDS Prevent and Control in the Kingdom of Cambodia from 1999-2004 National AIDS Authority, Phnom Penh Khmer Book

    -NAA 1999 Charter of Persons with HIV/AIDS, National AIDS, Authority, Phnom Penh

    -MoH CCHADS 2000 STD Counseling MoH Phnom Penh Khmer Book module

    -MoH NCHADS WHO Jan 2000 National Guideline on home and community care for people livning with AIDS/HIV Khmer Book

    -MoH 1998 ឯកសារបណ្តុះបណ្តាលស្តិអំពីការគ្រប់គ្រងថែរទាំជំងឺ កាមរោគដោយពឹងផ្អែកលើចង្កោមរោគសញ្ញា………………..?

    -MoH NCHADS 2004 ការផ្តល់ប្រឹក្សា​ និងធ្វើតេស្តរកមេរោគអេដស៍ដោយស្ម័គ្រចិត្ត និងរក្សា………………..?​

    គោលការណ៍ណែនាំសម្រាប់អនុវត្តន៍

    -MoH NCHADS 2002 ចំណេះដឹងជាមូលដ្ឋានស្តីពីជំងឺអេដស៍

    -MoH Human Resource Development Department 1999 សេចក្តីណែនាំសម្រាប់គ្រូជំនាញបង្រៀនគ្លីនិកជាមូលដ្ឋាន

    -MoH Human Resource Development Department 1997 Health Centre Manual MoH, Phnom Penh

    -MoH WHO Infection Control in the Hospital. Khmer Book

    -MoH Human Resource Development Department. 2000. MPA Module 6: Basic Hygiene and Infection Control

    -MoH Human Resources Department 2000 MPA Module 11: Delivery, MoH, Phnom Penh Khmer Book Teacher Instructions

    -WHO Maternal Health and Safe Motherhood Program Obstructed Labor Module. MoH, WHO Khmer Translations ការឈឺពោះសម្រាលលំបាក (សៀវភៅគ្រូ)

    -WHO 1998 Nursing Care of the sick- a guide for nurses working in small rural hospitals. WHO Western, Pacific Regional Office, Manila, Philippines. Khmer Translatation.

    -WHO 1995, Complications of Abortion

    -WHO/UNICEF 2000 Handbook Integrated Management of Childhood illness. WHO Department ofChild and Adolescent Health and Development Khmer Translation.

    -Burns, A. Lovich,R. Maxwell,J. and Shapiro, K. 1997 Where women have no doctor.

    -A health guide for women. Hesperian Foundation, Berkeley

    -V.Ruth BENNETT, Linda K. BROWN, 1996. Myles Text book for midwives 12th Edition Churchill Livingstone. Edinburgh

    -King. F.S. (1992) Helping Mothers to breastfeed, Revised Edition, African Medical and -Abbatt, F.R. 1992. Teaching for better learning, WHO, Geneva 2nd Edition Khmer Translation

    -Davidm Newble, Robert Cannon handbook for medical Teachers.

    -M.P.Johnson & S B Rifkin. 1987. Health Care Together. Training Exercise for health workers in community based programs. Khmer Translation ការថែរក្សាសុខភាពជាមួយគ្នា

    -Sam Kaner. Health care together Facilitator’s to Participatory Decision Making

    -Tann Ly Huong et al. 1997. កិច្ចដឹកនាំ និងការជម្រុញទឹកចិត្ត

    -Mary F. BRADLEY. Community Health for nurse students. Bailliere Tindall, Redd Barna Cambodia. 1995 Khmer Translation

    -B. SEGUY. 1993. Atlans d’Anatomie et de Physiologie, Khmer Translation, Vol 1

    -B. SEGUY. 1993. Atlans d’Anatomie et de Physiologie, Khmer Translation, Vol 2

    -Hoskin F.P & Williams M.L 1995. The Universal Childbirth. Picture book, Women InternationalNetwork news. Diagrams

    -Charles.R.B. Beckmann et al 1992. Obsteric and Gyneology for Medical Students. Willeams & Wilkins. Baltimore, Maryland

    -J.H. Baudet, B. Seguy. Revision acceleree En Gyneologie

    -Katharyn A. May. Laura R. Mahlmeister. 1990. Comprehensive Maternity Nursing. Lippincott Company

    -Kent M. Van De GRAAFF et al. 1997. Synopsis of Human Anatomy & Physiology. 5th Edition

    -Donald R. Coustan et al. 1995. Reproduction Growth and Development. 1st Edition Little, Brown and Company, Boston

    -BETTY R. SWEET. 1998. Mayes’ midwifery A text book for midwives. 11th Edition. Bailliere Tindall, London

    -Susan KLEIN, 1995. A book for midwives: a handbook for community midwife and traditional birth

    Attendants. 1st edition. Re-edition 1996. MacMillan Education LTD, Khmer Translation

    អង្គការប្រឆាំងនឹងអំពើហិង្សាក្នុងគ្រួសារ សៀវភៅសម្រាប់អ្នកសម្របសម្រួល                

    -Violence against women, chapter 18, ឯកាសារអំពីច្បាប់ដែលទាក់ទងនឹងសិទ្ធច្បាប់មាត្រាទី៤៦-៤៨

    -King, F.S.(1993), Nutrition for Developing Countries, Oxford University Press, Great Britain

    -Joyce Le Fever KEE, Evelyn. R. HYYES, 2000. Pharmacology A nursing process. 3rd Edition. W.B.Saunders Company

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    -Miller A.W.F. and Hanretty K.P. 1997. Obstetrics Illustrated. 5th Edition. Churchill Livingstone.  New York

    -Judith Winkler, Elisabeth Oliveras, Neol Hcintosh. 1995. Post Abortion cares Consortium.

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