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Sökning: WFRF:(Gabrielsson Sara) > (2020-2023) > Maternal health lea...

  • Blomgren, JohannaKarolinska Institute (författare)

Maternal health leaders' perceptions of barriers to midwife-led care in Ethiopia, Kenya, Malawi, Somalia, and Uganda

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • 2023
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:shh-4967
  • https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4967URI
  • https://doi.org/10.1016/j.midw.2023.103734DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:du-46126URI
  • https://lup.lub.lu.se/record/b7060d05-4566-4b4e-9eb2-cb0eca1f2541URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:152989984URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • OBJECTIVE: To identify and examine barriers to midwife-led care in Eastern Africa and how these barriers can be reduced DESIGN: A qualitative inductive study with online focus group discussions and semi-structured interviews using content analysis SETTING: The study examines midwife-led care in Ethiopia, Malawi, Kenya, Somalia, and Uganda -five African countries with an unmet need for midwives and a need to improve maternal and neonatal health outcomes.PARTICIPANTS: Twenty-five participants with a health care profession background and current position as a maternal and child health leader from one of the five study countries.FINDINGS: The findings demonstrate barriers to midwife-led care connected to organisational structures, traditional hierarchies, gender disparities, and inadequate leadership. Societal and gendered norms, organisational traditions, and differences in power and authority between professions are some factors explaining why the barriers persist. A focus on intra- and multisectoral collaborations, the inclusion of midwife leaders, and providing midwives with role models to leverage their empowerment are examples of how to reduce the barriers.KEY CONCLUSIONS: This study provides new knowledge on midwife-led care from the perspectives of health leaders in five African countries. Transforming outdated structures to ensure midwives are empowered to deliver midwife-led care at all healthcare system levels is crucial to moving forward.IMPLICATIONS FOR PRACTISE: This knowledge is important as enhancing the midwife-led care provision is associated with substantially improved maternal and neonatal health outcomes, higher satisfaction of care, and enhanced utilisation of health system resources. Nevertheless, the model of care is not adequately integrated into the five countries' health systems. Future studies are warranted to further explore how reducing barriers to midwife-led care can be adapted at a broader level.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Gabrielsson, SaraLund University,Lunds universitet,LUCSUS,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,LUCSUS (Lund University Centre for Sustainability Studies),Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)lucs-sgn (författare)
  • Erlandsson, Kerstin,1961-Karolinska Institute,Dalarna University College,Högskolan Dalarna,Sexuell, reproduktiv och perinatal hälsa,Karolinska Institutet, Stockholm(Swepub:du)ker (författare)
  • Wagoro, Miriam C AUniversity of Nairobi, Nairobi, Kenya (författare)
  • Namutebi, MariamMakerere University College of Health Sciences, Kampala, Uganda (författare)
  • Chimala, EvelesKamuzu University of Health Sciences, Blantyre, Malawi (författare)
  • Lindgren, HelenaSophiahemmet University,Karolinska Institute,Sophiahemmet Högskola,Karolinska Institutet, Stockholm; Sophiahemmet University, Stockholm (författare)
  • Karolinska InstituteLUCSUS (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Midwifery124, s. 103734-0266-61381532-3099

Internetlänk

Hitta via bibliotek

  • Midwifery (Sök värdpublikationen i LIBRIS)

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