Evidence map›Paper›PMID 40926283›Full record

ArticleBMC global and public health2025

Implementation of a midwifery preceptor program in Sierra Leone: a qualitative evaluation using the Consolidated Framework for Implementation Research.

Nicholas M Raposo, Olivia Yang, Alice Konyani, Chrisencia Owoko, Adelaide Debrah, Jennina Rose Viera, Mustapha Sonnie, Julie Mann, Brittney J van de Water

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Article in BMC global and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Nicholas M RaposoConnell School of Nursing, Boston College, Chestnut Hill, MA, USA.
Olivia YangConnell School of Nursing, Boston College, Chestnut Hill, MA, USA.
Alice KonyaniSeed Global Health, Freetown, Sierra Leone.
Chrisencia OwokoSeed Global Health, Freetown, Sierra Leone.
Adelaide DebrahSeed Global Health, Freetown, Sierra Leone.
Jennina Rose VieraSeed Global Health, Freetown, Sierra Leone.
Mustapha SonnieSeed Global Health, Freetown, Sierra Leone.
Julie MannMount Auburn Hospital, Cambridge, MA, USA.
Brittney J van de WaterConnell School of Nursing, Boston College, Chestnut Hill, MA, USA. bvandewater@seedglobalhealth.org.

Funding

Boston College Connell School of Nursing Innovation Grant
6 · The paper itself

Abstract

backgroundSierra Leone has the world's third highest incidence of maternal mortality, with 443 deaths per 100,000 live births. Strengthening the country's midwifery workforce is essential to providing adequate maternal healthcare and reducing preventable perinatal mortality. In support of this goal, we developed and implemented a midwifery preceptor program (MPP) to train experienced midwives to effectively mentor new and student midwives. The aim of this study was to qualitatively evaluate barriers and facilitators to the implementation of the MPP using the Consolidated Framework for Implementation Research (CFIR).

methodsAt the end of the first year of MPP implementation, all preceptors, facilitators, and stakeholders from both implementation sites in Sierra Leone were invited for virtual, individual interviews; 26 participated. Using deductive content analysis, interview transcripts were coded according to the five CFIR domains - innovation, outer setting, inner setting, individuals, and process - and an added sixth domain: future directions. Barriers and facilitators to MPP implementation were assessed per domain.

resultsParticipants identified barriers and facilitators to MPP implementation across all six domains. Facilitators included a well-designed program that comprehensively integrated theory and practice, the support of program facilitators, and effective stakeholder collaborations. Barriers included limited resources and time constraints, which occasionally made it difficult to balance professional responsibilities with program activities. Nonetheless, participants advocated for formalizing the MPP to sustain the program's impact.

conclusionsThe findings indicate that the MPP is a valuable innovation for enhancing midwifery education in Sierra Leone, which in turn can help to improve perinatal health outcomes. By identifying key barriers and facilitators to implementation, this study provides actionable insights to inform the adaptation, scaling, and sustainability of the MPP not only in Sierra Leone but also in other resource-limited settings facing similar workforce challenges.

Indexed as

Capacity buildingHealth workforceImplementation scienceMaternal health servicesMidwiferyMidwifery educationPreceptorshipQualitative researchSierra Leone

Identifiers

PMID40926283
PMCPMC12421757

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LicenceCC BY-NC-ND
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