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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES

(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 1


41 Burgos Street, La Paz, Iloilo City

DO NOT USE ACRONYM IN TITLE

LEVEL OF ACCEPTANCE OF THE REGISTERED MIDWIVES TOWARDS CONTINUING

PROFESSIONAL DEVELOPMENT (CPD) ACTIVITIES IN THE PROVINCE OF GUIMARAS

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Separate chapter for


Theoretical & Conceptual
Framework include in this
chapter the definition of
Terms. (put after RRL)

Paper size: 8 ½ x 11
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE Font: Times New Roman

DEGREE OF BACHELOR OF SCIENCE IN MIDWIFERY


Deadline on or before
April 15, 2019

MA. LEONORA C. MAMON, RM

MERCY S. BILBAO, RM

MARIZA HOPE Z. BANO, RM

RHEA G. TORILLO, RM

ALEN JOY T. ERPELUA, RM

March 2019
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 2
41 Burgos Street, La Paz, Iloilo City

TABLE OF CONTENTS

Page

APPROVAL SHEET ii
ACKNOWLEDGEMENT iii
ABSTRACT iv
LIST OF FIGURES v
LIST OF TABLES vi

CHAPTER 1
INTRODUCTION 1
Background of the Study 2-3
Statement of the Problem 4
Theoretical Framework 4
Conceptual Framework 5
Schematic Diagram 5
Scope and Limitation of the Study 6
Definition of Terms 7
CHAPTER II 8
REVIEW OF THE RELATED LITERATURE 9-11
Synthesis 11

CHAPTER III 12
RESEARCH METHODOLOGY 13
Research Design 13-14
Respondents of the Study 14
Data Gathering Procedure 14
Statistical Tool 14-15
CHAPTER IV 16
PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA
Table 1-Table 6 17-23

CHAPTER V 24
SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS
Summary of Findings 25
Conclusions 25-26
Recommendations 26

APPENDICES 27
A. Letter of Communication 29
B. Research Instrument 31-33
C. Documentation Pictures 34-35
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 3
41 Burgos Street, La Paz, Iloilo City

REFERENCES 36

APPROVAL SHEET

This research paper entitled “Level of Acceptance of the Registered Midwives


Towards CPD Activities in the Province of Guimaras” presented by Mamon, Ma. Leonora
C., Bilbao, Mercy S., Bano, Mariza Hope Z., Torillo, Rhea G., Erpelua, Alen Joy T., in partial
fulfillment of the requirements for the Degree of Bachelor of Science in Midwifery has been
examined and is recommended for approval and acceptance.

PATRICIA M. GOMEZ, MCHS


Instructor/Adviser

Approved by the COMMITTEE ON ORAL EXAMINATION:

REYMA M. MAGBANUA, RN, MAN, MBA, PhD.


Chairman

_________________ ___________________
English Critic Technical Editor

______________________
Statistician

PATRICIA M. GOMEZ, RM, MCHS


President/Administrator

Accepted in partial fulfillment of the requirements for the degree of BACHELOR OF


SCIENCE IN MIDWIFERY.

MA. GI G. DEFENSOR, RM, MMHA


Dean

CECILIA E. DEGUMA, RM, MMHA


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 4
41 Burgos Street, La Paz, Iloilo City

Registrar

ACKNOWLEDGEMENT

The researchers are indebted to the following for their contribution to the realization of

this research endeavor:

Ma’am Patricia Gomez, the researchers’ adviser and mentor, when the researchers knew

of no hope in accomplishing anything, she lets them view the tasks given in a different outlook.

The inspiring insights had given them a head-start;

The researchers’ kind parents, and the researchers’ sponsors and benefactors, this is for

the unconditional love if at times it had been unrequited;

The researchers’ circles of friends, for making them learn things they will never learn

inside the four walls of the classroom― the meaning of friendship;

The IMAP, for giving the best education one can ever ask for and for nurturing the

researchers under her thick canopy for the duration of this course. This is for the school that

may never be a perfect place but taught the researchers a lot;

Thank you may be an understatement but thank you, anyway.

And above all, to the Almighty God, to whom all the undertakings and every endeavor of

the researchers are offered, the researchers walk in the power of His daily sufficient grace, in

their travel across Guimaras Island to the heart of the city, high hopes―safe and sound. This

research is something they all would like look back, when the time grows old with waiting. This

paper belongs to that time.


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ABSTRACT

Anent to the enactment of Republic Act No. 10912, otherwise known as the “Continuing

Professional Development (CPD) Act of 2016”, which requires CPD as the mandatory

requirement for the renewal of Professional Identification Card, this paper examines the level of

acceptance of the midwives in all of the municipalities in the province of Guimaras, towards

Continuing Professional Development (CPD) activities and determine which factor greatly

influence the acceptance of the CPD activities.

