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COURSE TITLE:
INTERNATIONAL MIDWIFERY TRAINING: MAKING MOTHERHOOD SAFER
RESPONSIBLE ORGANIZATION:
Boromarajonani College of Nursing, UdonThani (BCNU)
Praboromarajchanok Institute for Health Workforce Development (PBRI)
PHILOSOPHY AND RATIONALE:
Midwives play an essential role in reducing maternal and neonatal mortality in the entire world.
Since maternal and infant mortality rates are significantly high in Asian regions, strengthening
midwifery education program in pursuit of better safe motherhood outcome is crucial. The goal of
this International Midwifery Training: Making Motherhood Safer is to increase the midwives’
competencies to take leadership roles in the development and implementation of their countries’
National Safe Motherhood Plans.
Boromarajonani College of Nursing, Udonthani (BCNU) acknowledges this significance and
prioritizes primary healthcare services to reduce these health problems. We envision boundless
possibilities for our students to develop their full potential into nursing and midwifery personnel.
BCNU has been serving Ministry of Public Health of Thailand in educating and training nursing
and midwifery providers since 1975, with over 5,000 alumni. We limitlessly develop programs
to serve for nursing and midwifery education and innovation. Boromarajonani College of
Nursing,Udonthani working in partnership with Praboromarajchanok Institute for Health
Workforce Development and Boromarajonani College of Nursing Network proposes to build
international midwifery training that provides the trainee philosophical and theoretical
perspectives and learning opportunities to practice midwifery in urban and rural areas in
Thailand.
COURSE OBJECTIVES AND INTENDED LEARNING OUTCOMES:
The training program provides relevant knowledge, skills, and attitudes in midwifery practice
according to the role and scope of the midwife both locally and internationally. This training
program focuses on safe and effective midwifery practice in accordance with professional and
legal principles, nursing theories, research evidence, cultural issues, and appropriate technology
and innovation among multicultural populations. On completion of the International Midwifery
Training: Making Motherhood Safer the trainees will:
1. Analyze critical factors related to maternal and neonatal health and trends in
midwifery
2. Describe concepts, principle and theory of care in mother and neonatal with normal,
at risk and complication in premarital, antenatal, intrapartal, postpartal
and neonatal periods.
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3. Integrate concepts, principle and theory of care and evidence based nursing practice
in midwifery practice in clinical and public health care settings
4. Identify the significance of Thai traditional and alternative medicine to midwifery care in
ethnically diverse population in Thailand and nearby countries
5. Identify the midwife’s role and responsibility for midwifery practice both locally and
internationally
COURSE CONTENT:
The course is conducted in the form of two weeks including; the nine whole day meetings at
Boromarajonani College of Nursing, Udon Thani, Udon Thani Province followed by observing
and practicing course four days at clinical and public health care settings.



Lectures: (43 hrs)
Practices/ Observation/ Group discussions: (55 hrs* 2 groups)
Field trip ( 5 Day)
- Day 1: 5th August 2015: Khud Chub community hospital
- Day 2: 7th August 2015: Udonthani hospital: ANC; PP; LR
- Day 3: 11th August 2015: KureKai Health Promoting Hospital, Sakhon Nakorn
- Day 4: 12th August 2015: cultural experience in Sakhon Nakorn and Nakhon Pranom
- Day 5: 13th August 2015: Youth Friendly Clinic at Kumphawapee Hospital
NUMBER OF PARTICIPANTS: 10 Persons
PARTICIPANTS QUALIFICATIONS:
Applicants must have the following qualifications and experience.
1. Graduation the Registered nurse (RN); a technical nurse (TN) or a practical nurse
(PN) program at least 1 year.
2. At least one year experience as a midwife
3. Ability to communicate effectively in Thai; Lao or English
PROGRAM DELIVERY:
1. Program offered in English and Thai
2. At least 90% of class attendance is required
TEACHING METHODS:
The optimal goal of this training program is that the trainees will be able to apply knowledge and
practical experience for the improvement of quality of midwifery care in their home country. The
course is conducted as a series of meetings with elements of lectures, seminars and discussions,
and practice in clinical and public health care settings. Important elements are joint reflection on
problem based on both the trainees’ own and referenced experiences.
