Midwifery : contemporary issues in Jordan

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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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