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"Change-makers in midwifery care": Exploring the differences between expectations and outcomes - a qualitative study of a midwifery net-based education programme in the Somali region
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-8947-2949
Dalarna University, School of Technology and Business Studies, Information Systems.ORCID iD: 0000-0003-1076-3442
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-6910-7047
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-0038-9402
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2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 69, p. 135-142Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to explore midwifery educators’ expected outcomes in the net-based master's programme, the programmes’ realised outcomes and the reported difference regarding the increased choices for the graduates and the effect on their agency.

Design

In this case study, we focused on a net-based master's programme in sexual and reproductive health in Somalia. Somalia suffers from a shortage of skilled birth attendants and there is a need for building up the capacity of midwifery educators.

Setting and participants

Data was collected in focus group discussions at the start of the programme and eight months after the students graduated. The data were analysed through the lens of the choice framework, which is based on the capability approach.

Findings

Findings show that many of the graduates’ expectations were met, while some were more difficult to fulfil. While the midwives’ choices and resource portfolios had improved because of their role as educators, the social structure prevented them from acting on their agency, specifically in regards to making changes at the social level. Several of the positive developments can be attributed to the pedagogy and structure of the programme.

Conclusion

The flexibility of net-based education gave the midwifery educators a new educational opportunity that they previously did not have. Students gained increased power and influence on some levels. However, they still lack power in government organisations where, in addition to their role as educators, they could use their skills and knowledge to change policies at the social level.

Place, publisher, year, edition, pages
2019. Vol. 69, p. 135-142
Keywords [en]
Net-based education, Quality midwifery education, Midwifery care, Somaliland, Capability approach, Choice framework
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-29004DOI: 10.1016/j.midw.2018.11.007ISI: 000454129800018PubMedID: 30503998Scopus ID: 2-s2.0-85057779256OAI: oai:DiVA.org:du-29004DiVA, id: diva2:1267772
Available from: 2018-12-03 Created: 2018-12-03 Last updated: 2019-01-10Bibliographically approved

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Klingberg-Allvin, MarieHatakka, MathiasErlandsson, KerstinOsman, FatumoByrskog, Ulrika

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Klingberg-Allvin, MarieHatakka, MathiasErlandsson, KerstinOsman, FatumoByrskog, Ulrika
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CiteExportLink to record
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Citation style
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