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The midwifery profession and quality midwifery care in Bangladesh during the Covid-19 pandemic: A focus group discussion inquiry with midwives, nurses in midwifery care and midwifery educators
Högskolan Dalarna, Institutionen för hälsa och välfärd.
Högskolan Dalarna, Institutionen för hälsa och välfärd.
2021 (engelsk)Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
Abstract [en]

Background: Quality midwifery care plays an important role for decreases in maternal mortality and morbidity. In recent years significant development of the midwifery profession has been made in Bangladesh. Quality midwifery care can however be held back by social, cultural and economic barriers and the Covid- 19 pandemic has had severe impact on society and regional healthcare systems including reproductive, perinatal and maternal health.Aim: The aim of the study is to describe the possibility to provide quality midwifery care in Bangladesh during the Covid-19 pandemic from the perspective of clinical midwives, nurses in midwifery care and midwifery educators.Methods: Data was collected through internet-based focus group discussions with clinically active midwives and nurses, and midwifery educators. Reflexive thematic analysis inspired by Braun and Clark was used to analyze data.Results: The impact of Covid-19 on midwife's health, safety and ability to provide quality care can be seen in three perspectives comprising three main themes with sub-themes. From a socio-cultural perspective, social views of Covid-19 jeopardize the security and health of midwives and lockdown reinforces gender inequalities. From a professional perspective it is visible how low professional status place midwives in challenging situations, how deficient implementation of policies compromises safety, and how increased workload for midwives endangers quality care. Seen from an economic perspective, poverty in society aggravates midwifery practice and inadequate means of compensation creates despair.Conclusion: The Covid-19 pandemic reinforces preexisting barriers but implies also new factors influencing the possibility to provide quality midwifery care. In the wake of the pandemic these factors along with a sustainable plan for educating new midwives needs to be addressed. This is urgent, in order to ensure further provision of professional midwives and quality midwifery care in Bangladesh.Clinical implications: The findings of this inquiry add weight to the urgency of addressing barriers to quality care provided by midwifery personnel in Bangladesh. The findings may be useful for developing the midwifery profession and planning interventions to sustain quality midwifery care in Bangladesh during the continuation of Covid-19, for future pandemics or in other similar crises.

sted, utgiver, år, opplag, sider
2021.
Emneord [en]
Bangladesh, Covid-19 pandemic, focus group discussions, midwife profession, quality midwifery care.
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Identifikatorer
URN: urn:nbn:se:du-38413OAI: oai:DiVA.org:du-38413DiVA, id: diva2:1601523
Fag / kurs
Sexual Reproductive Perinatal Health
Tilgjengelig fra: 2021-10-08 Laget: 2021-10-08

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