Decoding Newly Graduated Midwives: A Value-Based Philosophy of Vocational and Professional Midwifery Program in Indonesia

Aim/objective: This study aims to provide a comprehensive overview of the current education programs and the advancements in vocational and professional education programs in Indonesia. These advancements are a direct result of the 2019 Midwifery Law, which has significantly influenced the landscape of midwifery education in the country. Background: The history of midwifery education in Indonesia reveals a long-standing trend where the field was shaped by authorities and disciplines outside of midwifery. Vocational and professional midwifery programs are integral to the pre-registration education required to become a midwife. However, the existing literature on the value-based philosophy of these programs, which is crucial for fostering meaningful learning in midwifery education, is limited. This study aims to bridge this gap by providing a comprehensive analysis of the value-based philosophies of these programs. Design: A critical discussion paper. Methods: Contemporary government documents were reviewed. Results: The current education programs show a complex picture. Investing in the duality of midwifery programs will open up new avenues for becoming midwives in Indonesia. The values-based philosophy for midwifery programs centres on individualised care, empathy, and a commitment to improving the health and well-being of mothers and their families. For instance, in the vocational program, the value of empathy is fostered through practical training with real patients, while in the professional program, the value of individualised care is emphasized through case studies and research. Both vocational and professional midwifery programs may be based on the same values-based philosophies, but the specific values and principles emphasised may differ from program to program. Students must carefully consider midwifery programs' values and philosophies before applying, as these values will shape how they practice midwifery throughout their careers. The aims of midwifery programs should support the development of midwifery competencies, skills, and knowledge, preparing graduates to fulfil their responsibilities in midwifery roles. Conclusions: The duality of midwifery programs, which refers to the coexistence of vocational and professional programs, should be understood to empower midwives to meet international standards and how these practices are permitted or restricted according to midwives' competencies. Restrictions on midwife practice in Indonesia have evolved, and today, these constraints may conflict with efforts to reduce maternal and neonatal mortality. Increased collaboration between educational institutions, governments, and health organisations can be a critical step toward achieving this goal. It is suggested that educational institutions strengthen their educational standards to align with international competencies.