Table 4. Cadre of staff considered a skilled birth attendant present at each country and total number of years of training.
| Nigeria | Ghana | Sierra Leone | Gambia | Kenya | Tanzania | Somaliland | Malawi | Zimbabwe | ||||||||||
| Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | Cadre | Total years of training | |
| Obstetrician | √ | 10 | √ | 9 | √ | 9–10 | √ | 10 | √ | 9–10 | √ | 9–10 | √ | Differ 5 | √ | 9–10 | √ | 9–10 |
| General Doctors | √ | 7 | √ | 6.5 | √ | 6 | √ | 7 | √ | 6 | √ | 6 | √ | 7 | √ | 6 | √ | 6 |
| Assistant Medical Officers (AMO) | – | – | – | – | – | √ | 5 | – | – | – | ||||||||
| Clinical Officers/Health officers | – | – | √ | 3 | – | √ | 3 | √ | 3 | √ | 4.5 | √ | 4 | √ † | 6 | |||
| Medical Assistant | – | √ | 3–4 | – | – | – | – | – | √ | 2 | – | |||||||
| Assistant Clinical Officers/Clinicalassistants | – | – | – | – | – | √ | 2 | – | – | – | ||||||||
| Enrolled midwife | – | – | – | √ | 3 | √ † | 2 | – | – | √† | 2 | – | ||||||
| Enrolled nurse | – | – | – | √ | 2 | √ † | 2 | √† | 1–2 | – | √† 2 | 2 | – | |||||
| Enrolled nurse midwife | – | √† 1 | 4 | √ | 4.5 | √ | 3 | √* | √ | 4 | – | √† 3 | 3 | – | ||||
| Registered midwife | √ | 3 | √ | 3 | √ | 4.5 | √ | 4.5 | – | √* | – | – | – | |||||
| Registered general nurse | – | – | √ | 3 | √ †† | 3.5 | – | √ † | 3 | – | √ | 3 | ||||||
| Registered nurse midwife | √ | 4 | √ | 3 | √ | 4.5 | √ | 4.5 | √ † 1 | 4–5 | √4 | 4–5 | √ | 4 | √ | 4–5 | √ | 4 |
| Registered community health nurse | – | – | – | – | √ 1 | 4 | – | – | – | – | ||||||||
| Nurse midwife technicians | – | – | – | – | – | – | √ | 2 | √3 | 3 | – | |||||||
| Nurse technicians | – | – | – | – | – | – | – | √2 | 2 | – | ||||||||
| Community midwives | – | – | – | – | √ *† | 2–3 | – | √ | 1.5 | – | – | |||||||
| Community health nurse midwife | – | √1 | 4 | – | √ | 3 | – | – | – | – | – | |||||||
| Auxiliary midwife | – | √ | 2 | – | – | – | – | – | – | – | ||||||||
| Mother & Child Health Aide (MCHA) | Р| Р| à * | 2 | Р| Р| à | 1 | Р| à 6 | 1 | Р| ||||||
| State enrolled community nurse | – | – | √ | 2.5 | – | – | – | – | – | – | ||||||||
| State certified nurse midwives | – | – | – | – | – | – | – | – | √ † | 3.5 | ||||||||
This cadre was previously trained but the training has stopped, and the cadre is still in the system.
The government was reported to have stopped training this cadre of health care provider, but training continues at some private and/or faith based hospitals.
No consensus was reached between Key Informants of the study regarding the existence of this cadre or if it is regarded as SBA.
Different cadres of retired nurses called to serve in the community.
Training curriculum has changed with a larger community health component, so the cadre which is graduating from the same institutions is now referred to as a Kenya Registered Community Health Nurse (KRCHN) or Ghana Community Health Nurse Midwife (CHNM) instead of as previously - a Registered Nurse Midwife.
Enrolled nurse (EN) training curriculum has been changed to Nurse Technicians (NT) &.
Enrolled Nurse Midwife (ENM) training curriculum has been changed to Nurse Midwife Technicians (NMT). The same institutions which were training EN and ENM are now training NT &NMT.
Training duration has changed from four to three years from the 2010 intake of RNM diploma students.
Include medical doctors with long experience in Obstetrics and Gynaecology (OBGYN), certificate in OBGYN after medical training and specialist training in OBGYN.
Training was done for only one intake and then stopped.