Unearthing the Barriers and Facilitators to the Initiation of Midwifery Programme in India–An Exploratory Case Study
Objective: Currently the maternal mortality in India is 130 per 100,000 live births (SRS) and nearly 1000 women now die of pregnancy-related complications each month. Midwifery might not be a comprehensive answer to India’s maternity mess, but it is an important and necessary part of the answer, the present study is intended to explore the barriers and facilitators to the initiation of midwifery programme.
Materials and Method: A qualitative research approach using exploratory case study design was used to explore the perceived barriers and facilitators to the initiation of midwifery programme among key stakeholders of midwifery including midwifery educators, obstetricians, nurses, administrators, NGO personnel and policy makers. Data were collected from 21 key stakeholders of midwifery using individual in-depth interview with in-depth interview guide using audio recorder. The data was analyzed using thematic analysis.
Result: Based on the interview, five themes emerged as perceived barriers to the initiation of midwifery programme and six themes as perceived facilitators to the initiation of midwifery programme. The barriers were categorized as individual, workplace, societal, educational and policy level and facilitators were sensitization among the society on midwifery, prospective about profession, educational organization, research evidences, enablers or enabling activities from higher authorities and support from other countries and professional activities. The results revealed that the major barrier was workplace barrier and major facilitator was enablers from higher authority, as drawn from the QDA miner software 14.56% and 11.45%, respectively.
Conclusion: Our results supports that it is vital to sensitize the community to have a natural birthing experience and instill a desire in them to receive a continuum of care by midwives.
How to cite this article:
Priya, Chhugani M, James MM. Unearthing the Barriers and Facilitators to the Initiation of Midwifery Programme in India–An Exploratory Case Study. Int J Nurs Midwif Res 2020; 7(1): 53-61.
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