Evidence map›Paper›PMID 33023585›Full record

ArticleHuman resources for health2020

Experiences of a new cadre of midwives in Bangladesh: findings from a mixed method study.

Rashid U Zaman, Adiba Khaled, Muhammod Abdus Sabur, Shahidul Islam, Shehlina Ahmed, Joe Varghese, Della Sherratt, Sophie Witter

Abstract read
In one paragraph

Article in Human resources for health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rashid U ZamanHealth and Nutrition Portfolio, Oxford Policy Management, Level 3, Clarendon House, 52 Cornmarket Street, Oxford, OX1 3HJ, United Kingdom. rashid.zaman@opml.co.uk.ORCID 0000-0002-8556-4993
Adiba KhaledBangladesh Office, Oxford Policy Management, Dhaka, Bangladesh.
Muhammod Abdus Sabur, Dhaka, Bangladesh.
Shahidul IslamMitra and Associates, Dhaka, Bangladesh.
Shehlina AhmedDepartment for International Development, Government of United Kingdom, Dhaka, Bangladesh.
Joe VargheseFaculty of Public Health and Tropical Medicine, University of Jazan, Jazan, Saudi Arabia.
Della Sherratt, Wotton under Edge, United Kingdom.
Sophie WitterInstitute for Global Health and Development, Queen Margaret University, Edinburgh, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBangladesh did not have dedicated professional midwives in public sector health facilities until recently, when the country started a nation-wide programme to educate and deploy diploma midwives. The objective of the findings presented in this paper, which is part of a larger study, was to better understand the experience of the midwives of their education programme and first posting as a qualified midwife and to assess their midwifery knowledge and skills.

methodsWe applied a mixed method approach, which included interviewing 329 midwives and conducting 6 focus group discussions with 43 midwives and midwifery students. Sampling weights were used to generate representative statistics for the entire cohort of the midwives deployed in the public sector health facilities.

resultsMost of the midwives were satisfied with different dimensions of their education programme, with the exception of the level of exposure they had to the rural communities during their programme. Out of 329 midwives, 50% received tuition fee waivers, while 46% received funding for educational materials and 40% received free accommodation. The satisfaction with the various aspects of the current posting was high and nearly all midwives reported that a desire to work in the public sector in the long run. However, a significant proportion of the midwives expressed concerns with equipment, accommodation, transport and prospect of transfers. The scores on the knowledge test and self-reported skill levels were varied but reasonably high.

conclusionWhile the midwives are highly motivated, satisfied with many aspects of their current jobs and have adequate knowledge and skills, there are some bottlenecks and concerns that, if unaddressed, may derail the success of this programme. To capture the career progress of these midwives, additional research, including a follow-up study with the same cohort of midwives, would be beneficial to this programme.

Indexed as

MidwiferyBangladeshFemaleFocus GroupsFollow-Up StudiesHumansPregnancySurveys and QuestionnairesBangladeshHealth systemsHealth workforceMidwives

Identifiers

PMID33023585
PMCPMC7541330

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.