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Opportunities, challenges and strategies when building a midwifery profession. Findings from a qualitative study in Bangladesh and Nepal
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-6910-7047
2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, p. 45-49Article in journal (Refereed) Published
Abstract [en]

Objective

The aim of this paper was to identify opportunities and challenges when building a midwifery profession in Bangladesh and Nepal.

Methods

Data were collected through 33 semi-structured interviews with government officials, policy-makers, donors, and individuals from academia and non-government organizations with an influence in building a midwifery profession in their respective countries. Data were analyzed using content analysis.

Findings

The opportunities and challenges found in Bangladesh and Nepal when building a midwifery profession emerged the theme “A comprehensive collaborative approach, with a political desire, can build a midwifery profession while competing views, interest, priorities and unawareness hamper the process”. Several factors were found to facilitate the establishment of a midwifery profession in both countries. For example, global and national standards brought together midwifery professionals and stakeholders, and helped in the establishment of midwifery associations. The challenges for both countries were national commitments without a full set of supporting policy documents, lack of professional recognition, and competing views, interests and priorities.

Conclusion and clinical application

This study demonstrated that building a midwifery profession requires a political comprehensive collaborative approach supported by a political commitment. Through bringing professionals together in a professional association will bring a professional status. Global standards and guidelines need to be contextualized into national policies and plans where midwives are included as part of the national health workforce. This is a key for creating recognized midwives with a protected title to autonomously practice midwifery, to upholding the sexual and reproductive health and rights for women and girls.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 16, p. 45-49
Keywords [en]
Midwifery professionMidwifery strategyHealth workforceSouth AsiaBangladeshNepal
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-27312DOI: 10.1016/j.srhc.2018.02.003PubMedID: 29804774Scopus ID: 2-s2.0-85041839398OAI: oai:DiVA.org:du-27312DiVA, id: diva2:1185728
Available from: 2018-02-26 Created: 2018-02-26 Last updated: 2018-06-05Bibliographically approved

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Bogren, MalinErlandsson, Kerstin

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CiteExportLink to record
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Citation style
  • apa
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