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A review and comparison of post registration midwifery curriculum in Sri Lanka with global standards

  • Sunethra Jayathilake EMAIL logo , Vathsala Jayasuriya-Illesinghe , Himani Molligoda , Kerstin Samarasinghe and Rasika Perera


This paper presents the findings of a study comparing the post-registration midwifery curriculum (PRMC) taught in Sri Lanka with the International Confederation of Midwives (ICM) curriculum and five other selected curricula from other parts of the world to train midwifery trained registered nurses (MTRNs). In so doing, we consider the historical origins of post-registration midwifery training and its implications for modern teachings in Sri Lanka and other low-middle income countries (LMICs). Data collected through document review are read, summarized, and compared using checklists across different curricula components, content, and length. The wide variation in terms of length of the programs, content covered, the ratio of theoretical to practical content, and the range of skills and competencies developed has implications for the individual and professional growth of MTRNs. While there is a need to align the PRMC with the ICM standards to ensure safer maternity care in Sri Lanka, implications for developing and promoting the growth of midwifery as a strong independent body in LMIC is discussed.

Corresponding author: Sunethra Jayathilake, University of Sri Jayewardenepura, Nugegoda, 10100, Sri Lanka, E-mail:


Academic staff of Midwifery Programme, Lund University, Sweden. Ms. Kumari Jayasundara, Senior tutor, National Nurses’ Training School, Sri Jayewardenepura.

  1. Research funding: World Class University Project (WCUP), University of Sri Jayewardenepura (Grant No-Ph.D./13/2012)

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: Ethical approval for the main study was obtained from Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayewardenepura. This is a small part of the main study.


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Received: 2021-01-13
Accepted: 2022-09-28
Published Online: 2023-05-25

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