Exploring roles and capacity development of village midwives in Sudanese communities

Kumiko Nakano, Yasuhide Nakamura, Akiko Shimizu, Sojoud Mohamed Alamer

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Introduction: Home birth remains a strong preference and village midwives are the only option for maternal and neonatal care for many rural women in Sudan. This study assessed whether interventions such as strengthening linkages among health facility/staff, skilled birth attendants and village midwives (VMWs); strengthening the supervision system; and strengthening the governance capacity of local health departments improved their service delivery, and it examined factors linked with improved performance of VMWs in their communities. Methods: This descriptive study comprised a cross-sectional baseline survey, two intervention years and an endline survey. Data collection involved in-depth, semi-structured questionnaire interviews. Fifty-seven VMWs and 151 community women were targeted for the study in Sinnar, a south-eastern state of Sudan. Participants were interviewed about demographic information, perceptions of operational barriers, training provided, function in the community, supervision and referral for emergency cases. Results: Results showed the monthly average number of VMWassisted home births increased from 1.4 at the baseline survey in October 2011 to 3.3 at the endline survey in October 2013. The annual average number of emergency cases referred by VMWs increased from 1.6 to 3.5, and the percentage of VMWs using official monthly reports increased from 33% to 80%. VMWs reported improved bonds with their supervisors and relationships in the community. Conclusion: Improved service provision may be associated with development of supervision systems for VMWs, active provision of community activities, strengthened linkages between health facilities and VMWs and enhanced community trust of VMWs. Given issues such as shortages and poor retention of human resources for maternal and newborn health service delivery in particular settings, international communities should focus on strengthening capacity of community midwives for home births as a realistic measure.

Original languageEnglish
Article number4668
JournalRural and Remote Health
Volume18
Issue number4
DOIs
Publication statusPublished - 2018

Keywords

  • Antenatal care
  • Capacity building
  • Community
  • Home childbirth
  • Maternal mortality
  • Midwife
  • Sub-Saharan Africa
  • Sudan
  • Supervision
  • Traditional birth attendant

ASJC Scopus subject areas

  • Emergency Medical Services
  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health

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