Stories

Bilateral Professional Exchange: Midwifery Education in Cambodia

Standardizing education

Cambodia has made remarkable progress in maternal and child health, achieving the United Nations Millennium Development Goal of reducing maternal mortality by 75%—a milestone reached by only nine countries worldwide. However, despite these gains, Cambodian midwives often lack formal training and certification, resulting in inconsistent care quality and variable outcomes. The absence of standardized education and credentialing poses a significant barrier to sustaining and advancing these improvements.

Summary of the experience by Allyson Crain, DNP, CNM, WHNP-BC & Cathy Collins-Fulea DNP, CNM, FACNM, FAAN . Insights from a Midwifery Delegation Trip to Cambodia

The Initiative

Under the direction of the Citizen Ambassador Program, The American College of Nurse-Midwives (ACNM), whose certification standards are globally respected and frequently exceed those of the International Confederation of Midwives (ICM), launched an initiative to address this gap. The goal: introduce a framework for standardized certification, skills training, and evidence-based practice for both pre-service education and continuing professional development.

Delegation & Activities

To advance this mission, an ACNM delegation of senior U.S. Certified Nurse-Midwives—representing both academia and clinical practice—traveled to Phnom Penh and Siem Reap. Led by Dr. Catherine Fuleau-Collins, ACNM President and professor at Frontier Nursing University, the team collaborated with the Cambodian Ministry of Health and the Cambodian Midwives Association. Their work focused on:

  • Assessing Current Practices: Visiting urban and rural labor and delivery units to observe clinical norms and cultural influences.
  • Engaging Educational Institutions: Meeting with nursing schools to understand the existing educational landscape.

Learning from Past Interventions: Reviewing strategies introduced by international NGOs over the past decade that contributed to Cambodia’s maternal health success.

Outcomes

The week-long exchange culminated in a joint plan to implement a robust training and continuing education structure for Cambodian midwives. This collaboration aims to ensure uniform standards, improve care quality, and strengthen professional recognition.

Benefits for U.S. Midwives

For U.S. midwives, the program offered a rare immersive learning experience. ACNM accredited 11 Continuing Education Units (CEUs) for participants—an important contribution toward the 20 CEUs required every five years for U.S. midwives.

Key Takeaway

This initiative underscores the power of bilateral professional exchanges in elevating global health standards while enriching professional development.