EVALUATION:
To achieve a passed result, active attendance is required during the course, along with
presentation of assigned tasks both orally and in writing.
CERTIFICATE REQUIREMENTS:
To earn certificate, the participants must meet all the requirements.
DURATION: 2 weeks (31st July-15 August 2015)
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PROGRAM STRUCTURE:
Date/ Time
Themes
Day 1
Welcome, Getting to know you, Laos Health Issues
Day 2
Basic concepts, health issues and trends in midwifery
Health system, policies trend and issues
Day 3
Understanding of midwifery care for normal mothers and newborns
Midwife roles; Evidence based practice in maternal and child health care
Day 4
Reproductive Health services
Midwifery care proposals
Day 5
Understanding of midwifery care for low risk pregnancy: ANC clinic;
and Postpartum care
Cross-cultural issues in midwifery care: Thai massage & Alternative
medicine in Midwifery practice at Khud Chub community hospital
Day 6
Understanding of midwifery care for high risk mothers
Based on the standard Clinical Practice Guideline
Day 7
Understanding of midwifery care for high risk mothers: How to detect
high risk pregnancy: Udon Thani Hospital
Day 8
Gender equality in maternal and child health care: Fatherhood in ASEAN
countries
Day 9
Effective management of midwifery care for high risk mothers
Day 10
Cross-cultural issues in midwifery care:
Meditation to protect preterm labor
Day 11
Home based and community based in Midwifery practices
Health care volunteers in midwifery practices at Kurekai Health
Promoting Hospital
Day 12
Cultural Experiences
Day 13
Best Practice of ANC clinic and YFHS: Kumphawapee Hospital
Day 14
Presentation Proposal
Suggestions and Recommendations of the course
Closing ceremony
VENUE: Boromarajonani College of Nursing, UdonThani (BCNU)
CONDUCTING AGENCY: Boromarajonani College of Nursing, UdonThani (BCNU)
DEPARTMENT: Midwifery and Maternal & Child Nursing Department and Academic Affairs
Contact Person:
Dr Chaweewan Sridawruang
Deputy Director of Academic Affairs
Boromarajonani College of Nursing, Udonthani
Email: csom02@hotmail.com
Tel +66 4229 5405
+66 956624027; +66 81263 8989
Dr Kamonthip Tanglakmankhong
Deputy Director of Research and International Affairs
Department
Boromarajonani College of Nursing, Udonthani
Email: tanglakm@gmail.com
Tel +66 4229 5405
+66 81670 2152
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PROJECT COORDINATORS:
Chaweewan Sridawrueng, PhD., MNS., RN.
Kamonthip Tanglakmankhong, PhD., MNS., RN.
