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Community midwifery initiatives in fragile and conflict-affected countries: a scoping review of approaches from recruitment to retention

Journal Article
(Published February, 2017)
Miyake, S. (Author),
Speakman, E.M. (Author),
Currie, S. (Author),
Howard, N. (Author)
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Birth assisted by skilled health workers is one of the most effective interventions for reducing maternal and neonatal mortality. Fragile and conflict-affected states and situations (FCAS), with one-third of global maternal deaths, face significant challenges in achieving skilled care at birth, particularly in health workforce development. This scoping review analyzed 23 sources out of 2729, discussing community midwifery programmes in six FCAS (Afghanistan, Mali, Yemen, South Sudan and Somalia). While community engagement and acceptance were crucial, CMW programmes were weakened by inappropriate recruitment and training, lack of support and general insecurity. Further research and implementation evidence is needed to aid policy-makers, donors and implementing agencies in developing and implementing effective CMW programmes in FCAS.
Citation: 
Miyake S, Speakman EM, Currie S, Howard N. Community midwifery initiatives in fragile and conflict-affected countries: a scoping review of approaches from recruitment to retention. Health policy and planning. 2017;32(1):21-33