Strengthening midwifery education: An Assessment of Bachelor’s degree midwifery curricula in the West Bank, occupied Palestinian territory (oPt)
Date
2025-11
Authors
Sahar Hassan
Aidah Alkaissi
Ibtesam Dwekat
Fatima Hammad Madany
Maha Nahal
Raheeghi Awni
Hana Abu Lail
Wafa Alamleh
Eman Alshawish
Jennifer Dabis
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Ltd.
Abstract
Problem: In 1997, the first four-year direct-entry bachelor’s midwifery program was launched in the West Bank,
oPt, followed by four similar programs at other local universities. Since then, no comprehensive evaluation has
been conducted to assess the quality or content of these programs.
Aim: To assess four-year direct-entry bachelor’s midwifery programs against the International Confederation of
Midwives (ICM) essential competencies for midwifery practice.
Methods: A cross-sectional rapid assessment of all five direct-entry bachelor’s midwifery programs in the West
Bank was conducted using a self-assessment tool comprising 92 ICM essential competencies. Data were collected
by midwifery faculty members and analyzed using frequencies and percentages for each competency category
based on the total number of assessed competencies.
Findings: Across the five midwifery programs, total competency scores ranged from 54.3 % to 68.5 %. Scores were
observed in ongoing care of women and newborns (77.8–88.9 %) and antenatal (70.6–84.4 %). Competencies
related to care during labor and birth ranged from 61.5 % to 69.2 %, while the lowest scores were in sexual and
reproductive health and rights (16.7–41.7 %).
Discussion: Findings indicate that, although midwifery programs share similar core concepts, variations and gaps
exist, particularly in competency coverage, with some deficiencies linked to limited clinical training opportunities and services.
Conclusion: The assessment results should guide midwifery programs in revising curricula to integrate ICM
competencies, while faculty need training in pedagogy, evidence-based updates, and research skills; mentorship
and capacity-building are also essential for faculty, clinical instructors, and students.
Description
Midwives play a crucial role in bringing the worldwide Maternal
Mortality Ratio (MMR) down to less than 70 maternal deaths per
100,000 live births by 2030 by filling important gaps in maternal and
newborn care [1]. According to World Health Organization (WHO), by
2035, the efficient use of midwives might save 4.3 million lives a year,
preventing more than 60 % of all maternal and neonatal deaths [2,3].
Globally, midwives face significant shortages, particularly in low- and
middle-income countries (LMICs), accounting for only 10 % of the
global sexual, reproductive, maternal, newborn, and the adolescents’
health (SRMNAH) workforce. They encounter substantial obstacles,
including restricted educational access, practice limitations, and insufficient prioritization within vulnerable healthcare systems, which are
exacerbated by crises such as pandemic and conflicts [4–6]. Moreover,
significant global and regional variations have been documented in
midwifery practices, scope of practice, education and training, policies,
regulations and support [4,7,8]. Midwifery education worldwide faces
challenges such as curriculum gaps, insufficient clinical training settings, a shortage of qualified preceptors, and a lack of empowered role
models in clinical practice. Additional issues include limited number of
highly educated faculty, resource constrains, financial difficulties for
students, and challenges in attracting sufficient student numbers
Keywords
Citation
Hassan, S., Alkaissi, A., Dwekat, I., Madany, F. H., Nahal, M., Awni, R., ... & Sandouka, R. (2025). Strengthening midwifery education: An Assessment of Bachelor’s degree midwifery curricula in the West Bank, occupied Palestinian territory (oPt). Women and Birth, 38(6), 102114.