2023-09-28 14:46:10 +00:00
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abstract: 'Objectives: to explore barriers experienced by community midwives (CMWs)
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when delivering services, from their own and their managers
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perspectives, at provincial and district level in the context of
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organisational factors, and to determine other factors linked with the
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poor performance of CMWs in the delivery of maternal, neonatal and child
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health (MNCH)-related services within their communities.
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Design: qualitative study design using in-depth interviews (IDIs) and
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focus group discussions (FGDs).
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Setting: two districts in Khyber Pakhtunkhwa and Punjab provinces in
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Pakistan.
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Participants.: 41 participants were interviewed in depth; they included
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CMWs, lady health supervisors and managerial staff of the MNCH
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programme.
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Measurements: participants were interviewed about administrative issues
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including Financial and policy areas, training and deployment in the
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community, functioning in the community, and supervision and referral
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for emergency cases.
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Findings: CMWs reported financial constraints, training needs and
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difficulty with building relationships in the community. They required
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support in terms of logistics, essential supplies, and mechanisms for
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referral of complicated cases to higher-level health facilities.
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Conclusions: CMWs working in developing countries face many challenges;
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starting from their training. deployment in the field and delivery of
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services in their respective communities. Facilitating their work and
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efforts through improved programming of the CMW''s services can overcome
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these challenges.
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Implications for practice: the MNCH programme, provincial government and
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other stakeholders need to take ownership of the CMW programme and
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implement it comprehensively. Long-term adequate resource allocation is
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needed to sustain the programme so that improvements in maternal and
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child health are visible. (C) 2014 Elsevier Ltd. All rights reserved.'
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affiliation: 'Ahmed, J (Corresponding Author), B-54 Liaquat Town, Tandojam, Sindh,
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Pakistan.
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Ahmed, Jamil, Hlth Serv Acad, Islamabad, Pakistan.
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Ferdoos, Amber, Int Islamic Univ Islamabad, Islamabad, Pakistan.'
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author: Rehman, Shafiq Ur and Ahmed, Jamil and Bahadur, Sher and Ferdoos, Amber and
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Shahab, Muhammad and Masud, Nazish
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author-email: jamil.ahmed.dr@gmail.com
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author_list:
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- family: Rehman
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given: Shafiq Ur
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- family: Ahmed
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given: Jamil
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- family: Bahadur
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given: Sher
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- family: Ferdoos
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given: Amber
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- family: Shahab
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given: Muhammad
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- family: Masud
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given: Nazish
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da: '2023-09-28'
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doi: 10.1016/j.midw.2014.08.006
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eissn: 1532-3099
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files: []
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issn: 0266-6138
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journal: MIDWIFERY
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keywords: Community; Midwives; Maternal; Operational; Barriers; Qualitative
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keywords-plus: 'MATERNAL MORTALITY; HEALTH-CARE; INTERVENTIONS; SURVIVAL; SALARIES;
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INCOMES'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '36'
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orcid-numbers: 'Ahmed, Jamil/0000-0002-3635-7912
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Masud, Nazish/0000-0003-2366-9770
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'
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pages: 177-183
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papis_id: 062674cef8e888605b284e8b9da833a4
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ref: Rehman2015exploringoperational
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researcherid-numbers: 'Shahab, Muhammad/F-9132-2015
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Ahmed, Jamil/GLS-0443-2022
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Masud, Nazish/AAB-6988-2020
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Ahmed, Jamil/T-1426-2019
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Masud, Nazish/ISA-4746-2023'
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times-cited: '7'
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title: 'Exploring operational barriers encountered by community midwives when delivering
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services in two provinces of Pakistan: A qualitative study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000346051500025
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '31'
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web-of-science-categories: Nursing
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year: '2015'
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