Sanjy Anandaraj

15 Factors influencing the implementation of midwife-led care in low-and middle-income countries (LMIC): A mixed-methods systematic review

May 5, 2022 @ 12:00 – 12:50 UTC Timezone
Room B - BBB

Speaker: Sangy Manjini Anandaraj

Facilitator: Margaret Aoro Adongo

Problem:There are challenges in implementing midwife-led care in LMICs. This mixed- methods systematic review aims to identify, synthesise and report the factors that facilitate and hinder the implementation of midwife-led care for midwives in LMICs. 

Method:The review was conducted using a structured search strategy and seven electronic databases. Research studies expressing views of those involved in or affected by the implementation of midwife-led care were included. The Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological quality of included studies. The data was synthesised using the framework thematic synthesis. 

 Findings show that midwives in LMICs were less confident in providing midwife-led care because of inadequate knowledge and skill. Additionally, lack of resources in health facilities hindered midwives caring for childbearing women. 

Conclusions:Training to global standards is required to strengthen professionalism in midwifery. Besides, adequate human and financial resources are likely to contribute greater implementation success in LMICs.