CURRICULUM COMMITTEE:
Phensri Thongphet
Chaweewan Sridawrueng
Kamonthip Tanglakmankhong
Wanlapa Sriboonpimsuay
MS, RN
PhD, MNS, RN
PhD, MNS, RN
PhD, MNS, RN
Committee chair (Director, BCNU)
Committee member
Committee member
Committee member
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Schedules:
Date/ Time
Topics
Lecturers
On the 31st Fri July 2015
12.00
The trainees arrive to Nongkhai Province
14.00-16.00
Going to Udon Thani
Day 1: On the 1st Sat August 2015
09.00-10.30
Welcome, Getting to know you มาทาความรู้จกั กัน
Course orientation ชี ้แจงการอบรม
Expectation of the course: training needs ความคาดหวังต่อการอบรม
12.00-13.00
Lunch
13.00-15.00
Maternal and Child Health issues: Trends and issues
Laos Maternal and Child Health Situation: Trends and issues
ประเด็นปัญหางานแม่และเด็กของประเทศลาว
15.00-17.00
Group discussion and Presentation: (2 groups for 10 trainees)
Laos Maternal and Child Health Situation: Trends and issues
วิเคราะห์สถานการณ์อนามัยแม่และเด็กประเทศลาว กิจกรรมกลุม่ ย่อย และนาเสนอ
Day 2: 2nd Sun August 2015
09.30-10.30
Standards of midwifery practice in Thailand
มาตรฐานการผดุงครรภ์ประเทศไทย
10.30-11.30
Improving maternal and child health care under standard CPG
(low risk pregnancy: ANC)
การพัฒนาคุณภาพการดูแลมารดา ทารกในระยะตังครรภ์
้
low risks ภายใต้ มาตรฐาน CPG
11.30-12.00
Improving maternal and child health care under standard CPG ,
(low risk pregnancy: LR)
การพัฒนาคุณภาพการดูแลมารดา ทารกในระยะคลอด low risks ภายใต้ มาตรฐาน CPG
12.00-13.00
Lunch
13.00-14.00
Improving maternal and child health care under standard CPG ,
(low risk pregnancy:LR) (continue)
การพัฒนาคุณภาพการดูแลมารดา ทารกในระยะคลอด low risks ภายใต้ มาตรฐาน CPG
14.00-15.00
Improving maternal and child health care under standard CPG ,
(low risk pregnancy:PP) (continue)
การพัฒนาคุณภาพการดูแลมารดา ทารกในระยะหลังคลอด low risks ภายใต้ มาตรฐาน
CPG
15.00-16.00
The trainees will be divided in two groups:
Share and Discuss:
- the ANC; LR; and PP situations in Laos
- Compare the differences and similarities with standard
Guideline: limitations and how to reach the standard of
Midwifery care during normal prenatal, intrapartal, and postpartal
period
16.00-17.30
Presentation group works
10.30-12.00
Assignment I: Compare the differences and similarities with
standard Guideline: limitations and how to reach the standard of
Midwifery care during normal prenatal, intrapartal, and postpartal
period
Sirirat and team
อ. ศิริรัตน์และคณะ
Dr. Chaweewan
Dr. Chaweewan
Dr. Chaweewan
Sirirat
Oranid
Dr.Kamonthip
Petchara
Katekunya
Sirinthip
Katekunya
Sirinthip
Pornpimol
อ. พรพิมล
Katekunya
Pornpimol
อ. อรนิด
……………..
…………….
Dr. Chaweewan
Dr. Kamonthip
Theory
(Hrs)
Group
discussions/
Observation
(Hrs)
6
Date/ Time
Topics
Day 3: 3rd Mon August 2015
08.00
Welcome speech
08.30 09.30
09.3010.30
10.3011.00
11.0011.30
11.3012.00
12.00-13.00
13.00-13.30
13.30-14.00
14.00-15.00
15.00-17.00
Director of BCNU
- Midwife roles
Dr. Chaweewan
- Legal and ethical principles related to variation of midwifery
care in clinical and community settings
- Evidence based practice in maternal and child health care:
Research project related issues
Childbirth expectations among Thai women: Research report
การพัฒนารูปแบบการส่งเสริ มการป้องกันโรคขาดสารไอโอดีนในหญิงตังครรภ์
้
