tailieunhanh - báo cáo sinh học:" Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Mid-level providers in emergency obstetric and newborn health care: factors affecting their performance and retention within the Malawian health system | Human Resources for Health BioMed Central Open Access Mid-level providers in emergency obstetric and newborn health care factors affecting their performance and retention within the Malawian health system Susan Bradley and Eilish McAuliffe Address Centre for Global Health Trinity College Dublin 3-4 Foster Place Dublin 2 Ireland Email Susan Bradley - Eilish McAuliffe - Corresponding author Published 19 February 2009 Received 5 May 2008 Accepted 19 February 2009 Human Resources for Health 2009 7 14 doi l478-449l-7-l4 p This article is available from http content 7 l l4 2009 Bradley and McAuliffe licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Malawi has a chronic shortage of human resources for health. This has a significant impact on maternal health with mortality rates amongst the highest in the world. Mid-level cadres of health workers provide the bulk of emergency obstetric and neonatal care. In this context these cadres are defined as those who undertake roles and tasks that are more usually the province of internationally recognised cadres such as doctors and nurses. While there have been several studies addressing retention factors for doctors and registered nurses data and studies addressing the perceptions of these mid-level cadres on the factors that influence their performance and retention within health care systems are scarce. Methods This exploratory qualitative study took place in four rural mission hospitals in Malawi. The study population was mid-level providers of emergency obstetric and neonatal care. Focus group discussions took place with nursing and medical cadres. Semi-structured interviews with key .