ArticleGlobal health action2025
Transitioning to midwifery models of care: lessons from case studies in India.
Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundLimited evidence exists on how midwives, other healthcare providers, and their local communities in low- and middle-income countries experience the transition to a midwifery model of care.
objectivesThis study aimed to identify opportunities, enablers, and barriers to integrating midwifery into existing public health systems, from the perspectives of key stakeholders representing health systems and communities.
methodWe conducted two case studies - community-based and public health facility-based - in Gujarat and Telangana, comprising 63 in-depth interviews and five focus group discussions with 40 participants, including midwives, obstetricians, nurse-midwives, hospital administrators, local women, family members, and community influencers. The ecological systems theory and the quality maternal and newborn care framework guided the framework analysis.
resultsFive themes were developed, each aligning with one level of ecological systems theory: 1) Becoming a midwife; 2) Negotiating the full scope of autonomous midwifery practice; 3) Midwives' integration into existing maternity care teams; 4) Building social recognition of midwifery in communities; and 5) Balancing the care context and policy directives. Midwives had to demonstrate professional competence, confidence, and assertiveness to overcome professional challenges and conflicts and gain acceptance.
conclusionIntegrating midwifery into existing health systems depends on midwives' acceptance and perceived trustworthiness by existing health teams/communities and can be facilitated by ongoing support and mentoring of midwives, preparatory sensitisation of other healthcare providers, and building social recognition of midwives in communities. Further research is needed to develop and test interventions that support midwives in fulfilling their potential to improve the care quality for mothers and infants.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.