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The Midwifery Initiative in Virginia, West Virginia, and Maryland Collaborating to Increase Access to Nurse-Midwifery Education  in Rural Areas by Juliana van Olphen Fehr, CNM, PhD, FACNM LACK OF ACCESS TO CARE IN RURAL AREAS Nurse-Midwifery Student Enrollment 2002-2009 HRSA Acknowledgement and Disclaimer This project is supported in part by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under grant number DO9HPO7967, “Improving Access to Health Care in Rural and Medically Underserved Areas of Virginia with Advanced Practice Nurses,” award amount: $223,572.00.  The information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by the Division of Nursing, BHPr, DHHS or the U.S.Government. IOM Board on Health Care Services:  EXPAND DISTANCE PROGRAMS SHENANDOAH UNIVERSITY   RESPONDED : WITH VIRGINIA’S FIRST NURSE-MIDWIFERY PROGRAM Virginia House Joint Resolution 431 recommends:  OPEN Nurse-Midwifery program in Virginia to INCREASE access to CNMS  2002 1991 1996 SHENANDOAH UNIVERSITY RESPONDED: WITH THE “ The Midwifery Initiative” 2003-2010 2003 2010 Red dots = Tele-broadcast areas for ODU and MU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IOM:  Use formal arrangements to expand rural-based education.  HRSA:  Develop creative, collaborative initiatives to expand enrollments.  ANA :  Develop   ACCESSIBLE, FLEXIBLE  &  AFFORDABLE  programs through new models & partnerships.  AACN :  STRATEGIC PARTNERSHIPS  & collaborative relationships = more nurses.  DHHS Task Force :  Education Programs must fundamentally change to increase access .  Year One : Core Course at  Home University Year Two :  Midwifery Courses at  Shenandoah University

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