Table 1: Worksheet sample.
Concept 4 Acceptance of new knowledge and skills
Definition Realizing “there is always new knowledge” despite years of experience
Variations
  • Ms. A: The number is going down because of in-serve training for midwives. We still need more in-service training. Because there is always something new knowledge. More training. (Ms. A, pg 11)
  • Increased my knowledge very much. I gained and I want to take more of JICA training. (Ms. B, pg 7)
  • Interviewer: What was the impact of this training to your career as a midwife?
  • Ms. C: This training brought for me a big change because they gave me skills how to go train these midwives. …
  • According to me, about our training, training brought new skills for us.…
  • About resuscitation and how to palpate. Because some of us don’ know. Me, I know but other colleagues, they do not know how to palpate or how to resuscitate. But she gave us good skills. (Ms. C, pg 4 & 7)
  • Ms. D: JICA impact the new way. Now we are doing it the right way. We are not in a good way. We are conducting delivery in a right manner. Resuscitate. *Active birth with those drugs. Mother was bleeding but we give drugs and the bleeding stop. When the child doesn’t want to come, we cut and later on stitch.
    Interviewer: Impact is quite big?
    Ms. D: Yes, because now TBA work like midwives. (Ms. C, pg 6)
    *Active birth = From the context, it is assumed to be “active management of third labor.”
  • Yes, many changes, many changes. Because our people don’t know the oxytocin, even the labor, they don’t know. But after JICA, there is many changes. Many changes now. And the mortality rate is reduced also. (Ms. E, pg 11)
Theoretical note During the in-service training, midwives were showered with so many topics and information. Were there any topics that they chose not to remember or apply? → Yes. Topics of Training Cycle Management and importance of breastfeeding were not mentioned at all. It is assumed that these two topics were perceived to be not directly tied with saving lives of mothers and children, which was the most pressing issue midwives faced. They chose and accepted new skills and knowledge that they thought would help them improve critical issues at work.