Respectful midwifery care in Malawi: educating midwives on a human rights based approach.
Wallace, Rebecca M. M.
MetadataShow full item record
GEDDES, J., HUMPHREY, T. and WALLACE, R.M.M.  Respectful midwifery care in Malawi: educating midwives on a human rights based approach. African journal of midwifery and women's health, (accepted).
'Ensure healthy lives and promote well -being for all at all ages' is the focus of Sustainable Development Goal 3 (World Health Organisation 2015). Malawi has one of the highest maternal mortality ratios in the world at 634 per 100,000 live births (WHO 2015). A priority within Malawi over the last 15 years has been to improve women's access to skilled birth attendants through training and educating more midwives and encouraging women to deliver in health facilities (Kumbani et al 2012). The evidence suggests that improving women's access to a skilled birth attendant is one of the most effective means of improving birth outcomes (Bowser and Hill 2010, Bohren et al 2015). However, women's choices around accessing skilled birth attendance have been negatively impacted by the treatment they receive from their care provider. A gap in training around respectful maternity care was identified as a means to improving women's experiences in childbirth. Aim: To design and pilot a training module for clinical midwives in the promotion of respectful maternal care and demonstrate to participants the link between human rights and maternal health care and how a human rights based approach may improve the experiences of patients and care providers. Methods: The training programme was devised jointly by an interdisciplinary team from midwifery and law. Relevant materials were devised and grafted on to the programme already being delivered in Malawi by the Scottish team under the auspices of the Scottish Universities and the Malawian Ministry of Health partnership. These materials reflecting the PANEL approach were then piloted in Malawi with a group of 40 midwives and managers. The materials were delivered by presentation, discussion and case scenarios. Evaluation: Participants were invited to provide anonymised free text quotes on completion of the training. The data gathered indicated an appetite for learning around Respectful Maternity Care. Cognisance has been given to the feedback received from the Facilitators. Limitations: It must be emphasised this was a modest pilot but nevertheless the feedback received from participants and trainers was valuable for revision of the materials and has provided valuable insight for future training.