Challenges of this program

1) Lack/limited equipment and supplies

2) Lack of consistent training plan and high cost of the training

3) Possible role conflict with sonographers/radiologists

4) Limited human resource (work overload for midwives) and training facilities

5) Integration into current practice

6) Lack of interest from midwives

7) Limited trainers and supervision

8) Quality assurance and control

9) Lack of continued practice for staff from facilities with no equipment

Suggestions of solutions to the challenges

1) Procurement/lobby for more ultrasound equipment and supplies in all settings

2) Identify several training sites to easy congestion on a few facilities

3) Collaborate with relevant stakeholders before commencement (e.g radiographers)

4) Outline a clear integration path for these trainees into the health system

5) Ensure available of personnel to service and repair the equipment

6) Availability of enough trainers and effective supervision

7) Establish a clear training plan not to strain the system

8) Need for continued professional development

9) Need for adequate infrastructure, quality assurance/control

Necessary education resources for this training

1) Pelvis models, foetal models, posters, ultrasound scans, manuals, curriculum/course content, procedure manuals, evaluation books, SOPs, learner’s book

2) Skilled/specialist trainers

3) Modern ultrasound equipment and supplies

4) Online books, videos, projectors, presentations, pamphlets, recommended texts books, laptops, stationery

5) Infrastructure (training sites/skills lab, clinical placements, library)