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Title: 'Shedding light' on the challenges faced by Palestinian maternal health-care providers
Authors: Hassan-Bitar, Sahar 
Narrainen, Sheila 
Keywords: Midwifery - Palestine;Mother and infant - Health care - Palestine;Maternal human resources - Working conditions - Palestine;Maternal health services - Human resources - Working conditions - Palestine
Issue Date: 2011
Publisher: Midwifery
Abstract: Objective: to explore the challenge sand barriers faced by Palestinian maternal health-care providers (HCPs) to the provision of quality maternal health-care services through a case study of a Palestinian public referral hospital in the Occupied Palestinian Territory. Design and method: descriptive qualitative study. The data are from a broader study, conducted in 2005 at the same hospital as part of abase line assessment of maternal health services. Participants: 31 maternal HCPs ;nine midwives and14 nurses and eight doctors. Findings: the quality of care provided for women and infants at this Palestinian public hospital is substandard.The maternal HCPs work within a difficult and resource-constrained environment. Issues include: high workload,poor compensation, humiliation in the work place ,suboptimal super- vision and the absence of professional support and guidance. Midwives are perceived to beat the bottom of the health professional hierarchy. Conclusions: there is aneed for managers and policymakers to enable maternal HCPs to provide better quality care for women and infants during childbirth, through facilitating the roles of midwives and nurses and creating a more positive and resourceful environment. Implications for practice: Palestinian midwives need to increase their knowledge and use evidence- based practices duringc hildbirth.They need to unite and create their own circle of professional support in the form of a Palestinian midwifery professional body.
DOI: 10.1016/j.midw.2009.05.007
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