A 12-item self-constructed survey questionnaire was developed and validated by the

researchers and subject specialists.

The respondents, who are midwives from the five different municipalities of Guimaras,

have shown a result of “neutral/undecided” in all six (6) areas: family finances, K+12

awareness, government resources, schools preparedness, advance competencies, and

employability.

The collected data suggests that the government which implements this reform and

advocates professional development has an inadequate information dissemination program to

the community, particularly to the midwives who are covered by this implemented law.

Moreover, stigma among medical practitioners, specifically the midwives, perceive CPD activities

as an additional expense for the family and earning so or participating in these mandatory CPD

activities guarantee landing on the already stiff job placement.

Furthermore, schools within the district and are not available to provide adequate

trainings for these mandatory CPD among the midwives in the province of Guimaras. This study

is designed with a longitudinal perspective. Hence, future researches could be conducted to


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 6
41 Burgos Street, La Paz, Iloilo City

further investigate on the levels of acceptance of healthcare professionals towards CPD units to

update and validate the data with the current trend and changing outlooks of healthcare

professionals most especially the midwives.

LIST OF FIGURES
THIS IS NOT A LIST OF FIGURES
Schematic diagram

Factors Influencing the Level of Acceptance


(Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, Employability)

Continuous Professional Development


Registered Midwives

Figure 1. Paradigm showing the relationships among the variables in this study. The identified

independent variables are family, awareness, government resources, schools preparedness,

advance competencies, and employability, while the level of acceptance towards the CPD

activities is the dependent variable in this study.


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 7
41 Burgos Street, La Paz, Iloilo City

THIS IS NOT A LIST OF TABLES

LIST OF TABLES

INFORMATION SHEET

Name: ______________________________________ Age: ___ Sex: Male Female


Address: ____________________________________________________________________
Designation: __________________________ Agency: _________________________________

SURVEY QUESTIONAIRE
DIRECTIONS: Below are the twelve (12) self-constructed survey questions developed by the
researchers. Please read each statement carefully. Tick () the box that
corresponds to your answer.
(5) (4) (3) (2) (1)
Strongly Accepte Neutral / Not Strongly
Accepted d Undecide Accepte Not
d d Accepte
d
A. FAMILY FINANCES
1. CPD activities are an
additional expense for the
family.
2. The family has sufficient
budget to support the CPD
activities.
B. AWARENESS
3. The community is aware of
the mandatory CPD
activities.
4. Information dissemination
programs / campaigns to the
healthcare community
regarding CPD reforms were
made before its full
implementation were made.
C. GOVERNMENT RESOURCES
5. The government allotted
budget to support healthcare
professionals to avail/attend
free CPD activities.
D. SCHOOLS PREPAREDNESS
6. Schools are equipped to
provide quality and relevant
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 8
41 Burgos Street, La Paz, Iloilo City

CPD activities for healthcare


professionals.
7. Schools providing CPD
trainings are available in the
municipality / within the
province.
E. ADVANCE COMPETENCIES
8. The CPD activities will equip
and considerably necessary
for healthcare professionals
to provide better medical
services.
F. EMPLOYABILITY
9. The healthcare professionals
attending CPD activities will
broaden options to find more
relevant medical jobs in the
field.
10.The CPD units earned will
equip and allow healthcare
professionals to demonstrate
the skills needed to be hired
in the medical field.
11.The CPD units earned boosts
healthcare professionals’
resume and raise chances of
employability.
12.Earning CPD units is not a
guarantee of getting hired in
the field.
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41 Burgos Street, La Paz, Iloilo City

CHAPTER I

INTRODUCTION

BACKGROUND OF THE STUDY


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41 Burgos Street, La Paz, Iloilo City

Amidst the advancement of the technology and the advent of sophisticated, state of the

art, modern medical equipment, health care professionals are still considered the most

important play-maker in the field of medicine.

Lee (2014), emphasized that there are aspects of medicine that are entirely based on

medical knowledge, technical expertise, and data analysis could be reasonably automated

without much consequence, however, there are elements of healthcare that computers just do

not possess the capabilities of handling: bedside manner, making tough decisions from

incomplete patient data, dealing with human psychology, and so on.

However, with the many breakthroughs and innovations that surfaced in the medical

field, health care professionals should upgrade their competences; acquire novel knowledge

that would enable them to grow more productive and more efficient to fulfil what is on their job

descriptions.

To actively respond to the challenges of the rapidly changing workplace in the medical

field, continuing professional development (CPD) of health care workers had been made a pre-

requisite in the practice of the midwives in the Philippines.

