Midwifery : contemporary issues in Jordan
- Publication Type:
- Thesis
- Issue Date:
- 2006
Closed Access
| Filename | Description | Size | |||
|---|---|---|---|---|---|
| 01Front.pdf | contents and abstract | 801.3 kB | |||
| 02Whole.pdf | thesis | 15.42 MB |
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NO FULL TEXT AVAILABLE. Access is restricted indefinitely. ----- The aim of this Professional Doctorate of Midwifery is to challenge the status quo of
maternity services in Jordan through reflection and research. The potential significance of
this doctorate is to realign midwifery as a primary health care strategy. This is the first step
to helping Jordan move closer to achieving global standards of maternity care. This
required exploration of the strategies that would better prepare midwives for professional
midwifery practice and enable them to meet the future requirements of a changing healthcare
system. Through the studies reported here, the researcher aimed to provide a better
understanding of the nature of the Jordanian health system in particular, maternity care.
The information derived from various collections of data was used to evaluate the maternity
services in Jordan in relation to the current primary health care strategy. The overall
research questions were: (I) what is the state of maternity care in Jordan in relation to the
principles of primary health care? and, (2) how could midwives in Jordan better assist in the
provision of maternity care?
The Doctorate is a collection of seven chapters presented as a portfolio. The work was
undertaken from the years 2003 to 2005. The first chapter is an essay that presents some of
the challenges that face the Jordanian health system and identifies the research questions,
the aims and objectives. The second chapter consists of an overview of the Jordanian health
care context and maternity system. The third chapter reviews the contemporary issues in
midwifery in relation to a primary health care strategy. The findings in this chapter
demonstrate that primary health care in Jordan has many strengths, however, primary
health care services have not been fully utilised to meet the health_ care needs. Midwives
need to take the role of primary health providers so they can provide care that meets the
needs of the population as part of a primary health care strategy. In the fourth, fifth and
sixth chapters, the researcher explores the barriers and issues in the workforce and
education of midwives that constrain this primary health care role. An action research
approach using workshops with midwives, educators, and nursing and midwifery leaders in
Jordan was undertaken. The findings show that due to a lack of basic education and low
cultural status, midwifery as a profession has gained neither a high standard nor recognition
as a separate discipline. Consequently, the empowerment of midwives has been affected. It
would appear from this study that an important consideration for midwives in their
acceptance of new roles is applying strategies to overcome identified barriers. The seventh
chapter outlines a proposed model for reforming the midwifery system and locating
midwifery within a primary health care strategy as a target goal for change. This target goal
will be achieved by addressing three interrelated issues. These are education regulation
and professional recognition. Addressing these issues at a range of levels will improve the
capacity for midwives to better assist in the provision of maternity care in Jordan.
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