Twinning Project between the Japanese Midwives Association and Mongolian Midwives Association for Organisational Strengthening as Shown by MACAT
Abstract BackgroundThe Japanese Midwives Association (JMA) collaborated with the Mongolian Midwives Association (MMA) on the twinning project under the guidance of the International Confederation of Midwives (ICM) towards the achievement of the Sustainable Development Goals. The purpose of this study was to evaluate the outcomes of the organisational strengthening of the MMA through the twinning project with the JMA. ICM’s Member Association Capacity Assessment Tool (MACAT) was used as an indicator of MMA’s organisational strengthening—first in the year 2015 and then at the end of 2018—for a comparative analysis. For a comprehensive evaluation, qualitative interviews were conducted with the board members and general members of the MMA in 2018, and the results were compared with the issues identified during the first visit to MMA in 2014. ResultsIn 2015, 27 (28.1%) of the 96 MACAT items were achieved, while in 2018, 66 items (68.8%) were achieved. The average progress rate was 40.7%. Items with a high progress rate corresponded to: Governance (50.0%), Management Practices and Leadership (50.0%), Functions (43.8%), and Financial Resource Management (37.5%). Four themes emerged from the interviews: Professional identity, Strengthening midwifery services, Advocacy for midwives, and Recognition of midwives as autonomous professionals.ConclusionsThe organisational strengthening of the MMA through the twinning project resulted in more positive outcomes than expected. These outcomes were apparent from the evaluation of the MACAT items and the opinions and impressions of the MMA members, as elicited through the qualitative interviews. The MACAT was selected as an easy-to-understand index. However, instead of following the concept of ‘equal participation on the ground level’, a mentorship approach was adopted in line with the concept of equity. Equity and a mentorship approach can serve as key variables of success in international co-operation.