Republic Act No. 10912, otherwise known as the “Continuing Professional Development

(CPD) Act of 2016”, is an act which requires CPD as the mandatory requirement for the renewal

of Professional Identification Card.

The continuing professional development (CPD) for many professionals, specifically the

midwives, had been a heated discussion among health care professionals.

In the already tight schedule of health care professionals, continuing professional

development should be viewed not as added burden rather as an engaging and worthwhile

activity. Conversely in many unfathomable circumstances, earning CPD units have been

neglected by many.
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(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 11
41 Burgos Street, La Paz, Iloilo City

Republic Act No. 10912, Resolution No. 2016-990 otherwise known as Continuing

Professional Development Act of 2016 aimed to promote and upgrade the practice of

professions in the country. Towards this end, the State shall institute measures that will

continuously improve the competence of the professionals in accordance with international

standards of practice, thereby, ensuring their contribution in uplifting the general welfare,

economic growth and development of the nation, thus, aiming to produce competent workers

most especially in the field of medicine, specifically the midwives.

This study aims to examine the level of acceptance of the registered midwives from the

different municipalities of the province of Guimaras in pursuing continuing professional

development. This further aims to determine which factor greatly influence the acceptance of

the proposed mandatory CPD requirement and shed some light for further comprehensive plans

to aid the health care professionals to be equipped of the pedagogies needed in the field of

medicine.

Add more study or news about CPD

SUGGESTED:

What is the level


of acceptance of
Registered
midwives
towards CPD as a
whole and when STATEMENT OF THE PROBLEM
classified
according to the
areas of

1.1 family
finances
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
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41 Burgos Street, La Paz, Iloilo City

The purpose of this study is to investigate the factors influencing the level of acceptance

among health care professionals, most especially the midwives, towards accomplishing /

earning the required CPD units as mandated in the Philippines.

Specifically, this study seeks to answer following questions:

1. What are the evident factors influencing the level of acceptance among

health care professionals of continuous professional development of

midwives in the province of Guimaras?

2. What are the evident factors influencing the level of acceptance among

health care professionals of continuous professional development of

midwives in the different municipalities in the province of Guimaras?

THEORETICAL FRAMEWORK

This study is anchored on the grounded approach theory. To Charmaz (2016), grounded

theory refers to a set of systematic inductive methods for conducting qualitative research aimed

toward theory development. The term grounded theory denotes dual referents: (a) a method

consisting of flexible methodological strategies and (b) the products of this type of inquiry.

Increasingly, researchers use the term to mean the methods of inquiry for collecting and, in

particular, analyzing data. The methodological strategies of grounded theory are aimed to

construct middle-level theories directly from data analysis. The inductive theoretical thrust of

these methods is central to their logic. The resulting analyses build their power on strong

empirical foundations. These analyses provide focused, abstract, conceptual theories that

explain the studied empirical phenomena. Theory : Not Grounded Approach Theory- change
the frameworkCPD gets in
CONCEPTUAL FRAMEWORK
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This study zeroes in on the professional development of the midwives in the country and

in investigating factors that affects / influences the levels of acceptance with the said mandated

requirements. The research model suggests the six (6) input variables that may impact the level

of acceptance perceived by the registered midwives to the proposed CPD activities by the Civil

Service Commission. These factors are six underlying independent variables, namely: Family,

Awareness, Government Resources, Schools Preparedness, Advance Competencies, and

Employability.

SCHEMATIC DIAGRAM
THE VARIABLES SHOULD BE BASED ON
LITERATURE:
Factors Influencing the Level of Acceptance
(Family,
SIMPLIFY-CITE SOURCES Awareness, Government Resources, Schools Preparedness, Advance Competencies, Employability)

IV DV-acceptance toward CPD


activities
Continuous Professional Development
Registered Midwives
FAMILY

1.1

1.2

1.3

AWARENESS
Figure 1. Paradigm showing the relationships among the variables in this study. The identified
GOVT. RESOURCES

independent variables are family, awareness, government resources, schools preparedness,

advance competencies, and employability, while the level of acceptance towards the CPD

activities is the dependent variable in this study.

SCOPE AND LIMITATIONS OF THE STUDY


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This exploratory qualitative-descriptive study was conducted at the different

municipalities in the province of Guimaras. The 50 respondents were midwifery practitioners.

This study made use of a researcher-made survey questionnaire validated by subject

specialist of IMAP. To elaborate the findings, the results obtained from the participants are

analyzed a posteriori.

This study is designed with a longitudinal perspective. Hence, Future similar studies

could be conducted to further investigate on the levels of acceptance of healthcare

professionals towards CPD units to update and validate the data with the current trend and

changing outlooks of healthcare professionals most especially the midwives.