Dr. Kamonthip
ความกลัวที่เกี่ยวข้ องกับการตังครรภ์
้
และการคลอดของสตรี ตงครรภ์
ั้
Sirinthip
Lunch
ผลการใช้ กระเป๋ าเย็นกดจุดซานหยินเจียวและจุดเหอกู่ต่อระดับความเจ็บปวดในระยะปากมดลูกเปิ ด
เร็ วในระยะที่หนึ่งของการคลอด
ความสัมพันธ์ระหว่างปัจจัยส่วนบุคคล
และพฤติกรรมส่งเสริ มสุขภาพขณะตังครรภ์
้
ของสตรี หลังคลอดกับน ้าหนักทารกแรกเกิด
Meditation to prevent preterm labor: evidence based practices
Discussions: Evidence based practice in maternal and child health
care (2 groups)
Assignment II: Evidence based practice in maternal and child
health care in Laos
19.00-21.00
Welcome Ceremony Dinner at Prajaktra Hotel (30 guests include
trainees)
Day 4: 4th Tue August 2015
09.00-09.30
Research reports (Continue)
- Premarital sex in Thai teenagers;
- Why Don’t Thai parents discuss sex with their teenagers
- Father role: A comparison between teenage and adult first time fathers in Thailand
09.30-10.30
Teenage pregnancy and abortion issues in Thailand
Reproductive Health Care in Thailand
Youth Friendly Health Services: Guideline for YFHS
10.30-12.00
Discussions: Teenage pregnancy & Reproductive Health Care
in Laos and Thailand
(2 groups)
12.00-13.00
Lunch
13.00-14.30
Best Practices for safe motherhood: Innovation; Project proposals
14.30-17.00
Lecturers
Discuss how to do the draft proposals for safe motherhood (2
groups) การเขียนโครงร่างการพัฒนางานแม่และเด็ก
- Background: midwifery main problems: need
assessments
Objectives
- Implementation of the action
- Monitoring
- Contributions, communication channels, financial
management
Assignment II: project proposals for safe motherhood
(Present proposals on the final date of training course)
Dr. Kamonthip
Phanawan
Katekunya
Piyanut
Dr. Wanlapa
Dr. Chaweewan
Dr. Kamonthip
Dr. Chaweewan
Dr. Chaweewan
Dr. Chaweewan
Dr. Kamonthip
Dr. Chaweewan
Dr. Kamonthip
อ.ศิริรัตน์
อ. วริดา
อ. ทิพวรรณ
อ. อรนิด
อ. อรพนิต
อ. มัทนา
อ. อัจฉรา
อ. นวภรณ์
อ. ศิริวรรณ
อ. ทัศนีวรรณ
Theory
(Hrs)
Group
discussions/
Observation
(Hrs)
7
Date/ Time
Topics
Lecturers
Day 5: 5th Wed August 2015
08.30-09.30
Maternal and child health care service plan in Udornthani
Province แผนการพัฒนางานแม่และเด็กระดับจังหวัด ของจังหวัดอุดรธานี
09.30-10.30
Maternal and child health care in community-based care
แผนการพัฒนางานแม่และเด็กของโรงพยาบาลชุมชน
10.30 11.00
Local wisdoms for proving culturally midwifery practice: cultural
competencies based on standards of midwifery care
ภูมิปัญญาท้ องถิ่นกับการพัฒนางานแม่และเด็ก
11.00-12.00
Group Discussions: (2 groups)
- Maternal and child care in a community-based health care:
Reproductive Health Care Service; ANC Clinic; Labor room;
and Postpartum Ward
12.00-13.00
Lunch at Khudchub Community Hospital
13.00-14.00
- Traditional Medicine in Midwifery Care: Thai herbs
massage in midwifery practice
and
14.00-17.00
- The trainees will be divided in 2 groups: learn and practice Thai
massage; How to produce Traditional Medicine in midwifery
practice
- Discussions and reflections: Traditional Medicine & Thai
massage in midwifery practice
Day 6: 6th Thu August 2015
08.30-09.00
Clinical practice Guidelines of Midwifery care of women with
obstetrical complications during pregnancy, delivery and
postpartal period: case study PIH
Dr Smith
Dr. Surapong
Dr. Surapong
Dr. Surapong
………………
………………
……………….
