Enhancing quality midwifery care in humanitarian and fragile settings: a systematic review of interventions, support systems and enabling environments.

Homer, CS; Turkmani, S; Wilson, AN; Vogel, JP; Shah, MG; Fogstad, H; Langlois, EV

Enhancing quality midwifery care in humanitarian and fragile settings: a systematic review of interventions, support systems and enabling environments.

Homer, CS Turkmani, S

Wilson, AN Vogel, JP Shah, MG Fogstad, H Langlois, EV

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Publisher:: BMJ Publishing Group
Publication Type:: Journal Article
Citation:: BMJ Global Health, 2022, 7, (1), pp. 1-17
Issue Date:: 2022-01

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Field	Value	Language
dc.contributor.author	Homer, CS
dc.contributor.author	Turkmani, S https://orcid.org/0000-0001-7819-5061
dc.contributor.author	Wilson, AN
dc.contributor.author	Vogel, JP
dc.contributor.author	Shah, MG
dc.contributor.author	Fogstad, H
dc.contributor.author	Langlois, EV
dc.date.accessioned	2022-11-02T02:11:23Z
dc.date.available	2021-12-19
dc.date.available	2022-11-02T02:11:23Z
dc.date.issued	2022-01
dc.identifier.citation	BMJ Global Health, 2022, 7, (1), pp. 1-17
dc.identifier.issn	2059-7908
dc.identifier.issn	2059-7908
dc.identifier.uri	http://hdl.handle.net/10453/163130
dc.description.abstract	INTRODUCTION: Women and children bear a substantial burden of the impact of conflict and instability. The number of people living in humanitarian and fragile settings (HFS) has increased significantly over the last decade. The provision of essential maternal and newborn healthcare by midwives is crucial everywhere, especially in HFS. There is limited knowledge about the interventions, support systems and enabling environments that enhance midwifery care in these settings. The aim of this paper is to identify the factors affecting an enabling environment for midwives in HFS and to explore the availability and effectiveness of support systems for midwives. METHODS: A structured systematic review was undertaken to identify peer-reviewed primary research articles published between 1995 and 2020. RESULTS: In total, 24 papers were included from Afghanistan, Bangladesh, Nigeria, Democratic Republic of Congo, South Sudan and Sudan, Ethiopia, Pakistan, Uganda and Liberia. There were two broad themes: (1) the facilitators of, and barriers to, an enabling environment, and (2) the importance of effective support systems for midwives. Facilitators were: community involvement and engagement and an adequate salary, incentives or benefits. Barriers included: security and safety concerns, culture and gender norms and a lack of infrastructure and supplies. Support systems were: education, professional development, supportive supervision, mentorship and workforce planning. CONCLUSION: More efforts are needed to develop and implement quality midwifery services in HFS. There is an urgent need for more action and financing to ensure better outcomes and experiences for all women, girls and families living in these settings. PROSPERO REGISTRATION NUMBER: CRD42021226323.
dc.format	Print
dc.language	eng
dc.publisher	BMJ Publishing Group
dc.relation.ispartof	BMJ Global Health
dc.relation.isbasedon	10.1136/bmjgh-2021-006872
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Afghanistan
dc.subject.mesh	Bangladesh
dc.subject.mesh	Child
dc.subject.mesh	Ethiopia
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Afghanistan
dc.subject.mesh	Bangladesh
dc.subject.mesh	Child
dc.subject.mesh	Ethiopia
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Humans
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Child
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Quality of Health Care
dc.subject.mesh	Ethiopia
dc.subject.mesh	Bangladesh
dc.subject.mesh	Afghanistan
dc.subject.mesh	Female
dc.title	Enhancing quality midwifery care in humanitarian and fragile settings: a systematic review of interventions, support systems and enabling environments.
dc.type	Journal Article
utslib.citation.volume	7
utslib.location.activity	England
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-02T02:11:10Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	7
utslib.citation.issue	1

Abstract:

INTRODUCTION: Women and children bear a substantial burden of the impact of conflict and instability. The number of people living in humanitarian and fragile settings (HFS) has increased significantly over the last decade. The provision of essential maternal and newborn healthcare by midwives is crucial everywhere, especially in HFS. There is limited knowledge about the interventions, support systems and enabling environments that enhance midwifery care in these settings. The aim of this paper is to identify the factors affecting an enabling environment for midwives in HFS and to explore the availability and effectiveness of support systems for midwives. METHODS: A structured systematic review was undertaken to identify peer-reviewed primary research articles published between 1995 and 2020. RESULTS: In total, 24 papers were included from Afghanistan, Bangladesh, Nigeria, Democratic Republic of Congo, South Sudan and Sudan, Ethiopia, Pakistan, Uganda and Liberia. There were two broad themes: (1) the facilitators of, and barriers to, an enabling environment, and (2) the importance of effective support systems for midwives. Facilitators were: community involvement and engagement and an adequate salary, incentives or benefits. Barriers included: security and safety concerns, culture and gender norms and a lack of infrastructure and supplies. Support systems were: education, professional development, supportive supervision, mentorship and workforce planning. CONCLUSION: More efforts are needed to develop and implement quality midwifery services in HFS. There is an urgent need for more action and financing to ensure better outcomes and experiences for all women, girls and families living in these settings. PROSPERO REGISTRATION NUMBER: CRD42021226323.

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http://hdl.handle.net/10453/163130