SIGNIFICANCE OF THE STUDY

The results of this study will be beneficial to the following:

Government Sectors. To device or craft programs that will lead to the

accomplishment of the researchers recommendations.

Healthcare Professionals. To raise awareness and develop an inquisitive minds to

further investigate on the data presented by the researchers.

Academe. To address the needs presented by this paper.

DEFINITION OF TERMS ICM DEFINITION


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CONTINUING PROFESSIONAL DEVELOPMENT (CPD)

San Pedro (2017) defined CPD as inculcation, assimilation and acquisition of knowledge,

skills, proficiency and ethical and moral values, after the initial registration of the professional

that raises and enhances the professional’s technical skills and professional competence.

In this study, CPD refers to the requirement to be presented to in the renewal of

professional card of midwives in the country.

MIDWIVES- USE OTHER DEFINITION NOT FROM WIKIPEDIA

Wikipedia (2018) coined midwives as a health professional specializing in pregnancy,

childbirth, postpartum, women’s sexual and reproductive health (including annual

gynaecological exams, family planning, menopausal care and others), and newborn care.

In this study, it refers to the professionals who are required of the CPD units. Moreover,

midwives are the participants of this study.

ADD LEVEL OF ACCEPTANCE DEFINITION

CPD ACTIVITIES

FACTORS
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CHAPTER II

REVIEW OF THE RELATED LITERATURE


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REVIEW OF THE RELATED LITERATURE AND STUDIES- additional lit on CPD units

Midwifery has had numerous contributions in the old civilization and even in today’s

modern society. Midwifery is, in fact, one of the oldest professions in the world and is thought

to have arrived prior to the nursing and medical professions (Pezaro, 2017).

In the Philippines, midwives had prided themselves with several accomplishments in the

society for birthing babies that turned out to be professionals and experts in various fields.

Unfortunately, there are not enough midwives in the country to render maternal and

child care especially to the rural populations, who are remote from accessing maternal health

services from a doctor (Vesagas, 2013).

Furthermore, Vesagas (2013) emphasized that there are not enough midwifery schools

that produce competent midwives in the country.

There may be a number of graduates that earned the degree through a two-year

Graduate in Midwifery ladderized curriculum and had able to take and pass the Midwifery

Licensure Examination by handling 20 deliveries, assisting to at least 20 deliveries, render cord

care to 20 newborns, suturing 5 cases of vaginal lacerations, and rendering 5 intravenous

insertions as eligibility prerequisites for taking the said examination.

However, renewing a license appeared to be a strenuous activity for many health care

professionals, most especially to the midwives. Under the Continuing Professional Development

Law, workers covered by the Professional Regulatory Commission are required to seek

opportunities to boost their skills and knowledge.

San Pedro (2017) – defined CPD as inculcation, assimilation and acquisition of

knowledge, skills, proficiency and ethical and moral values, after the initial registration of the
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
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professional that raises and enhances the professional’s technical skills and professional

competence. The primary aim of continuing professional development (CPD) is improvement in

the provision of services among professionals in the country. CPD would enable professionals

and practitioners in the country to provide quality and service, delivery, and fulfillment of the

stated job objectives / description.

However, these added requirements had been a heated topic for the shortage of

workforce in the country, most especially in the field of midwifery. Pasion (2017) added that

professionals would have to shell out thousands worth of extra cash when they renew their

license.

The same problems are reoccurring in other countries. Davids (2006) explained that the

problem points to the fact that professional nurses in South Africa are not aware that it is their

responsibility to continue learning and to seek learning opportunities in order to address their

learning needs after obtaining a basic nursing qualification.

There are a lot of factors and kind of challenges one may anticipate that prevents

healthcare professionals from participating in CPD activities.

In the study of Arunachallam (2009) 63% of the respondents revealed that family and

social commitments might prevent them from engaging in CPD activities. Moreover, Gould, et.

al. (2007) in the study of Arunachallam (2009) stated that the demands of undertaking CPD

conflicted with home and domestic commitments and emphasized that that time was a factor

especially when having to travel to CPD venues and arranging child-care, which is inconvenient

to many health care professionals.

Arunachallam (2009) furthermore revealed that finances could deter the desire of health

care professional to earn CPD units where 5 % from the Nursing and Midwifery Council of

United Kingdom determined that the cause of non-compliance was due to financial constraints
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as short courses, conferences, and the like are expensive if no financial assistance is provided

by the employer.

