Leer Project
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LEER PROJECT

Leer Enrolled Midwifery Training School

 

The Leer Enrolled Midwifery Training School commenced training in 2005 (at that time known as Leer Community Midwifery Training School) after several International Christian Health Organizations (CEAS, World Relief, ACROSS, C&D and PRDA) that were working in this area hatched the idea. PRDA being a National and Christian Based Organization (CBO) was given the mandate to facilitate the training while the other partner organizations provided a supportive role.

MSH-Hospital at Leer and Unity State Hospital were chosen as the practicum locale for trainees and for community experience, the Leer Township vicinity would be the community placement location.

                                               

So far, a total of 59 women have been trained by the school and now have the professional status of Community Midwives. Out of the 34 pioneer students that were recruited in 2005, 25 graduated with a Certificate in Community Midwifery in November 2008 after having spent 27 months in training. Due to the limited educational level of the students, the length of training was lengthened by 9 months for the school to facilitate a quick impact learning program referred to as Accelerated Learning Program (ALP). The second class of 18 ladies was recruited in February 2009 and graduated in December 2010 after completion of the requisite 18 months by the curriculum. The School recruited the third batch of 16 students in February 2011 and graduated in November 2012. Currently 22 students are in training undertaking Enrolled Midwifery course. The students emanate from various locations in South Sudan.

The GoSS MOH have developed a new Curriculum for Enrolled Midwives and at the end of 2012 requested PRDA to transit from training Community Midwifery and adopt the new Curriculum of Enrolled Midwifery that is upgraded to 24 months as opposite to the 18 month training for the Community Midwifery. Entrance requirement is also raised to secondary School level, making the recruitment of students more difficult. Needless to say, the longer the course will also mean a rise in expense per student. The current cost per student is 250,00 USD / 200 EUR per month, or 4.500 USD / 3.600 EUR for the 18 month course, or estimated 6.000 USD / 4.800 EUR for the extended course of 24 months.

 

According to the Sudan Household Health Survey (SHHS) of 2006, the infant mortality rate in Southern Sudan is 102/1,000 live births and the under-five mortality rate is 135/1,000 live births, being the highest in the world. Child malnutrition is endemic, 32.98% of under-fives are underweight, 13.5% of them severely, another 22.04%, have moderate and 7.25% severe wasting; and Only 17.03% of under-fives are fully immunized. The Southern Sudan Household Health Survey (SSHHS) of 2006 estimated maternal mortality ratio (MMR) at 2054/100,000 live births is the worst in the world. The antenatal care attendance rate is very low. Only 16.4% of all expectant women attend at least one antenatal care from a health professional. Moreover, only 31.73% of mothers receive at least two doses of tetanus toxoid vaccine during pregnancy. All these lead to a high maternal mortality ratio of 2054/100,000 live births. Less than half (48%) of people in South Sudan use improved drinking water, and only 6.4% of the population uses sanitary means of excreta disposal. It is estimated that HIV prevalence amongst adults (15-49) to be 2.6%.

 

The school endeavors to fulfill its objectives of achieving a critical mass by training Midwives that shall subsequently help to reduce the rampant Maternal and Infant Mortality in South Sudan.

The GOSS –MOH considers the training of Midwives as an important human resource development in health and have been approved the school is registering it with the Ministry of Health, the Government of South Sudan and is set to offer a 24-month course that ends with a government-accredited certificate.    

PRDA and MSF-Holland have an MOU for the enablement of the undertaking placement at this facility to sharpen their competences. Students also work in the community to gain relevant knowledge and skills.

                                                                                                               

The program in continuing to impact positively to the reproductive health of the women in the community by having qualified Midwives conducting deliveries professionally reducing the maternal mortality though the exact impact cannot be determined now.

 

Challenges

 

Despite the successes we have experienced, the school has undergone several Challenges and some are yet to be addressed. The main impediment to training has been the scarce funding we have continued to receive and so far our main partners have been Mission 21 and Uniting World of Uniting Church of Australia who in total contribute about USD 200,000 operational budget annually. Limited funding has impacted negatively to the expansion of the School and is one of those areas to be addressed urgently if the School has to continue to achieve its objectives.

The second challenge has been logistical. To transact most of the businesses at this institution, a four-wheel-drive vehicle is urgently needed. The vehicle shall be used to transport the students to practical areas at Bentiu State Hospital (100km away), or at the community placements. Transportation of food and other supplies from the suppliers, and transportation of students to and fro when proceeding on vacation to the Airstrip 50 km away shall reduce the high cost of hiring vehicles and enhance service delivery.

PRDA shall continue to work with those partners who are willing to fund the School and it is anticipated that the needs of the School shall continue to increase as the School grows.

 

Future Plans

       

  • Conduct Annual Recruitment for the School.
  • Construction of Permanent structures at the school
  • Solicit for increased assistance from the GOSS -MOH to support the School
  • Solicit for funds to purchase a four wheel base land-cruiser vehicle for the school.
Our Address:
1234 Ngong Road
Nairobi County, Kenya 00100
Hours of Operation:
Mon. to Fri. 9am to 5pm
Weekends 9am to 12am