Write a research paper outlining the comprehensive strategy to creating a midwifery policy. Here’s an illustration remove the nurse
A functional and dynamic Nursing and Midwifery workforce capable of delivering quality, safe, evidence-based and comprehensive nursing and midwifery services to all the people of Sierra Leone
3.2 Mission
The mission of the Nursing and Midwifery Service Directorate is to contribute effectively to the health goals of the Ministry of Health and Sanitation and the nation as a whole.
3.3 Guiding Principles
The provision of Nursing and Midwifery Services must adhere to the guiding principles inherent in the core principles of PHC and the national health agenda.
3.3.1 Ownership and Accountability
Adopting a flexible approach to be implemented with local involvement that is designed to guide action at every level of service delivery;
3.3.2 Ethical Considerations
Planning and providing nursing and midwifery services will be based on equity, integrity, fairness and respect for gender and human rights. The rights of both the providers and recipients of health care shall be respected and protected;
3.3.3 Relevance
Developing health services and systems that are guided by health needs, evidence and strategic priorities;
3.3.4 Partnership
Working together on common objectives, acting collaboratively and supporting each other’s effort;
3.3.5 Evidence-Based Approach
Through evidence-based approach, utilize nursing and midwifery process to assess, diagnose, plan and implement nursing and midwifery care for positive health outcomes.
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3.4 Goal
To ensure the existence of a safe, disciplined and competent nursing and midwifery workforce that is capable of delivering safe, patient- centred quality care to the people of Sierra Leone.
3.5 Objectives
The objectives of the Nursing and Midwifery Policy are to ensure, within the context of the national macro- health policies, that:
1. Supportive Policy Environment exists for effective decision-making of nurses and midwives, towards improvement of nursing and midwifery services in the country.
2. Regulatory and Accreditation systems are developed for controlling the education, practice and behaviour of all cadres of nursing and midwifery to ensure that the public safety is protected through the highest standards of education and practice of nurses and midwives in Sierra Leone.
3. Education and training of the nursing and midwifery workforce responds to national health needs and meets the nursing and midwifery personnel requirements of Sierra Leone for effective and quality health service delivery.
4. Management of nursing and midwifery workforce is improved with capacitated structure, clear job descriiptions, role definitions and responsibilities.
5. Partnership and collaboration is promoted with different stakeholders and development partners through clear coordination and collaborative mechanisms for strengthening the contribution of nursing and midwifery services to general service delivery in the country;
Health & Safety at Work
6. Advocacy and resource mobilization to support implementation of the nursing and midwifery policy and plan is pursued.
7. Quality Assurance and Continuous Quality Improvement is promoted to support the Patient and staff Safety pillar of the health reform.
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4. NURSING AND MIDWIFERY SERVICES POLICY AREAS
4.1 Appropriate Leadership and governance for Nursing and Midwifery Services
Contribution of nursing and midwifery workforce to health system performance, service delivery, universal coverage and health outcomes through the active engagement and leadership of nurses and midwives at every level of health policy/programme development and decision-making will be the key focus.
Structural and technical capacities shall be strengthened for nursing and midwifery leadership and governance at all levels of service delivery;
Key leaders (e.g. Chief Nursing and Midwifery Officer;, nurse and midwifery leaders in both the education and service sectors) will be strengthened by:
i. Implementing mentorship programs, twinning arrangements inside and outside of the country and providing appropriate fellowships;
ii. Establishing mechanisms to collaboratively implement policy decisions in relation to education and nursing and midwifery services;
iii. Improving access to health policy and health planning decision-making areas by nurses and midwives;
iv. Advocating for nursing and midwifery structures that are supportive of effective and efficient contribution of nurses and midwives to the national health agenda;
4.2 Nursing and Midwifery Service Delivery
MOHS is committed to increasing access to quality nursing and midwifery services at all levels through:
1. Creation of a visible nursing and midwifery service administration at institutional levels that is responsible for:
• Managing, developing and implementing quality nursing and midwifery services
• Clearly delineating the nursing and midwifery functional structure
• Developing job descriiptions and nursing and midwifery service standards
• Creating safe, quality workplaces.
2. Strengthening and improving the capabilities of nurses and midwives through structured, sustainable continuing education programmes.
3. Establishment of community health nursing and midwifery within the primary health care system.
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4. Addressing the issue of production, deployment and retention of appropriately trained nursing and midwifery workforce to deliver affordable and equitable packages of health services;
5. Improved planning and utilization of nurses and midwives based on service delivery requirement;
6. Working with the HR Directorate, and using updated data sources which will improve planning, management, development and utilization of nursing and midwifery workforce in order to deliver quality nursing and midwifery services to the