Furthermore, 56% of the respondents of the study felt that their employers may place

restrictions on them for engaging in CPD activities for often; only senior management is

permitted to go to CPD activities (Arunachallam, 2009). VARIABLES SHOULD BE BASED ON

LITERATURE

Synthesis

This study aims to examine the level of acceptance of the registered midwives in

attending CPD activities as requirement in the renewal of professional identification card in the

province of Guimaras, and with high hopes be able to resolve the multi-faceted issue in

promoting better workforce in the Philippines.


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CHAPTER III

RESEARCH METHODOLOGY

For the instrument/questionnaire a psychometrician


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RESEARCH METHODOLOGY

This qualitative research aims to investigate the factors that influence the levels of

acceptance among midwives in the province of Guimaras towards compliance of the required

CPD units. The research was conducted using researcher-made survey questionnaire in the

different municipalities in the province of Guimaras. The results were combined into key themes

spanning across countries using a grounded theory approach.

RESEARCH DESIGN-describe (qualitative-quantitative # of respondents thru the use

of sampling) --------Does not enumerate sample population get the profile of midwife.

The instrument used to gather data was a validated researcher-made survey

questionnaire. The 12 – item self-constructed survey questionnaire was developed and was

validated by the researchers to assess the level of acceptance of midwives to the proposed CPD

requirement in renewing professional health cards in the different municipalities of Guimaras.

Furthermore, the content validation of the instrument was facilitated by the experts in the field

of health care profession. The valuators were professors and instructors at Integrated Midwives

Association of the Philippines (IMAP) Foundation School of Midwifery, Inc. The survey

questionnaire was focused on the factors influencing the registered midwives towards CPD

activities in the province of Guimaras. The factors were:

A. Family how are the measured???

B. Awareness

C. Government Resources
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D. Schools Preparedness

E. Advance Competencies

F. Employability.

The five – point Likert Scale was used for elicit responses from the respondents of the survey

stated as: (5) Strongly Accepted, (4) Accepted, (3) Neutral / Undecided, (2) Not Accepted, or

(1) Strongly Not Accepted.

RESPONDENTS OF THE STUDY-POPULATION STUDY/BASIC PROFILE OF

MIDWIVES.. AGE, GENDER STATUS ETC.

The participants of this study are the licensed midwives practicing their profession at the

province of Guimaras. The participants of the study selected through cluster sampling, so as the

health care professionals / practitioners from the different municipalities in the province of

Guimaras are properly represented.. include no. Of respondents

Cluster?? Discuss cluster

DATA GATHERING PROCEDURE- state validation reliability of the instrument

Permission to conduct the study to the respondents was secured from the local chief

executives from the different municipalities of the province of Guimaras.

The researchers will conduct and administer the survey from one town to another to

provide orientation before the survey to ensure the quality of the study. The respondents will

be given 40 minutes to answer the survey questionnaire. The whole administration, including

instruction will take about 55 minutes.

STATISTICAL TOOL-get the formula by mean discussed the scale


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After the data had been gathered, the data will be properly encoded, analyzed, and

arranged according to their frequency as yielded by the responses of the participants.

Moreover, the average weighted mean were taken to determine the results of the accumulated

responses.

The five – point Likert Scale was used to interpret the level of acceptance stated as: (5)

Strongly Accepted, (4) Accepted, (3) Neutral / Undecided, (2) Not Accepted, or (1) Strongly Not

Accepted.

Below is the formula for deriving the mean:

Mean =
∑ ( fx ) ;
no . of respondents

Where, ∑❑ means sum of all the factors multiplied with the indicators; where f stands for

factor(s) and x stand/s for the indicator/s divided by their total number of respondents.

While deriving at the average weighted mean, the researchers used the following

formula.

Average Weighted Mean =


∑ ( mean ) ;
no . of factors

Where, the sum of the entire mean under the specific criterion is divided by their total number

of factors in the said criterion.

Omit just discuss the scale: suggested


1.0 - 1.79 STRONGLY NOT ACCEPTED

1.80 – 2.59 NOT ACCEPTED

2.60 - 3.39 NEUTRAL

3.40 – 4.19 ACCEPTED

4.20- 5.0 STRONGLY ACCEPTED


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Show how you analyzed data (statistical tool)

Show how you present data (tables)

CHAPTER IV

PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA

For analysis:
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Improved in table full categories

As whole

Discussed respondents/ total #

Neutral / Undecided- chose one.. suggested undecided will be used

Findings based on statement

Get some validated questionnaire in previous studies

PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA-

The tables below show the responses of the respondents:

Table 1. FAMILY FINANCES

A. Family Finances MEAN DEPENDENT VARIABLE


1. CPD activities are an

additional expense for 4.12 Accepted

the family.
2. The family has 2.4 Not Accepted
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sufficient budget to

support the CPD

activities.
Average Weighted Mean 3.26 Neutral / Undecided
DESCRIPTION: DISCUSS every TABLE do not go directly to average weighted mean

As shown in table 1, the average weighted mean of 3.26 from the responses of the

midwives in the province of Guimaras is nearer to 3 than 4. Therefore, the equivalent category

of 3.26 is Neutral / Undecided. From this result, it revealed that the midwives deemed CPD

activities as additional expenses and there is not enough budget to support the CPD activities.

