title: Establishment of an accreditation system for midwifery education in Afghanistan: maintaining quality during national expansion.
abstract: OBJECTIVE
  To establish a mechanism for ensuring and regulating quality of pre-service midwifery education in Afghanistan during a period of intense expansion.
  
  
  METHODS
  Case study of public health practice in health workforce development.
  
  
  METHODS
  Afghanistan's high maternal mortality is due, in part, to a lack of competent skilled midwives. In post-conflict Afghanistan, 21 midwifery schools were re-opened or established between 2003 and 2007 in an atmosphere without proper regulatory mechanisms for ensuring educational quality. A national accreditation programme for midwifery education was developed with the following components: an appropriate policy foundation; educational standards and tools to assess achievement of these standards; technical support to programmes to identify gaps and solve problems; and a system of official recognition.
  
  
  RESULTS
  All midwifery schools were mandated to achieve accreditation. Nineteen schools had been accredited by early 2007, with an average achievement of 91% of the agreed and mandated national standards for running a midwifery school. One school has been closed by the National Midwifery Education Accreditation Board due to inability to achieve the standards.
  
  
  CONCLUSIONS
  Establishment of a national mechanism to accredit midwifery schools and ensure quality education can be achieved during a period of rapid expansion.
authors.affiliation: JHPIEGO, Bangkok, Thailand. jsmith@jhpiego.net
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Smith
authors.forename: Sheena
authors.initials: S
authors.lastname: Currie
authors.forename: Pashtoon
authors.initials: P
authors.lastname: Azfar
authors.forename: Ahmed Javed
authors.initials: AJ
authors.lastname: Rahmanzai
mesh_terms: D000068:Accreditation; D000346:Afghanistan; D003479:Curriculum / Q000592:standards; D004506:Education, Nursing / Q000592:standards*; D006801:Humans; D008880:Midwifery / Q000193:education* / Q000592:standards*; D015402:Nursing Education Research; D012579:Schools, Nursing / Q000592:standards*; D013663:Teaching / Q000379:methods / Q000592:standards