2024/25 Undergraduate Module Catalogue

HECS2236 Global and Cultural Insights into Maternal Care

40 creditsClass Size: 90

Module manager: Helen Ayre
Email: h.m.ayre@leeds.ac.uk

Taught: Semester 2 (Jan to Jun) View Timetable

Year running 2024/25

Pre-requisite qualifications

Normally successful completion of Level 1 of the BSc (Hons) Midwifery programme

Pre-requisites

HECS2235

Compassionate Care

This module is not approved as a discovery module

Module summary

This module will introduce students to their role within the global workforce and the need to work together across borders to provide safe birthing environments in order to reduce maternal mortality ratios (MMR) and morbidity. The module will ensure that students are aware of global organisations and frameworks which aim to impact on countries with higher MMR (predominantly Low Middle Income Countries - LMICs) and improve women’s health and protect their human rights across the antenatal, birth and postnatal period. Key organisations will include the UN Sustainable Development Goals (SDGs); World Health Organisation (WHO) and the International Confederation of Midwives (ICM).

Objectives

This module will extend students' understanding of global maternal health and public health policy development. Students will examine factors that cause disparities in health status, health resources, and access to health information and health services, particularly for those in low resource countries.

This module will help students to understand health and social inequalities and their determinants.

Learning outcomes
On completion of the module students will be able to:
1. Demonstrate a knowledge and understanding of global and cultural impact on the human rights of women and children.
2. Explore the provision of care which focuses on the needs, views, preferences and decisions of the woman and the needs of the newborn infant in the context of different cultures and health systems.
3. Explore the concept of midwifery as a global profession and the contribution of midwives to the survival, health and wellbeing of women and newborn infants across the World.
4. Develop skills in critically evaluating health and social inequalities and their determinants.
5. Discuss the key challenges and potential solutions in global maternal health.
6. Develop awareness of key organisations/frameworks (e.g., UN Sustainable Development Goals; WHO; International Confederation of Midwives), that support maternal and neonatal health, wellbeing and promote the training of skilled birth attendants in the global context.
7. Reflect on and apply ethical and legal principles to midwifery practice; understanding the human rights of women and children and providing care which focuses on the needs, views, preferences and decisions of the woman and the needs of the newborn infant.
8. Demonstrate skills in combining clinical knowledge and skills with interpersonal and cultural competence in promoting quality and safety in maternity care provision.

Skills outcomes
Accessing evidence

Syllabus

Professional practice:
Clinical skills in a low resourced setting
Importance of using evidence-based health care in both high and low
resourced settings.
The role of suing a biopsychosocial and cultural approach in holistic care for women and their families.
Introduction to ethical principles including autonomy, beneficence, nonmaleficence and justice, and ethical theory including utilitarianism, deontology, virtue and care ethics. The law, rights and obligations.
Justice and allocation of resources. Veracity, deception, withholding information and candour. Duty of care and advocacy.

Evidence based Practice:
Global challenges including epidemiology and current debates in global maternity and how they may apply in both low and high resourced settings.
Caesarean section rates, treatment and management of obstetric fistula, female genital mutilation, perinatal mental health and contraception and reproductive health choices.

Biopsychosocial-spiritual:
Cultural and social challenges to accessing maternity care including the role of women’s rights and feminism applied to maternal health.
Developing cultural approaches to healthcare to incorporate attitudes and beliefs, social, cultural and linguistic needs.

The burden of disease (infectious and non-communicable diseases) on maternal and neonatal health in low and highly resourced settings (e.g. gestational diabetes; malaria; Covid-19).

Applied Practice:
Overview of global initiatives
Global humanitarian responses and development initiatives.
Key organisations/frameworks (e.g. UN Sustainable Development Goals) that support maternal health and wellbeing across the world.
Maternity care in a troubled world
Humanitarian response to disasters as related to maternity care and outcomes.
Care of women during migration and diaspora, who may have suffered violence and sexual abuse and impact on perinatal mental health.

Content links to Standards of Proficiency for Midwives (NMC 2019)
Domain 1 = 1.3, 1.6, 1.7, 1.13, 1.16, 1.17.1, 1.20, 1.21, 1.22, 1.25
Domain 2 = 2.4, 2.6, 2.7, 2.8, 2.9, 2.12
Domain 3 = 3.1, 3.3, 3.4, 3.5, 3.8, 3.13.3, 3.16.1, 3.18, 3.21, 3.22, 3.23, 3.25, 3.26, 3.27
Domain 4 = 4.1, 4.4.3, 4.4.4, 4.6, 4.8, 4.9
Domain 5 = 5.8, 5.11, 5.13, 5.13.1, 5.13.2, 5.13.3, 5.13.4, 5.13.5, 5.13.6, 5.16, 5.17

Teaching methods

Delivery type	Number	Length hours	Student hours
On-line Learning	7	2.00	14.00
Clinical Practice	300	1.00	300.00
Class tests, exams and assessment	4	1.00	4.00
Group learning	12	1.00	12.00
Lecture	4	1.00	4.00
Seminar	8	1.00	8.00
Tutorial	8	1.00	8.00
Independent online learning hours			20.00
Private study hours			180.00
Total Contact hours			350.00
Total hours (100hr per 10 credits)			550.00

Private study

Following class discussion and debate and academic supervision - formative assessments on the online content and on the taught content will be undertaken after each subject has been covered. These will comprise of MCQ's and group presentations. Independent learning will be in preparation for the formative assessment.

Opportunities for Formative Feedback

Students will be offered formative assessments on each taught sessions via blended learning. For each of the sessions there will be a further formal online exploration of the topics using a VLE 'classroom' with formative (MCQ) assessment at the end, marked by the tutor. The six topic areas relating to a taught session and a blended learning exercise will be as follows:
- Overview of global initiatives
- Maternity care in a troubled world.
- Global challenges in relation to maternal and neonatal health
- Clinical skills in a low resourced setting
- Cultural, psychological and social aspects of maternity
- The burden of disease
Students will also be required to produce formative group work on a topic of their choice during the taught seminar sessions. Both peer and tutor feedback will be provided for this seminar presentation.

Individual academic support will be offered (in line with the School academic support and feedback policy).

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Essay	3000 word Essay	100.00
In-course MCQ	FORMATIVE: During online session – MCQ will assess understanding.	0.00
Portfolio	Completion of competencies (clinical) recorded on eMORA (Pass/Fail)	0.00
Presentation	FORMATIVE: Presentation of topic for summative assessment - to be approved by personal tutor	0.00
Total percentage (Assessment Coursework)		100.00

There is no compensation between the essay and eMORA. Students need to complete the required competencies (pass/fail) located within the eMORA and successfully complete the essay in order to pass the module.

Reading list

The reading list is available from the Library website

Last updated: 29/04/2024 16:14:54

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