However, average weighted mean of 3.26 when interpreted weighs neutral / undecided. These

results suggest that there is no sufficient budget or family income to support the CPD activities

yet the respondents accepted / welcome the idea that attending may entail additional budget or

expenses for the family finances. Concluding that their readiness for CPD activities is still

undecided and hypothetically the healthcare professionals, particularly midwives be swayed or

encouraged to attend CPD activities if there is sufficient income for the family to do so.

Table 2.AWARENESS

B. Awareness MEAN DEPENDENT VARIABLE


3. The community is

aware of the
2.68 Neutral / Undecided
mandatory CPD

activities.
4. Information 2.70 Neutral / Undecided

dissemination

programs / campaigns

to the healthcare
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 27
41 Burgos Street, La Paz, Iloilo City

community regarding

CPD reforms were

made before its full

implementation were

made.
Average Weighted Mean 2.69 Neutral / Undecided

As shown in table 2, the average weighted mean of 2.69 from the community sector is

nearer to 3 than 2.Therefore the equivalent category of 2.69 is “Neutral/ Undecided”. From this

result, it simply means that the government which promotes this educational reform is lacking

of information dissemination program to the community, particularly to the midwives in the

province of Guimaras. The medical practitioners were not fully aware of the nature and

implementation of the mandatory CPD activities. The results that yielded neutral means part of

the population are aware of the program and the rest are unaware of the program.

Table 3.GOVERNMENT RESOURCES- IMPROVE

C. Government Resources MEAN DEPENDENT VARIABLE


5. The government

allotted budget to

support healthcare
2.72 Neutral / Undecided
professionals to

avail / attend free

CPD activities.
Average Weighted Mean 2.72 Neutral / Undecided

As shown in table 3, the weighted mean of 2.72 from the community sector is nearer to

3 than 2. Therefore the equivalent category of 2.72 is “Neutral/Undecided”. The medical


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 28
41 Burgos Street, La Paz, Iloilo City

practitioners or the midwives are not fully aware or do not have enough idea if the government

has allotted enough budget to support healthcare professionals to avail / attend free CPD

activities. However there are programs in the government providing free CPD trainings like

Updates on Midwifery Profession and Practice, Scientific Seminars, Boosting Knowledge in

Addressing Common Maternal and Pediatric Issues in the First 1,000 Days of Life, yet not all the

respondents are aware of it hampering them to avail of the government provisions and quality

programs.

Table 4.SCHOOLS PREPAREDNESS

D. Schools Preparedness MEAN DEPENDENT VARIABLE


6. Schools are equipped

to provide quality and

relevant CPD activities 3.02 Neutral / Undecided

for healthcare

professionals.
7. Schools providing CPD

trainings are available


2.36 Not Accepted
in the municipality /

within the province.


Average Weighted Mean 2.69 Neutral / Undecided
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 29
41 Burgos Street, La Paz, Iloilo City

As shown in table 4, the weighted mean 2.69 it revealed that school preparedness is

nearer 3 than 4. However the mean of 3.02 for the respondents is nearer to 3 than 4.

Therefore the equivalent category of 3.02 is “Neutral/Undecided” which means that the

community is not aware or no idea if the schools are equipped to provide quality and relevant

CPD activities for healthcare professionals. While the mean of 2.36 from the respondents is

nearer to 2 than 3. Therefore the equivalent category of 2.36 is “Not Accepted”. The

respondents express that there are no available schools in the districts that could provide CPD

trainings for the midwives in the province of Guimaras. These circumstances should be met in

order for the willing healthcare professionals to attend CPD activities within their respective

districts.

Table 5. ADVANCE COMPETENCIES

E. Advance Competencies MEAN DEPENDENT VARIABLE


8. The CPD activities will

equip and

considerably

necessary for
3.30 Neutral / Undecided
healthcare

professionals to

provide better

medical services.
Average Weighted Mean 3.30 Neutral / Undecided

As shown in table 5, the weighted mean of 3.30 from the responses is nearer to 3 than

4 and the equivalent category of 3.30 is “Neutral / Undecided”. Basically, the healthcare

professionals has not sighted whether engaging in the CPD activities will equip them with
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 30
41 Burgos Street, La Paz, Iloilo City

pedagogies per se that has practical uses in the medical field. Since the previous these data

shows their being unaware of the benefits of the program, the results yielded undecided. Part

of the population is aware of the benefits of CPD activities in the advancement of their careers

but some are still unaware of its benefit.

