ArticleBMC women's health2014
Development of the community midwifery education initiative and its influence on women's health and empowerment in Afghanistan: a case study.
Article in BMC women's health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health policy analysis in Eastern Mediterranean region using a health policy triangle framework: Historical and ethical insights from a systematic review.Journal of preventive medicine and hygiene · 2022Pooled it
- The role and scope of practice of midwives in humanitarian settings: a systematic review and content analysis.Human resources for health · 2019Pooled it
- Reproductive health care experiences and rights of displaced Afghan women, and intersecting factors influencing outcomes: a scoping review.Reproductive health · 2026Article
- Influence of cultural beliefs and practices on unassisted homebirths in Afghanistan: A qualitative exploration.PLOS global public health · 2026Article
- Cross-cultural adaptation of the empowerment scale of pregnant women in China context: An integrative method of translation and linguistic validation.Nursing open · 2024Article
- Strengthening quality in sexual, reproductive, maternal, and newborn health systems in low- and middle-income countries through midwives and facility mentoring: an integrative review.BMC pregnancy and childbirth · 2023Review
- Evidence-informed framework for gender transformative continuing education interventions for midwives and midwifery associations.BMJ global health · 2023Article
- 'We are trying to live in a normal way, but nothing is normal about us anymore…': a qualitative study of women's lived experiences of healthcare in opposition-controlled areas of Syria.BMJ global health · 2022Article
- Quality of pre-service midwifery education in public and private midwifery schools in Afghanistan: a cross sectional survey.BMC medical education · 2022Article
- Assessing Women's Health Needs in the Underserved Island Communities of Vanuatu.Maternal and child health journal · 2021Article
- Facility-level determinants of quality routine intrapartum care in Afghanistan.BMC pregnancy and childbirth · 2021Article
- Health systems factors impacting the integration of midwifery: an evidence-informed framework on strengthening midwifery associations.BMJ global health · 2021Article
- Community health workers in humanitarian settings: Scoping review.Journal of global health · 2020Article
- "The midwife helped me ... otherwise I could have died": women's experience of professional midwifery services in rural Afghanistan - a qualitative study in the provinces Kunar and Laghman.BMC pregnancy and childbirth · 2020Article
- Perspectives on Rebuilding Health System Governance in Opposition-Controlled Syria: A Qualitative Study.International journal of health policy and management · 2019Article
- Training for impact: the socio-economic impact of a fit for purpose health workforce on communities.Human resources for health · 2016Article
- The influence of maternal health education on the place of delivery in conflict settings of Darfur, Sudan.Conflict and health · 2015Article
- Perspectives on reproductive healthcare delivered through a basic package of health services in Afghanistan: a qualitative study.BMC health services research · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundPolitical transition in Afghanistan enabled reconstruction of the destroyed health system. Maternal health was prioritised due to political will and historically high mortality. However, severe shortages of skilled birth attendants--particularly in rural areas--hampered safe motherhood initiatives. The Community Midwifery Education (CME) programme began training rural midwives in 2002, scaling-up nationally in 2005.
methodsThis case study analyses CME development and implementation to help determine successes and challenges. Data were collected through documentary review and key informant interviews. Content analysis was informed by Walt and Gilson's policy triangle framework.
resultsThe CME programme has contributed to consistently positive indicators, including up to a 1273/100,000 reduction in maternal mortality ratios, up to a 28% increase in skilled deliveries, and a six-fold increase in qualified midwives since 2002. Begun as a small pilot, CME has gained support of international donors, the Afghan government, and civil society.
conclusionCME is considered by stakeholders to be a positive model for promoting women's education, employment, and health. However, its future is threatened by insecurity, corruption, lack of regulation, and funding uncertainties. Strategic planning and resource mobilisation are required for it to achieve its potential of transforming maternal healthcare in Afghanistan.
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