ArticleGlobal health action2018
Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Well-being of health workers providing maternal and newborn care: A qualitative evidence synthesis.PLOS global public health · 2026Article
- Exploring barriers and facilitators of providing maternal healthcare in Africa: systematic review protocol.Systematic reviews · 2025Article
- Regional Geographic Dynamics of Male Midwifery Practice: An Exploratory Study of the Perspectives of the Male Midwife in Ghana's Volta and Northern Regions.Health science reports · 2025Article
- Exploring care quality in midwifery clinical practice settings in Ghana - a qualitative study.BMC medical education · 2025Article
- Revitalizing midwifery education: Overcoming challenges and enhancing clinical learning experiences.Journal of education and health promotion · 2025Review
- Psychosocial needs of women undergoing perinatal intimate examinations.Health SA = SA Gesondheid · 2025Article
- Barriers to Early Initiation of Breastfeeding: A Hospital-Based Qualitative Study.The East African health research journal · 2025Article
- Facilitators and barriers of midwife-led model of care at public health institutions of dire Dawa city, Eastern Ethiopia, 2022: a qualitative study.BMC health services research · 2024Article
- Challenges and coping strategies for providing maternal health care services among health care professionals in rural health facilities in Wolaita Zone, Southern Ethiopia: a qualitative study.BMC health services research · 2024Article
- Needs Assessment for the Development of a Leadership Course for Midwives: a Qualitative Study.Acta medica Philippina · 2024Article
- Pregnant women's perceptions of antenatal care and utilisation of digital health tools in Magu District, Tanzania: a qualitative study.Sexual and reproductive health matters · 2023Article
- Towards renewed commitment to prevent maternal mortality and morbidity: learning from 30 years of maternal health priorities.Sexual and reproductive health matters · 2023Article
- Opportunities and challenges in clinical learning of midwifery students in public Universities of Tigray Region, Ethiopia, 2020: a qualitative study.BMC medical education · 2023Article
- Job adjustment predictive factors of healthcare midwives in health system reform in Iran.Archives of public health = Archives belges de sante publique · 2023Article
- Silent Tears of Midwives: 'I Want Every Mother Who Gives Birth to Have Her Baby Alive'-A Narrative Inquiry of Midwives Experiences of Very Early Neonatal Death from Tanzania.Children (Basel, Switzerland) · 2023Article
- Health workers' experiences of implementation of Helping Mothers Survive Bleeding after Birth training in Tanzania: a process evaluation using the i-PARIHS framework.BMC health services research · 2022Article
- Iranian midwives' lived experiences of providing continuous midwife-led intrapartum care: a qualitative study.BMC pregnancy and childbirth · 2022Article
- Silent voices of the midwives: factors that influence midwives' achievement of successful neonatal resuscitation in sub-Saharan Africa: a narrative inquiry.BMC pregnancy and childbirth · 2022Article
- A scoping review of the impact of organisational factors on providers and related interventions in LMICs: Implications for respectful maternity care.PLOS global public health · 2022Article
- The perspectives of nurse-midwives and doctors on clinical challenges of prolonged labor: A qualitative study from Tanzania.European journal of midwifery · 2022Article
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Authors and funding
4 authors.
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Abstract
backgroundMaternal and infant mortality rates in Tanzania have decreased over the past decades, but remain high. One of the challenges the country faces, is the lack of skilled health care workers. High fertility rates make midwives and their patients particularly susceptible to stress as a result of understaffing.
objectiveThis paper explores the challenges midwives face in their day-to-day practice at a regional referral hospital in Tanzania, and investigates which measures the midwives themselves find necessary to implement to improve their situation.
methodsA qualitative study design with focus group discussions (FGDs) was employed to explore which challenges the midwives experienced. Each focus group consisted of five to six midwives. A FGD topic guide covering challenges, consequences, motivation, ideal situation and possible solutions was used. These data were analyzed using Systematic Text Condensation.
resultsA total of 28 Midwives, six men and 22 women, participated in five FGDs. Four categories emerged from the collected material: Feelings of demoralization, shortage of resources, societal challenges and personal struggles. A feeling of demoralization was especially prevalent and was caused by a lack of support from the leaders and little appreciation from the patients. Shortage of resources, and shortage of personnel in particular, was also highlighted as it led to an excessive workload resulting in difficulties with providing adequate care. These difficulties were intensified by lack of equipment, facilities and a non-optimal organization of the healthcare system.
conclusionThe challenges revealed during the FGDs prevent the midwives from providing sufficient midwifery care. To improve the situation, measures such as supportive leadership, reduction of workload, increasing availability of equipment and increasing knowledge of reproductive health in society, should be taken.
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