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Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review

The evidence for the benefits of midwifery has grown over the past two decades and midwife-led birthing centres have been established in many countries. Midwife-led care can only make a sustained and large-scale contribution to improved maternal and newborn health outcomes if it is an integral part...

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Autores principales: Turkmani, Sabera, Nove, Andrea, Bazirete, Oliva, Hughes, Kirsty, Pairman, Sally, Callander, Emily, Scarf, Vanessa, Forrester, Mandy, Mandke, Shree, Homer, Caroline S. E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204965/
https://www.ncbi.nlm.nih.gov/pubmed/37220124
http://dx.doi.org/10.1371/journal.pgph.0001936
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author Turkmani, Sabera
Nove, Andrea
Bazirete, Oliva
Hughes, Kirsty
Pairman, Sally
Callander, Emily
Scarf, Vanessa
Forrester, Mandy
Mandke, Shree
Homer, Caroline S. E.
author_facet Turkmani, Sabera
Nove, Andrea
Bazirete, Oliva
Hughes, Kirsty
Pairman, Sally
Callander, Emily
Scarf, Vanessa
Forrester, Mandy
Mandke, Shree
Homer, Caroline S. E.
author_sort Turkmani, Sabera
collection PubMed
description The evidence for the benefits of midwifery has grown over the past two decades and midwife-led birthing centres have been established in many countries. Midwife-led care can only make a sustained and large-scale contribution to improved maternal and newborn health outcomes if it is an integral part of the health care system but there are challenges to the establishment and operation of midwife-led birthing centres. A network of care (NOC) is a way of understanding the connections within a catchment area or region to ensure that service provision is effective and efficient. This review aims to evaluate whether a NOC framework—in light of the literature about midwife-led birthing centres—can be used to map the challenges, barriers and enablers with a focus on low-to-middle income countries. We searched nine academic databases and located 40 relevant studies published between January 2012 and February 2022. Information about the enablers and challenges to midwife-led birthing centres was mapped and analysed against a NOC framework. The analysis was based on the four domains of the NOC: 1) agreement and enabling environment, 2) operational standards, 3) quality, efficiency, and responsibility, 4) learning and adaptation, which together are thought to reflect the characteristics of an effective NOC.Of the 40 studies, half (n = 20) were from Brazil and South Africa. The others covered an additional 10 countries. The analysis showed that midwife-led birthing centres can provide high-quality care when the following NOC elements are in place: a positive policy environment, purposeful arrangements which ensure services are responsive to users’ needs, an effective referral system to enable collaboration across different levels of health service and a competent workforce committed to a midwifery philosophy of care. Challenges to an effective NOC include lack of supportive policies, leadership, inter-facility and interprofessional collaboration and insufficient financing. The NOC framework can be a useful approach to identify the key areas of collaboration required for effective consultation and referral, to address the specific local needs of women and their families and identify areas for improvement in health services. The NOC framework could be used in the design and implementation of new midwife-led birthing centres.
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spelling pubmed-102049652023-05-24 Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review Turkmani, Sabera Nove, Andrea Bazirete, Oliva Hughes, Kirsty Pairman, Sally Callander, Emily Scarf, Vanessa Forrester, Mandy Mandke, Shree Homer, Caroline S. E. PLOS Glob Public Health Research Article The evidence for the benefits of midwifery has grown over the past two decades and midwife-led birthing centres have been established in many countries. Midwife-led care can only make a sustained and large-scale contribution to improved maternal and newborn health outcomes if it is an integral part of the health care system but there are challenges to the establishment and operation of midwife-led birthing centres. A network of care (NOC) is a way of understanding the connections within a catchment area or region to ensure that service provision is effective and efficient. This review aims to evaluate whether a NOC framework—in light of the literature about midwife-led birthing centres—can be used to map the challenges, barriers and enablers with a focus on low-to-middle income countries. We searched nine academic databases and located 40 relevant studies published between January 2012 and February 2022. Information about the enablers and challenges to midwife-led birthing centres was mapped and analysed against a NOC framework. The analysis was based on the four domains of the NOC: 1) agreement and enabling environment, 2) operational standards, 3) quality, efficiency, and responsibility, 4) learning and adaptation, which together are thought to reflect the characteristics of an effective NOC.Of the 40 studies, half (n = 20) were from Brazil and South Africa. The others covered an additional 10 countries. The analysis showed that midwife-led birthing centres can provide high-quality care when the following NOC elements are in place: a positive policy environment, purposeful arrangements which ensure services are responsive to users’ needs, an effective referral system to enable collaboration across different levels of health service and a competent workforce committed to a midwifery philosophy of care. Challenges to an effective NOC include lack of supportive policies, leadership, inter-facility and interprofessional collaboration and insufficient financing. The NOC framework can be a useful approach to identify the key areas of collaboration required for effective consultation and referral, to address the specific local needs of women and their families and identify areas for improvement in health services. The NOC framework could be used in the design and implementation of new midwife-led birthing centres. Public Library of Science 2023-05-23 /pmc/articles/PMC10204965/ /pubmed/37220124 http://dx.doi.org/10.1371/journal.pgph.0001936 Text en © 2023 Turkmani et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Turkmani, Sabera
Nove, Andrea
Bazirete, Oliva
Hughes, Kirsty
Pairman, Sally
Callander, Emily
Scarf, Vanessa
Forrester, Mandy
Mandke, Shree
Homer, Caroline S. E.
Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review
title Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review
title_full Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review
title_fullStr Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review
title_full_unstemmed Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review
title_short Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: A scoping review
title_sort exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204965/
https://www.ncbi.nlm.nih.gov/pubmed/37220124
http://dx.doi.org/10.1371/journal.pgph.0001936
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