………………
Dr. Surapong
………………
………………
Dr. Chaweewan
Dr. Kamonthip
Dr. Chaweewan
09.00-09.30
09.30-10.00
case study: GDM
case study: Prolong labour
Dr. Chaweewan
Piyanut
10.00-10.30
case study: Preterm labour
Dr. Wanlapa
10.30-11.00
case study: Postpartum Haemorrhage
Dr. Kamonthip
11.00-12.00
Discussions and Presentations: (2 groups)
sharing experiences regarding to the causes of death in maternal
& child in Thailand and Laos
Dr. Chaweewan
Dr. Kamonthip
Dr. Wanlapa
Piyanut
12.00-13.00
Lunch
13.00-14.00
Health schemes in Thailand: trends and issues
14.00-15.00
Health security for maternal and child
15.00-16.00
Discussions and Presentations: (2 groups)
Compare differences and similarities of Health security for
maternal and child in Thai and Laos
Discussions and Presentations: (2 groups)
How to reduce the complications during pregnancy, delivery and
postpartal period
Assignment III: Causes of death in maternal & child; ways to
solve the problems
16.00-17.00
Dr. Preda
Director of NHSO,
region 8
Utsanee
Deputy director of
NHSO, region 8
Dr. Chaweewan
Dr. Kamonthip
Theory
(Hrs)
Group
discussions/
Observation
(Hrs)
8
Date/ Time
Topics
Day 7: 7th Fri August 2015
08.00-08.30
Understanding of midwifery care for low risk pregnancy
- ANC Guideline in Thailand: Pink book
08.30-09.00
Understanding of midwifery care for normal postpartum mothers
and newborns
- Breast Feeding policies and practice: Tambon Nommae
09.00-10.30
How to detect high risk pregnancy: evidence based practices
10.30-12.00
Improving maternal and child health care under standard CPG:
Udon Thani hospital
12.00-13.00
13.00-16.30
Lunch
On Site Observation: Udon Thani Hospital
The trainees will be divided in 2 groups:
Each group will observe and practice at ANC clinic, Labor room,
and Postpartum ward
Lecturers
………………
……………….
MCH Board UD
hospital
Dr Maetha
MCH Board UD
hospital
………………..
………………..
LR:
Sirinthip
Jittanun
PP1:
Artchara
Muttana
PP2:
Wanida
Oranid
ANC:
Siriwan
Ornpanid
Discussions: Differences and similarities of Midwifery care
during normal prenatal, intrapartal, and postpartal period (2
groups)
Assignment IV: Clinical practices Guidelines of Midwifery care
of low risk women during pregnancy, delivery and postpartal
period in Laos
Dr Chaweewan
Dr Kamomthip
Effective management of midwifery care for high risk mothers:
PIH; PPH, Premature contractions and other complications
Dr. Chaweewan
Dr. Kamonthip
10.30-12.00
Discussions and Presentations: (2 groups)
How to manage high risk mothers in Laos: PIH; PPH, and
Premature Contraction
Dr. Wanlapa
Dr. Chaweewan
Dr. Kamonthip
Piyanut
Jittanun
Thipawan
12.00-13.00
13.00-16.00
Lunch
Discussions and Presentations: (2 groups)
How to manage high risk mothers in Laos (Continue)
16.00-17.00
Reflection: How to manage high risk mothers in Laos (2 groups)
16.30-17.30
08.30-10.30
Dr. Wanlapa
Dr. Chaweewan
Dr. Kamonthip
Piyanut
Jittanun
Thipawan
Dr. Chaweewan
Dr. Kamonthip
Theory
(Hrs)
Group
discussions/
Observation
(Hrs)
9
Date/ Time
Topics
Day 9: 9th Sun August 2015
08.30-09.30
Referral system for high risk mothers in Thailand
09.30-12.00
Discussions and Presentations: (2 groups)
Experiences of Referral system for high risk mothers; barriers and
how to solve the referral system
Lecturers
Guest speaker
…………………
Wanlapa
Jittanan
Wanlapa
Jittanan
12.00-13.00
13.00-15.00
Lunch
- Gender equality in maternal and child health care: evidence
based practices
Dr. Chaweewan
15.00-17.00
-Discussions: Differences and similarities of fathers and mothers’
roles in Thailand and Laos towards maternal and child health care
(divided 2 groups)
Dr. Chaweewan
อ. อรนิด
………………..
