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Community Midwifery Diploma Program

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 neighbour. Internationally accepted figures state that 85% of all births can be handled or conducted safely by properly trained midwives.

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Program Duration

2 years

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Total Units

7 Units

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Total Hours

2448 Hours

Program Objectives

1
Maternal Care

To provide antenatal, post-natal, and newborn care to women and neonates in the community.

2
Safe Deliveries

To make safe delivery possible for the women in their homes and in the communities

3
Midwifery Transition

To initially work in collaboration with Traditional Birth Attendants (TBAs) and, over time, transition toward providing skilled midwives to the community as the primary maternal care providers.

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 Medical or Science) with minimum 40% marks. PNMC criteria)

• The medium of instruction will be in English/Urdu

Documents Required

• Verified matric mark sheet

• Domical Sindh

Fee Title Amount / Frequency
Application Processing Fee Rs. 1,000/-
Admission Fee Rs. 20,000/- (One-time)
Tuition Fee Rs. 5,000/- (Per Month)
Medical Examination Rs. 1,000/-
Laboratory Charges Rs. 2,000/-
PNC Enrollment Fee As per PNC
SNEB Enrollment & Exam Fee As per SNEB
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Total Payable at Time of Admission Rs. 29,000/-

Community Midwifery Curriculum

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
1.1 Health situation of mother/newborn & role of society 8 22 6 36
1.2 Safe motherhood & Pakistan's MCH health system 14 20 10 44
1.3 Community Midwifery: Roles, Linkages & Records 4 8 12 24
1.4 Introduction to the course 6 0 12 18
  Total Hours 32 50 40 122

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
2.1 Body parts and functions 8 38 0 46
2.2 Drugs relevant to community midwifery 6 13 6 25
2.3 Infection prevention 6 16 12 34
2.4 Individual & Community Health assessment (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 & communication (PCC & IPC) 9 16 12 37
  Total Hours 71 146 101 318

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
3.1 Human reproduction 8 22 0 30
3.2 Nutrition of women (Anemia) 8 12 10 30
3.3 Preparing for pregnancy, infertility 8 12 10 30
3.4 Physiological & psychological changes 30 12 10 52
3.5 Ante-natal care 30 20 72 122
3.6 Birth preparedness & emergency plan 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
3.10 Pregnancy with Diabetes Mellitus 14 18 30 62
  Total 171 188 275 634

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
4.1 Principles of care during Labor and birth 18 22 33 73
4.2 Physiology and management of First Stage 56 66 99 221
4.3 Physiology and management of Second Stage 56 66 99 221
4.4 Physiology and management of 3rd & 4th stages 18 22 33 73
4.5 Prolonged & obstructed Labor 18 22 33 73
4.6 Postpartum Haemorrhage (PPH) 18 22 33 73
  Total 184 220 330 734

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
5.1 Physiology & needs of newborn 6 8 10 24
5.2 Essentials of Newborn Care (LBW, Asphyxia, etc.) 15 18 29 62
5.3 Breastfeeding 6 8 10 24
5.4 Feeding difficulties/disorders 15 18 29 62
5.5 Development in the 1st year 6 18 10 34
5.6 Major newborn Illnesses & IMNCI 13 14 22 49
  Total 61 74 110 245

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
6.1 Physiology of puerperium 12 14 22 48
6.2 PNC & complications 37 46 66 149
6.3 Birth spacing & post-abortion care 15 23 57 95
  Total 64 83 145 292

Section Description Theory Hours Practical/Lab Clinical/Field Total Hours
7.1 Professional & Ethical Framework (Legislation 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
  Total 32 36 54 122