Continuous professional development of Liberia's midwifery workforce—A coordinated multi-stakeholder approach

Michaela Michel-Schuldt, Matilda Billy Dayon, Robin Toft Klar, Marion Subah, Esther King-Lincoln, Cecelia Kpangbala-Flomo, Raphaël Broniatowski

Research output: Contribution to journalArticlepeer-review


Background: Maternal and newborn mortality remains high in Liberia. There is a severe rural–urban gap in accessibility to health care services. A competent midwifery workforce is able to meet the needs of mothers and newborns. Evidence shows that competence can be assured through initial education along with continuous professional development (CPD). In the past, CPD was not regulated and coordinated in Liberia which is cpommon in the African region. Aim: To Support a competent regulated midwifery workforce through continuous professional development. Methodology: A new CPD model was developed by the Liberian Board for Nursing and Midwifery. With its establishment, all midwives and nurses are required to undertake CPD programmes consisting of certified training and mentoring in order to renew their practicing license. The new model is being piloted in one county in which regular mentoring visits that include skills training are being conducted combined with the use of mobile learning applications addressing maternity health issues. Quality control of the CPD pilot is assured by the Liberian Board for Nursing and Midwifery. The mentoring visits are conducted on a clinical level but are coordinated on the national and county level. Successes and sustainability: CPD using mobile learning on smartphones and regular mentoring visits not only improved knowledge and skills of midwives and nurses but also provided a solution to enhance accessibility in rural areas through improved communication and transportation, as well as improved career development of health personnel working in remote areas. Mentors were trained on a national, county, and health facility level in the pilot county with mentoring visits conducted regularly. Conclusion: The CPD programme of the Liberian Board for Nursing and Midwifery, currently in pilot-testing by various partners, aims to highlight the positive impact of the coordinating role of both the regulatory body and health authorities. Using regular process and programme reviews to improve capacity, knowledge, and skills of health professionals.

Original languageEnglish (US)
Pages (from-to)77-80
Number of pages4
StatePublished - Jul 2018


  • Competence
  • Continuous professional development
  • Mentoring
  • Midwifery regulation
  • Quality of care

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery


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