Kandahar Institute of Health Science

Summary

Nursing and Midwifery Schools

Kandahar Institute of Health Sciences (KIHS) as training institute provides newly trained health personnel to the health services in the region. The vision of the KIHS is that the Afghan people have access to quality health services in their residential areas. All health facilities especially in rural areas are properly staffed.

Goals

  • up to 30 midwives per year
  • up to 30 nurses per year
  • renewal of the Accreditation of the Institute each 2 years
  • Economic development
  • Education

Background

Afghanistan’s health sector is faced with major health challenges as shown by its high neonatal and maternal mortality rates. According to the Afghanistan Mortality Survey (AMS) 2010 many more Afghan women are receiving skilled care today during pregnancy and delivery than a decade ago, and more women and children are surviving today than ever before as a result of greater access to health facilities and better care .The Afghanistan Mortality Survey (AMS) 2010 released today, represents some 87 per cent of the population and provides needed data on the current state of healthcare in Afghanistan, confirming the remarkable achievements made in the health sector over the past decade.

Initial situation

KIHS is a standard educational institute. Each year the new semester is started in September. Midwifery education is 4 semesters and nursing education is 6 semesters. The summer vacations is in started from June 21st.

The trainers and school manager (all female) had received Effective Teaching Skills (ETS) and Emergency Obstetric and Newborn Care (EONC) trainings.

The School is accredited by the Afghanistan Midwifery and Nursing Education Accreditation Board (AMNEAB).

Goals

Overall objective:
KIHS as training institute provides newly trained health personnel to the health services in the region.

The mission:
Is that Kandahar IHS becomes a well-trusted IHS in Afghanistan

Specific objective:
Training of midwives (2 years)
Training of nurses (3 years)

Goals

  • up to 30 midwives per year
  • up to 30 nurses per year
  • renewal of the Accreditation of the Institute each 2 years
  • Economic development
  • Education

Project plan

Midwifery curriculum:
The training takes two years and consists of class room teaching and practice in the obstetric ward of the Mirwais Regional Hospital. The curriculum consists of four semesters: basic sciences, maternal and neonatal care, integrated management of pregnancy associated complications and family planning. The course in KIHS is accredited in 2012 by the Afghan Midwifery and Nursing Accreditation Board, which operates under the MOPH. It is planned to renew the accreditation this year again.

The curriculum is concentrating on reproductive health and has little attention for general health problems. If necessary, optional modules could be introduced as pilots, in coordination with the GIHS and the Midwifery Accreditation Board.

Nursing curriculum:
The training programme takes three years and consists of classroom teaching and practical work in the wards of Mirwais hospital. The programme consists of six semesters. The first semester concentrates on basic sciences; in the following semesters there is a rotation over the wards, with part time classroom teaching. KIHS follows the examination procedures of GIHS. Successful students get a diploma from GIHS.

ADHS and Cordaid have the intention to play an initiating role in the accreditation of nursing training institutions.

Accelerated learning programme:
Education for girls is extremely weak in the rural areas of southern Afghanistan. The few girls who can go to school they either cannot complete their school, or not able to concentrate sufficiently on their education, therefore, they score low on the tests.

The official entry criterion for IHS is completion of 12th class education. This requirement has been temporary lowered to 9th class for midwifery training, in order to get sufficient numbers of students. KIHS intends to start an education programme ahead of the training, to prepare female students-to-be ready for their entry exams. In the past a curriculum was developed, which was open for females, who were expelled from schools during the Taliban period. With small adjustments this education programme of six months, could serve well in the pre-training education.

Competency based trainings:
The trainings cosists of three important components according to the national curricula, those are:
– Classroom (theoretical knowledge)
– Skilled lanoratory (work on models)
– Clinincal site (practical learning)

Target group:
Direct:
girl and boys trained as midwives and nurses in south region of Afghanistan.

Indirect:
1. millions of poeple living in Kandahar and nearby provinces especially women and children, who will receive health services by the graduates (access to services)
2. the health service providers/employers (quality of services)
3. the families of the graduates (economic)

Sustainability

The graduated nurses and midwives are going to work in the areas where they come from. Access to local health staff for the communities will be increased that will contribute to reduction of morbidity and moratality among the women and children.

In addition, more women will work outdoor, with substantial income and status in the community.

The school will continue to train further midwives and nurses untill the local requirement is fulfilled.

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