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Building faculty capacity for competency-based midwifery education in Rwanda - a cross-sectional study
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg.
Health Workforce Development Department, Ministry of Health, Kigali, Rwanda, RW.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg; United Nations Population Fund, Kigali, Rwanda, RW.
United Nations Population Fund, Kigali, Rwanda, RW.
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2025 (English)In: BMC Medical Education, E-ISSN 1472-6920, Vol. 25, no 1, article id 1275Article in journal (Refereed) Published
Sustainable development
SDG 3: Good health and well-being, SDG 4: Quality education
Abstract [en]

BACKGROUND: Competency-based education is globally recognized as the standard for preparing midwives to provide high-quality, evidence-based care. In 2024, Rwanda introduced a standardized, competency-based curriculum for midwifery education aligned with the International Confederation of Midwives (ICM) Essential Competencies. However, the successful implementation of this curriculum depends on the capacity of midwifery educators to deliver it effectively. Understanding faculty development needs is essential for supporting this transition.

AIM: To identify the specific faculty development needs of midwifery educators in Rwanda to inform strategies for strengthening their capacity to deliver competency-based education.

METHOD: A cross-sectional mixed-methods study was conducted in December 2024 using an anonymous online survey. The survey was conducted immediately following the curriculum introduction. Midwifery faculty from all eight institutions offering midwifery education in Rwanda were invited to participate. The survey included Likert-scale and open-ended questions to assess training needs across various educational domains. Quantitative data were analysed using descriptive statistics, and qualitative responses were textually analysed.  

RESULTS : A total of 48 out of 60 midwifery educators responded. The highest reported needs were in curriculum design and module development (79%), scientific writing (79%), management and leadership (79%), and research skills (77%). Capacity needs were also noted in clinical teaching, particularly using simulation (66%), and in the clinical environment (77%). Faculty expressed preferences for faculty development programs using blended learning with predominantly face-to-face components, and they favored intensive, short-term training formats. 

CONCLUSION: Midwifery faculty in Rwanda expressed strong needs for capacity development across education, leadership, and research domains. These findings highlight the importance of targeted, context-specific faculty development initiatives. Given the shared challenges across low-resource settings, the findings may be transferable to similar contexts aiming to develop faculty development programs aligned with global standards.

Place, publisher, year, edition, pages
2025. Vol. 25, no 1, article id 1275
Keywords [en]
Competency-based education, East africa, Midwifery education, Midwifery faculty, Survey
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
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URN: urn:nbn:se:du-51414DOI: 10.1186/s12909-025-08034-5ISI: 001586841000001PubMedID: 41039596Scopus ID: 2-s2.0-105017676671OAI: oai:DiVA.org:du-51414DiVA, id: diva2:2005072
Available from: 2025-10-09 Created: 2025-10-09 Last updated: 2025-11-03Bibliographically approved

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Erlandsson, Kerstin

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