…………………
Day 10: 10th Mon August 2015
08.30-09.30
E learning in Midwifery subjects for Nursing students
09.30-10.30
Data based for Midwifery research
10.30-12.00
Discussions: E learning and data based in midwifery related
issues in Laos
12.00-13.00
13.00-14.00
14.00-15.00
Lunch
Breast feeding policy and practice
Project Proposals for safe motherhood:
How to apply the knowledge
Rehearsal Project Proposals for safe motherhood:
How to apply the knowledge to improve maternal and child health
care during pregnancy; intrapartal; and post partal period (2
groups)
15.00-17.00
Phanawan
Dr. Kamonthip
Sirinthip
Thipawan
Oranid
Siriwan
Nawaporn
Pornpimol
Dr. Chaweewan
อ.ศิริรัตน์
อ. วริดา
อ. ทิพวรรณ
อ. อรนิด
อ. อรพนิต
อ. มัทนา
อ. อัจฉรา
อ. นวภรณ์
อ. ศิริวรรณ
อ. ทัศนีวรรณ
Theory
(Hrs)
Group
discussions/
Observation
(Hrs)
10
Date/ Time
Topics
Day 11: 11th Tue August 2015
08.30-09.30
- Community participation in maternal and child health care:
09.30-11.00
- Best Practices of maternal and child health care in community
11.00-12.00
- The roles of Health care Volunteers
12.00-13.00
13.00-14.30
Lunch
- On site observation: Home visit Postpartum Mothers (2 groups)
14.30-16.00
- Community Participation: the roles of health care volunteers in
maternal and child health care (2 groups)
Discussions and reflections of maternal and child health care in
community (2 groups)
16.00-17.00
Day 12: 12th Wed August 2015
Cultural exchange: Learning Thai (Isan) culture
Day 13: 13th Thursday August 2015
08.00-09.00
Maternal and child health care
Lecturers
………………….
Director of Health
Promoting Hospital
KureKai
Director of Health
Promoting Hospital
KureKai
Director of Health
Promoting Hospital
KureKai and team
………………….
………………
Dr. Chaweewan
Wanida
Dr. Chaweewan
Dr. Kamonthip
…………………
MCH Board
Kumpawa Hospital
MCH Board
Kumpawa Hospital
09.00-10.30
Best Practice: ANC Management
10.30-12.00
Discussion: How to move on ANC system (2 groups)
12.00-13.00
Lunch
13.00-14.30
Best Practice of Youth Friendly Clinic
………………….
Kumpawa Hospital
14.30-16.30
Discussion: Youth Friendly Health Services in Thai and Laos
Dr. Kamonthip
Dr. Chaweewan
Day 14: 14th Fri August 2015
08.30-12.00
Proposal Presentation for safe motherhood
How to apply the knowledge to improve maternal and child health
care during pregnancy; intrapartal; and post partal period (2
groups)
12.00-13.00
Lunch
13.00-15.30
Course summarizations, suggestions and recommendations
focusing on the themes: (2 groups)
- Basic concepts, health issues and trends in midwifery
- Understanding of midwifery care for normal mothers and newborns
- Understanding midwifery care for high risk mothers and newborns
- Cross-cultural issues in midwifery care: Parenting class;
Meditation to protect preterm labor; Gender equality in maternal and
child health care
- Home based and community based in Midwifery practices
15.30-16.30
- Evaluation (2 groups)
- All assignments are in handed
17.00
Closing ceremony
…………………
………………….
Dr. Chaweewan
Dr. Kamonthip
Dr. Wanlapa
OBS team
Dr. Chaweewan
Dr. Kamonthip
Dr. Wanlapa
OBS team
Dr. Chaweewan
Dr. Kamonthip
Dr. Wanlapa
OBS team
Theory
(Hrs)
Group
discussions/
Observation
(Hrs)