Table 6. EMPLOYABILITY

D. Employability MEAN DEPENDENT VARIABLE


9. The healthcare

professionals

attending CPD

activities will broaden 3.38 Neutral / Undecided

options to find more

relevant medical jobs

in the field.
10. The CPD units earned

will equip and allow

healthcare

professionals to 3.36 Not Accepted

demonstrate the skills

needed to be hired in

the medical field.


11. The CPD units earned 3.32 Neutral / Undecided

boosts healthcare
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 31
41 Burgos Street, La Paz, Iloilo City

professionals’ resume

and raise chances of

employability.
12. Earning CPD units is

not a guarantee of
3.56 Accepted
getting hired in the

field.
Average Weighted Mean 3.41 Neutral / Undecided

As shown in table 6, the average weighted mean of 3.41 from the community sector is

nearer to 3 than 4. However, the mean in the healthcare professionals responded and accepted

the statements under the Employability factor that states, participating in the CPD activities are

not reciprocated assurance of high chances of becoming employed and have jobs in the medical

field, yielded 3.56 with the equivalent category of “Accepted”. The average weighted mean

weighing 3.41 as interpreted, weighs neutral. This only shows that only part of the population is

aware of the perks of raising employability stats attending CPD activities could bring about.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 32
41 Burgos Street, La Paz, Iloilo City

CHAPTER V

SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 33
41 Burgos Street, La Paz, Iloilo City

SUMMARY OF FINDINGS

The respondents, who are midwives from the different municipalities of Guimaras, have

shown a result of “neutral/undecided” in all six (6) areas: family finances, K+12 awareness,

government resources, schools preparedness, advance competencies, and employability.

The collected data suggests that that the government which implements this reform and

advocates professional development has an inadequate information dissemination program to

the community, particularly to the midwives who are covered by this implemented law.

Moreover, stigma among medical practitioners, specifically the midwives, perceive CPD activities

as an additional expense for the family and earning so or participating in these mandatory CPD

activities guarantee landing on the already stiff job placement.

Furthermore, schools within the district and are not available to provide adequate

trainings for these mandatory CPD among the midwives in the province of Guimaras.

CONCLUSIONS- BASED ON THE FINDINGS


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 34
41 Burgos Street, La Paz, Iloilo City

1.

2.

CPD activities are perceived to be as an added burden to the families of midwives’ tight

household expenses. Campaigns and information dissemination on mandatory CPD activities

went ineffective and should be done intensively.

Moreover, the results suggest that the government lacks allocation on these CPD activities

as perceived by the midwives in the province of Guimaras and acquiring so these mandatory

trainings does not quantify to the placement of the midwives to the sought-after job in the

government, hence midwives, needless to derive, find it impractical to participate in these CPD

activities

With the same data gathered, when analyzed, transpire the beliefs of the midwives in

Guimaras who are kept at bay or withheld whether to engage in CPD activities having no

guarantee of securing the job amidst their learned or acquired competencies.

RECOMMENDATIONS

The findings laid the bases for the following recommendations:

1) The results of the present study should be furnished to the different agencies;

specifically to the law-makers in order to oversee and evaluate the relevance of the

study to the program to meet the needs of the medical practitioners especially those

who are majoring in Midwifery.

2) It is recommended that public symposium and campaign should be done to disseminate

correct information and encourage medical practitioners most especially the midwives to

see the benefits of participating and engaging in different CPD activities and eliminate

the clouded stigma about CPD activities.


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 35
41 Burgos Street, La Paz, Iloilo City

3) It is strongly recommended that the government should take broader steps in providing

support and making these CPD activities or courses available within the district, to

provide convenient access of information among midwives, even those who live in the

outskirts of the town.

4) It is further recommended that researchers who may wish to study the same inquiry

should take longitudinal study for this case, to have more clarifications and answers to

the question, such as if there are other factors that contributes to the non-compliance of

CPD activities among midwives that are not measured by this study.

5) It is likewise recommended that a replication of this study with other possible variables

may be further conducted to confirm the result of the present finding

APPENDICES
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 36
41 Burgos Street, La Paz, Iloilo City

Appendix A

(Letter of Communication)
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 37
41 Burgos Street, La Paz, Iloilo City

February 7, 2019

HON. LUBEN G. VILCHES


Municipal Mayor
Sibunag, Guimaras

Thru:

DR. BURT J. JORDAS


Municipal Health Officer
Sibunag Rural Health Unit

Dear Hon. Vilches:


Greetings!

