Abstract
Objective: To explore community midwives' (CMs') experiences with respect to deployment policies and processes developed and used in Pakistan.
Methods: A qualitative, descriptive, exploratory design was used; 11 CMs' perspectives were gained through two focus groups.
Results: The findings are summarised under a key theme, ‘Surviving as community midwives', and four related categories: (1) lack of identity and recognition; (2) state of helplessness; (3) depletion of competence and confidence; (4) unavailability of resources and financial support.
Conclusion: The study findings highlight the need for revising the deployment policies, especially those related to the preparation of CMs for working independently in communities; introducing the CMs and their roles within the communities; establishing independent work stations (birthing centres); and streamlining the remuneration processes. The findings recommend greater preparation of district and regional-level government officials by policy makers.
Methods: A qualitative, descriptive, exploratory design was used; 11 CMs' perspectives were gained through two focus groups.
Results: The findings are summarised under a key theme, ‘Surviving as community midwives', and four related categories: (1) lack of identity and recognition; (2) state of helplessness; (3) depletion of competence and confidence; (4) unavailability of resources and financial support.
Conclusion: The study findings highlight the need for revising the deployment policies, especially those related to the preparation of CMs for working independently in communities; introducing the CMs and their roles within the communities; establishing independent work stations (birthing centres); and streamlining the remuneration processes. The findings recommend greater preparation of district and regional-level government officials by policy makers.
Original language | English |
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Journal | British Journal of Midwifery |
Volume | 23 |
Issue number | 12 |
DOIs | |
Publication status | Published (VoR) - 5 Dec 2015 |