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A Case Study of a Skilled Birth Atte...

Burns, Jennifer L.

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A Case Study of a Skilled Birth Attendant Training Program in a Rural Hospital: What Are the Barriers and Facilitators to Increasing Skilled Birth Attendants in Haiti?

Record Type:	Electronic resources : Monograph/item
Title/Author:	A Case Study of a Skilled Birth Attendant Training Program in a Rural Hospital: What Are the Barriers and Facilitators to Increasing Skilled Birth Attendants in Haiti?/
Author:	Burns, Jennifer L.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	193 p.
Notes:	Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
Contained By:	Dissertations Abstracts International84-11B.
Subject:	Public health. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30419011
ISBN:	9798379555580

A Case Study of a Skilled Birth Attendant Training Program in a Rural Hospital: What Are the Barriers and Facilitators to Increasing Skilled Birth Attendants in Haiti?
Burns, Jennifer L.

A Case Study of a Skilled Birth Attendant Training Program in a Rural Hospital: What Are the Barriers and Facilitators to Increasing Skilled Birth Attendants in Haiti? - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 193 p.

Source: Dissertations Abstracts International, Volume: 84-11, Section: B.

Thesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2023.

This item must not be sold to any third party vendors.

Background Every day more than 800 women die from complications related to pregnancy and childbirth. Many, if not most, maternal deaths would be preventable by ensuring women have quality, respectful, and equitable care. The shortage of midwives in the global healthcare workforce is believed to be one of the biggest impediments to women's access to care.SignificanceIntensive interventions in most of the world have significantly lowered maternal mortality rates (MMR), yet in low-and-middle income countries (LMICs), where 99% of maternal mortality occurs, the proportion of MMR remains unchanged. Haiti, among the poorest countries in the world, has the highest maternal mortality rate in the Western Hemisphere at 521 per 100,000. The U.N. identified Haiti as one of the nine countries facing the most severe midwifery workforce shortage.Research QuestionA case study of a skilled birth attendant training program in a rural hospital: What are the barriers and facilitators to increasing skilled birth attendants in Haiti? MethodsThis study used an explanatory mixed-methods methodology to examine the Midwives for Haiti skilled birth attendant training program and the impact of increasing skilled birth attendance at St. Therese Hospital. Qualitative analysis used a case study design based on key informant interviews (KIIs) to understand the barriers and facilitators to increasing skilled birth attendants. FindingsThe organizational history provided context in which MFH operates and allowed for recognition of patterns that may influence organizational change within the lifecycle of nonprofits. The qualitative analysis of MFH datasets revealed that as the MFH SBA training program grew, there was an increase in skilled birth attendants at STH and improved maternal and infant mortality rates. By 2021, MFH had trained 223 SBAs, which represented 33% of all trained birth attendants then working in Haiti, including midwives, gynecologists, maternal-fetal medicine specialists. The key informant interviews exploring the barriers and facilitators to increasing skilled birth attendants in a rural hospital in Haiti identified critical factors. The primary barrier identified was the fragile context of Haiti and strongest facilitator was engagement of partner organizations.

ISBN: 9798379555580Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Haiti

A Case Study of a Skilled Birth Attendant Training Program in a Rural Hospital: What Are the Barriers and Facilitators to Increasing Skilled Birth Attendants in Haiti?
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506 $a This item must not be sold to any third party vendors.
520 $a Background Every day more than 800 women die from complications related to pregnancy and childbirth. Many, if not most, maternal deaths would be preventable by ensuring women have quality, respectful, and equitable care. The shortage of midwives in the global healthcare workforce is believed to be one of the biggest impediments to women's access to care.SignificanceIntensive interventions in most of the world have significantly lowered maternal mortality rates (MMR), yet in low-and-middle income countries (LMICs), where 99% of maternal mortality occurs, the proportion of MMR remains unchanged. Haiti, among the poorest countries in the world, has the highest maternal mortality rate in the Western Hemisphere at 521 per 100,000. The U.N. identified Haiti as one of the nine countries facing the most severe midwifery workforce shortage.Research QuestionA case study of a skilled birth attendant training program in a rural hospital: What are the barriers and facilitators to increasing skilled birth attendants in Haiti? MethodsThis study used an explanatory mixed-methods methodology to examine the Midwives for Haiti skilled birth attendant training program and the impact of increasing skilled birth attendance at St. Therese Hospital. Qualitative analysis used a case study design based on key informant interviews (KIIs) to understand the barriers and facilitators to increasing skilled birth attendants. FindingsThe organizational history provided context in which MFH operates and allowed for recognition of patterns that may influence organizational change within the lifecycle of nonprofits. The qualitative analysis of MFH datasets revealed that as the MFH SBA training program grew, there was an increase in skilled birth attendants at STH and improved maternal and infant mortality rates. By 2021, MFH had trained 223 SBAs, which represented 33% of all trained birth attendants then working in Haiti, including midwives, gynecologists, maternal-fetal medicine specialists. The key informant interviews exploring the barriers and facilitators to increasing skilled birth attendants in a rural hospital in Haiti identified critical factors. The primary barrier identified was the fragile context of Haiti and strongest facilitator was engagement of partner organizations.
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