New Skills Allow Midwives to Offer Better Range of Family Planning Services

Nakubulwa, one of the midwives trained by STRIDES, conducts antenatal care services during an outreach visit in Mityana district. {Photo credit: Tadeo Atuhura/MSH.}


After giving birth to her third child, Margaret Nalubega wanted to take time to support her business and aptly care for her children--which meant delaying becoming pregnant again.

To find out what her contraceptive options were, Nalubega visited Mityana hospital and had a lengthy conversation on family planning with Sarah Nakubulwa, a midwife.

After counseling on all available methods of contraception, Nalubega decided to use the intrauterine device (IUD) to prevent future pregnancies.

The IUD will prevent Nalubega from becoming pregnant for up to 12 years, giving her time to attend to her three children and to run her business.

Nalubega is just one of the women who have benefited from the training midwives received from STRIDES for Family Health, a USAID-funded project dedicated to improving the quality of and access to integrated reproductive health, family planning, and child survival services, led by MSH.

“Before STRIDES’ training, I only had knowledge on provision of short-term methods of family planning; STRIDES equipped me with skills in long-term methods. Initially I would refer the women to Kampala, but after we were trained, I was confident enough to provide long acting methods. The women trust us more and confide in us because we handle them expertly,” Nakubulwa says.

“The midwives explain how the IUD works and patiently respond to all our questions… all my fears have been addressed,” said Salome Nakalule, a mother of four attending Nakubulwa’s routine family planning session.

“The skills will never go away; training practitioners is one of the sustainable ways of implementing programs. With the acquired skills and enhanced competencies, the trained health workers and village health teams will carry on the work in the communities even when the program ends,” said District Health Officer, Dr. David Lwasampijja.