The Bachelor of Science in Midwifery (BSM) IV Group 5, would like to conduct a research study
in your respective Rural Health Center on February 11, 2019.

In view of this, we would like to request from your good oflice to please allow us to conduct our
study entitled "LEVEL OF ACCEPTANCE OF THE REGISTERED MIDWIVES TOWARDS
CPD ACTIVITIES IN THE PROVINCE OF GUIMARAS”.

We would ensure that no ethical violations will be done in the conduct of this study. in the
process of the information gathering, the respondents may or may not be required to provide
their names. Before providing them the questionnaire, we will also let them know about the
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 38
41 Burgos Street, La Paz, Iloilo City

goals of the research study and how we will use the information that they will provide" A
sample of the questionnaire will be attached in this letter.

We are sincerely hoping for your kind consideration. Your contribution is highly essential for the
conduct of this research study.

Thank you so much and more power!

Very truly yours,

MA. LEONORA C. MAMON, RM


MERCY S. BILBAO, RM
MARIZA HOPE Z. BANO
RHEA G. TORILLO, RM
ALEN JOY T. ERPELUA, RM

Noted:

MA. GI G. DEFENSOR, RM, MMHA


Dean

Appendix B

(Instrument)
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 39
41 Burgos Street, La Paz, Iloilo City

INFORMATION SHEET

Name: ______________________________________ Age: ___ Sex: Male Female


Address: ____________________________________________________________________
Designation: __________________________ Agency: _________________________________

SURVEY QUESTIONAIRE

DIRECTIONS: Below are the twelve (12) self-constructed survey questions developed by the researchers.
Please read each statement carefully. Tick () the box that corresponds to your answer.

(5) (4) (3) (2) (1)

Strongly Accepte Neutral / Not Strongly

Accepted d Undecide Accepte Not

d d Accepte

d
G. FAMILY FINANCES
13.CPD activities are an
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 40
41 Burgos Street, La Paz, Iloilo City

additional expense for the

family.
14.The family has sufficient

budget to support the CPD

activities.
H. AWARENESS
15.The community is aware of

the mandatory CPD

activities.
16.Information dissemination

programs / campaigns to the

healthcare community

regarding CPD reforms were

made before its full

implementation were made.


I. GOVERNMENT RESOURCES
17.The government allotted

budget to support healthcare

professionals to avail/attend

free CPD activities.


J. SCHOOLS PREPAREDNESS
18.Schools are equipped to

provide quality and relevant

CPD activities for healthcare

professionals.
19.Schools providing CPD

trainings are available in the

municipality / within the


INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41
41 Burgos Street, La Paz, Iloilo City

province.
K. ADVANCE COMPETENCIES
20.The CPD activities will equip

and considerably necessary

for healthcare professionals

to provide better medical

services.
L. EMPLOYABILITY
21.The healthcare professionals

attending CPD activities will

broaden options to find more

relevant medical jobs in the

field.
22.The CPD units earned will

equip and allow healthcare

professionals to demonstrate

the skills needed to be hired

in the medical field.


23.The CPD units earned boosts

healthcare professionals’

resume and raise chances of

employability.
24.Earning CPD units is not a

guarantee of getting hired in

the field.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 42
41 Burgos Street, La Paz, Iloilo City

DOCUMENTATION PICTURES
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES
(IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 43
41 Burgos Street, La Paz, Iloilo City

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http://etd.uwc.ac.za/xmlui/bitstream/handle/11394/2377/Arunachallam_PHD_2009.pdf?
sequence=1

Feldacker, C. (2017). Continuing professional development for medical, nursing, and midwifery
cadres in Malawi, Tanzania and South Africa: A qualitative evaluation. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645103/

Iliffe, J. (2011). Developing a national continuing professional development framework. African


Journal of Midwifery and Womens Health, 5(4), 189-194
Latoza, R. (2015). Senate approves bill requiring professionals to undergo CPD before licenses
are renewed. Retrieved from https://www.iloilometropolitantimes.com/senate-approves-bill-
requiring-professionals-to-undergo-cpd-before-licenses-are-renewed/

Lee, J. (2014). 6 Human Jobs That Computers Will Never Replace. Retrieved from
https://www.makeuseof.com/tag/6-human-jobs-computers-will-never-replace/

Pezaro, S. (2017).Oh baby: seven things you probably didn’t know about midwives. Retrieved
from https://www.google.com.ph/amp/s/theconversation.com/amp-oh-baby-seven-things-you-
probably-didnt-know-about-midwives-77128

Vesagas, P.J. (2013) Vesagas: Philippine Midwifery Week. Retrieved from


https://www.sunstar.com.ph/article/310940