PDF(Pubmed)
Abstract：
BACKGROUND: Midwives\' contribution to improving outcomes for women and newborns depends on factors such as quality of pre-service training, access to continuing professional development, and the presence of an enabling work environment. The absence of opportunities for career development increases the likelihood that health professionals, including midwives, will consider leaving the profession due to a lack of incentives to sustain and increase motivation to remain in the field. It also limits the opportunities to better contribute to policy, training, and research. This study aimed to assess the influence of a Master in Sexual and Reproductive Health (SRH) at the INFSS on midwives\' career progression in Mali.
METHODS: This mixed methods study was conducted using an online questionnaire, semi-structured interviews, and a document review. The study participants included graduates from two cohorts (N = 22) as well as employers, managers, and teachers of the graduates (N = 20). Data were analysed according to research questions, comparing, and contrasting answers between different groups of respondents.
RESULTS: The study revealed that graduates enrolled in the programme primarily to improve their knowledge and skills in management and public health. The graduates\' expected roles are those of programme and health project manager and participation in planning and monitoring activities at national or sub-national level. The managers expected the programme to reflect the needs of the health system and equip midwives with skills in management and planning. The Master enhanced opportunities for graduates to advance their career in fields they are not usually working in such as management, research, and supervision. However, the recognition of the master\'s degree and of the graduates\' profile is not yet fully effective.
CONCLUSIONS: The master\'s degree in SRH is a capacity building programme. Graduates developed skills and acquired advanced knowledge in research and management, as well as a postgraduate degree. However, the master programme needs to be better aligned with health system needs to increase the recognition of graduates\' skills and have a more positive impact on graduates\' careers.
METHODS: This mixed methods study was conducted using an online questionnaire, semi-structured interviews, and a document review. The study participants included graduates from two cohorts (N = 22) as well as employers, managers, and teachers of the graduates (N = 20). Data were analysed according to research questions, comparing, and contrasting answers between different groups of respondents.
RESULTS: The study revealed that graduates enrolled in the programme primarily to improve their knowledge and skills in management and public health. The graduates\' expected roles are those of programme and health project manager and participation in planning and monitoring activities at national or sub-national level. The managers expected the programme to reflect the needs of the health system and equip midwives with skills in management and planning. The Master enhanced opportunities for graduates to advance their career in fields they are not usually working in such as management, research, and supervision. However, the recognition of the master\'s degree and of the graduates\' profile is not yet fully effective.
CONCLUSIONS: The master\'s degree in SRH is a capacity building programme. Graduates developed skills and acquired advanced knowledge in research and management, as well as a postgraduate degree. However, the master programme needs to be better aligned with health system needs to increase the recognition of graduates\' skills and have a more positive impact on graduates\' careers.
摘要：
背景：助产士对改善妇女和新生儿结局的贡献取决于服务前培训的质量等因素，获得持续的专业发展，以及有利的工作环境的存在。缺乏职业发展机会增加了卫生专业人员，包括助产士,由于缺乏维持和增加留在该领域的动力的动机，将考虑离开该行业。这也限制了更好地为政策做出贡献的机会，培训,和研究。这项研究旨在评估INFSS的性健康和生殖健康硕士（SRH）对马里助产士职业发展的影响。
方法：这项混合方法研究是使用在线问卷进行的，半结构化面试,和文件审查。研究参与者包括来自两个队列（N=22）的毕业生以及雇主，经理,和毕业生的教师（N=20）。根据研究问题分析数据，比较,以及不同受访者群体之间的对比答案。
结果：研究表明，毕业生参加该计划主要是为了提高他们在管理和公共卫生方面的知识和技能。毕业生的预期角色是计划和卫生项目经理以及参与国家或国家以下一级的计划和监测活动的角色。管理人员期望该方案反映卫生系统的需求，并使助产士具备管理和规划技能。硕士提高了毕业生在他们通常不从事管理等领域的职业生涯的机会，研究,和监督。然而,对硕士学位和毕业生档案的认可尚未完全有效。
结论：SRH硕士学位是一项能力建设计划。毕业生培养了技能，并获得了研究和管理方面的先进知识，以及研究生学位。然而,硕士课程需要与卫生系统更好地保持一致，以提高对毕业生技能的认可，并对毕业生的职业产生更积极的影响。
方法：这项混合方法研究是使用在线问卷进行的，半结构化面试,和文件审查。研究参与者包括来自两个队列（N=22）的毕业生以及雇主，经理,和毕业生的教师（N=20）。根据研究问题分析数据，比较,以及不同受访者群体之间的对比答案。
结果：研究表明，毕业生参加该计划主要是为了提高他们在管理和公共卫生方面的知识和技能。毕业生的预期角色是计划和卫生项目经理以及参与国家或国家以下一级的计划和监测活动的角色。管理人员期望该方案反映卫生系统的需求，并使助产士具备管理和规划技能。硕士提高了毕业生在他们通常不从事管理等领域的职业生涯的机会，研究,和监督。然而,对硕士学位和毕业生档案的认可尚未完全有效。
结论：SRH硕士学位是一项能力建设计划。毕业生培养了技能，并获得了研究和管理方面的先进知识，以及研究生学位。然而,硕士课程需要与卫生系统更好地保持一致，以提高对毕业生技能的认可，并对毕业生的职业产生更积极的影响。
