ArticleBMC health services research2018
What prevents midwifery quality care in Bangladesh? A focus group enquiry with midwifery students.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Enhancing quality midwifery care in humanitarian and fragile settings: a systematic review of interventions, support systems and enabling environments.BMJ global health · 2022Pooled it
- Evaluating an internal quality assurance process for achieving national accreditation standards in midwifery education: a study protocol.Global health action · 2025Article
- Strengthening midwifery and nursing interventions to reduce child mortality in South Asia: a policy and practice review.Journal of global health · 2025Review
- Born Too Soon: Progress and priorities for respectful and rights-based preterm birth care.Reproductive health · 2025Review
- Exploring healthcare providers' perspectives of childbirth education classes for quality of care and positive childbirth experience: an interpretative phenomenological analysis study.BMC pregnancy and childbirth · 2025Article
- Exploring care quality in midwifery clinical practice settings in Ghana - a qualitative study.BMC medical education · 2025Article
- 'Obstetricians' perceptions of midwifery-led care in Bangladesh - A qualitative study.PLOS global public health · 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
- Introducing a digital emergency obstetric and newborn care register for indoor obstetric patient management: An implementation research in selected public health care facilities of Bangladesh.Journal of global health · 2024Article
- Developing and validating a self-assessment tool for assessing confidence of nurse-midwives against competency domains of the International Confederation of Midwives, in India.PLOS global public health · 2024Article
- A narrative review of challenges related to healthcare worker rights, roles and responsibilities in the provision of sexual and reproductive services in health facilities.BMJ global health · 2023Review
- Health System Strengthening Through Professional Midwives in Bangladesh: Best Practices, Challenges, and Successes.Global health, science and practice · 2023Article
- 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
- Spatial distribution of caesarean deliveries and their determinants in Bangladesh: evidence from linked data of population and health facility survey.The Lancet regional health. Southeast Asia · 2023Article
- Association of workload and practice of respectful maternity care among the healthcare providers, before and during the early phase of COVID-19 pandemic in South Western Nepal: a cross-sectional study.BMC health services research · 2023Article
- The commitment to a midwifery centre care model in Bangladesh: An interview study with midwives, educators and students.PloS one · 2023Article
- Strengthening midwifery in the South-East Asian region: A scoping review of midwifery-related research.PloS one · 2023Article
- Quality midwifery care during the COVID-19 pandemic in Bangladesh: A focus group study with midwives, nurses, and midwifery educators.European journal of midwifery · 2023Article
- Respectful Maternity Care in South Asia: What Does the Evidence Say? Experiences of Care and Neglect, Associated Vulnerabilities and Social Complexities.International journal of women's health · 2022Review
- Factors Associated with Research knowledge and Attitude among Clinical Midwives Working at Public Health Facilities of Northwest Ethiopia, 2021: A Cross-Sectional Study.Advances in medical education and practice · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundWith professional midwives being introduced in Bangladesh in 2013, the aim of this study was to describe midwifery students perceptions on midwives' realities in Bangladesh, based on their own experiences.
methodData were collected through 14 focus group discussions that included a total of 67 third-year diploma midwifery students at public nursing institutes/colleges in different parts of Bangladesh. Data were analyzed deductively using an analytical framework identifying social, professional and economical barriers to the provision of quality care by midwifery personnel.
resultsThe social barriers preventing midwifery quality care falls outside the parameters of Bangladeshi cultural norms that have been shaped by beliefs associated with religion, society, and gender norms. This puts midwives in a vulnerable position due to cultural prejudice. Professional barriers include heavy workloads with a shortage of staff who were not utilized to their full capacity within the health system. The reason for this was a lack of recognition in the medical hierarchy, leaving midwives with low levels of autonomy. Economical barriers were reflected by lack of supplies and hospital beds, midwives earning only low and/or irregular salaries, a lack of opportunities for recreation, and personal insecurity related to lack of housing and transportation.
conclusionWithout adequate support for midwives, to strengthen their self-confidence through education and through continuous professional and economic development, little can be achieved in terms of improving quality care of women during the period around early and late pregnancy including childbirth.The findings can be used for discussions aimed to mobilize a midwifery workforce across the continuum of care to deliver quality reproductive health care services. No matter how much adequate support is provided to midwives, to strengthen their self-confidence through education, continuous professional and economic development, addressing the social barriers is a prerequisite for provision of quality care.
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