Community Midwifery (2-year diploma program)

Program Overview

Introduction

Pakistan has one of the highest maternal mortality ratios in South East Asia. According to the available statistics over 80% of women deliver at home in Pakistan. Trained health professionals conduct 5% of these deliveries, the rest are delivered by a female who could be a Dai, a traditional birth attendant, a family member or a neighbor. Internationally accepted figures state that 85% of all births can be handled or conducted safely by properly trained midwives. Only 15% of women will develop complications requiring a higher level of professional skills. Most countries of the world have lowered their maternal mortality through the wider involvement the professional midwives.

Program Objective

To provide antennal, post-natal, and newborn care to women and neonates in the community.
To make safe delivery possible for the women in their homes and in the communities
To initially work in tandem and eventually replace the TBA, by offering skilled midwives to the community

Diploma Awarding Authority

Sindh Nursing Examination Board is a diploma awarding authority.

Eligibility Criteria

Who can apply

Admission will only be granted to females
Candidates age should be between 15 to 40 years
All candidates will be required to undergo a medical fitness checkup
This program will be of 2 years duration

Qualification

Passed matriculation examination (either Art or Science) with minimum 40% marks. PNC criteria)
The medium of instruction will be in English/Urdu

Documents Required

Verified matric mark sheet
Domical Sindh

Key Dates

Advertisement	2nd week of July
Last Date of Form Submission	1st week of August
Entry Test	(DET) 3rd week of August
Announcement of Entry Test Result	2nd week of September
Interview of Selected Candidates	3rd week of September
Final List of Selected Candidates	1st week of October
Commencement of Classes	2nd week Of October Batch II

Fee Structure

Fee Components	Fee (PKR)	Remarks
Application Fee	1500
Admission Fee	10,000
Tuition Fee	36000 per year	Can be paid monthly
Security Deposit	2000
Examination fee	1500
PNC & SNEB Enrolment Fee	2000

Curriculum

Topic		Theory	Practice		Total Hours
Topic		Theory	Skill Lab/Group Work	Hospital/Community	Total Hours
Unit-1: Health, Maternal and newborn Health and CMW
1.1	Health and health situation of mother and newborn and role of society and culture in MNCH	8	22	6	36
1.1		8	22	6	36
1.2	Safe motherhood and Pakistan's health system providing maternal and child health services	14	20	10	44
1.3	Community, Midwiferyand Midwife's roles & responsibilities (linkage building, record keeping. referral)	4	8	12	24
1.3		4	8	12	24
1.4	Introduction to the course	6	0	12	18
1.4	Introduction to the course	6	0	12	18
	Sub Total	32	50	40	122
	Sub Total	32	90		122
Unit-2: Foundation
2.1	Body parts and functions	8	38	0	46
2.2	Drugs relevant to community midwifery	6	13	6	25
2.2	Drugs relevant to community midwifery	6	13	6	25
2.3	Infection prevention	6	16	12	34
2.4	Individual and Community Health assessment including first aid	18	25	30	73
2.5	Community-based first level midwifery care	15	22	29	66
2.6	Information and its use	9	16	12	37
2.7	Health Education and communication (PCC & IPC)	9	16	12	37
	Sub Total	71	146	101	318
	Sub Total	71	247		318
Unit 3 Pregnancy, its Complications, and Ante-Natal Care (ANC)
3.1	Human reproduction	8	22	0	30
3.2	Nutrition of women (anemia)	8	12	10	30
3.2	Nutrition of women (anemia)	8	12	10	30
3.3	Preparing for pregnancy. and Infertility	8	12	10	30
3.4	Physiological and psychological changes during pregnancy	30	12	10	30
3.4	Physiological and psychological changes during pregnancy	30	12	10	30
3.5	Ante-natal care	30	20	72	122
3.6	Birth preparedness and emergency plan (Place) of Delivery)	14	18	30	62
3.7	Bleeding in pregnancy	22	26	44	92
3.8	Hypertensive disorders of pregnancy	22	26	44	92
3.9	Pregnancy with infections	15	22	25	62
3.1	Pregnancy with Diabetes Mellitus	14	18	30	62
	Sub Total	150	188	275	612
	Sub Total	149	463		612
Unit 4 Labor and Childbirth, its Complications and Skilled Care during Labor
4.1	Principles of care during labor and birth	18	22	33	73
4.1	Principles of care during labor and birth	18	22	33	73
4.2	Physiology and management of First Stage of Labor	56	66	99	221
4.3	Physiology and management of Second Stage of Labor	56	66	99	221
4.4	Physiology and management of Third and Fourth stages of Labor	18	22	33	73
4.5	Prolonged and obstructed labor	18	22	33	73
4.6	Post partum hemorrhage (PPH)	18	22	33	73
	Sub Total	184	220	330	734
	Sub Total	184	550
Unit 5 Newborn and Infant Health (10%)
5.1	Physiology and Requirements of Newborn	6	8	10	24
5.1	Physiology and Requirements of Newborn	6	8	10	24
5.2	Essentials Of Newborn Care including Low Birth Weight (LBW). Hypothermia, Birth Asphyxia, Congenital Abnormalities Infections Feeding Disorders	15	18	29	62



5.3	Breast Feeding	6	8	10	24
5.4	Feeding Difficulties and Disorders	15	18	29	62
5.4	Feeding Difficulties and Disorders	15	18	29	62
5.5	Development in the first year	6	18	10	24
5.6	Major newborn Illnesses and Community-Based Integrated Management of Newborn (IMNCI) illnesses	13	14	22	49
	Sub Total	61	74	110	245
	Sub Total	61	184		245
Unit 6: Puerperium and Post Natal Care (PNC)
6.1	Physiology Of Puerperium	12	14	22	48
6.2	Postnatal Care and management of post- natal complications	37	46	66	149
6.3	Birth Spacing and Post- Abortion Care	15	23	57	95
	Sub Total	64	83	145	292
	Sub Total	64	228		292
Unit 7: Preparing for Professional Practice
7.1	Professional and Ethical Framework and Regulation and Legislation Relevant to Midwifery Practice in Pakistan	8	8	8	24


7.2	Evidence-based decision making	15	18	29	62
7.3	Quality of care	9	10	17	36
	Sub-total	32	36	54	122
	Sub-total	32	90		122
	Total	612	918	789	2448
	Grand Total	612	1836		2448

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Community Midwife (2-year diploma program)

Community Midwifery (2-year diploma program)

Program Overview

Eligibility Criteria

Fee Structure

Curriculum