Challenges and facilitators to the establishment of a midwifery and nursing council in Afghanistan

Journal Article
(Published April, 2019)
Jafari, M. (Author),
Currie, S. (Author),
Qarani, W.M. (Author),
Azimi, M.D. (Author),
Zyaee, P. (Author)
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The establishment of AMNC is a game changer for nurses and midwives in Afghanistan in terms of giving both professions more autonomy and governance, addressing persistent challenges in assuring the quality of PSE and licensing new graduates. However, operationalizing and ensuring that AMNC functions (according to the approved Legislation) efficiently and effectively will be challenging. The First Assembly of AMNC was inaugurated by His Excellency, the Minister of Health on December 1st, 2018 followed by the first Board meeting and election of key office bearers. This exciting step initiates the implementation of AMNC and identifying regulatory priorities for the next five years is the priority as well as ensuring the related legislation becomes law. These are complex undertakings and require a significant investment of political will and time, as well as financial and human resources through dedicated fund allocation to AMNC by government and major donors until the Council income reaches the sustainability threshold. The midwives and nurses of Afghanistan have demonstrated incredible resilience and commitment in realizing their vision of establishing a Council. They will need the ongoing support of their networks inside and outside the country to maintain and strengthen this resilience within their professions to enable the significant contribution they can make to improving health outcomes in Afghanistan.

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Jafari M, Currie S, Qarani WM, Azimi MD, Manalai P, Zyaee P. Challenges and facilitators to the establishment of a midwifery and nursing council in Afghanistan. Midwifery. 2019;75:1-4. Epub 2019/04/12. doi: 10.1016/j.midw.2019.02.010. PubMed PMID: 30974333