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• W1572626784 abstract "In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided. If any of these factors are missing, mothers and babies are likely to receive suboptimal care.To explore the views, experiences, and behaviours of skilled birth attendants and those who support them; to identify factors that influence the delivery of intrapartum and postnatal care in low- and middle-income countries; and to explore the extent to which these factors were reflected in intervention studies.Our search strategies specified key and free text terms related to the perinatal period, and the health provider, and included methodological filters for qualitative evidence syntheses and for low- and middle-income countries. We searched MEDLINE, OvidSP (searched 21 November 2016), Embase, OvidSP (searched 28 November 2016), PsycINFO, OvidSP (searched 30 November 2016), POPLINE, K4Health (searched 30 November 2016), CINAHL, EBSCOhost (searched 30 November 2016), ProQuest Dissertations and Theses (searched 15 August 2013), Web of Science (searched 1 December 2016), World Health Organization Reproductive Health Library (searched 16 August 2013), and World Health Organization Global Health Library for WHO databases (searched 1 December 2016).We included qualitative studies that focused on the views, experiences, and behaviours of SBAs and those who work with them as part of the team. We included studies from all levels of health care in low- and middle-income countries.One review author extracted data and assessed study quality, and another review author checked the data. We synthesised data using the best fit framework synthesis approach and assessed confidence in the evidence using the GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach. We used a matrix approach to explore whether the factors identified by health workers in our synthesis as important for providing maternity care were reflected in the interventions evaluated in the studies in a related intervention review.We included 31 studies that explored the views and experiences of different types of SBAs, including doctors, midwives, nurses, auxiliary nurses and their managers. The included studies took place in Africa, Asia, and Latin America.Our synthesis pointed to a number of factors affecting SBAs' provision of quality care. The following factors were based on evidence assessed as of moderate to high confidence. Skilled birth attendants reported that they were not always given sufficient training during their education or after they had begun clinical work. Also, inadequate staffing of facilities could increase the workloads of skilled birth attendants, make it difficult to provide supervision and result in mothers being offered poorer care. In addition, SBAs did not always believe that their salaries and benefits reflected their tasks and responsibilities and the personal risks they undertook. Together with poor living and working conditions, these issues were seen to increase stress and to negatively affect family life. Some SBAs also felt that managers lacked capacity and skills, and felt unsupported when their workplace concerns were not addressed.Possible causes of staff shortages in facilities included problems with hiring and assigning health workers to facilities where they were needed; lack of funding; poor management and bureaucratic systems; and low salaries. Skilled birth attendants and their managers suggested factors that could help recruit, keep, and motivate health workers, and improve the quality of care; these included good-quality housing, allowances for extra work, paid vacations, continuing education, appropriate assessments of their work, and rewards.Skilled birth attendants' ability to provide quality care was also limited by a lack of equipment, supplies, and drugs; blood and the infrastructure to manage blood transfusions; electricity and water supplies; and adequate space and amenities on maternity wards. These factors were seen to reduce SBAs' morale, increase their workload and infection risk, and make them less efficient in their work. A lack of transport sometimes made it difficult for SBAs to refer women on to higher levels of care. In addition, women's negative perceptions of the health system could make them reluctant to accept referral.We identified some other factors that also may have affected the quality of care, which were based on findings assessed as of low or very low confidence. Poor teamwork and lack of trust and collaboration between health workers appeared to negatively influence care. In contrast, good collaboration and teamwork appeared to increase skilled birth attendants' motivation, their decision-making abilities, and the quality of care. Skilled birth attendants' workloads and staff shortages influenced their interactions with mothers. In addition, poor communication undermined trust between skilled birth attendants and mothers.Many factors influence the care that SBAs are able to provide to mothers during childbirth. These include access to training and supervision; staff numbers and workloads; salaries and living conditions; and access to well-equipped, well-organised healthcare facilities with water, electricity, and transport. Other factors that may play a role include the existence of teamwork and of trust, collaboration, and communication between health workers and with mothers. Skilled birth attendants reported many problems tied to all of these factors." @default.
• W1572626784 created "2016-06-24" @default.
• W1572626784 creator A5050743029 @default.
• W1572626784 creator A5065626862 @default.
• W1572626784 creator A5066748379 @default.
• W1572626784 creator A5081877803 @default.
• W1572626784 creator A5085132407 @default.
• W1572626784 date "2017-11-17" @default.
• W1572626784 modified "2023-10-16" @default.
• W1572626784 title "Factors that influence the provision of intrapartum and postnatal care by skilled birth attendants in low- and middle-income countries: a qualitative evidence synthesis" @default.
• W1572626784 cites W1438373617 @default.
• W1572626784 cites W1488999942 @default.
• W1572626784 cites W1500199755 @default.
• W1572626784 cites W1534039242 @default.
• W1572626784 cites W1538263014 @default.
• W1572626784 cites W1547980691 @default.
• W1572626784 cites W1549205284 @default.
• W1572626784 cites W1550137085 @default.
• W1572626784 cites W1559071162 @default.
• W1572626784 cites W1592200987 @default.
• W1572626784 cites W1607398459 @default.
• W1572626784 cites W1847421813 @default.
• W1572626784 cites W1850549891 @default.
• W1572626784 cites W1854633517 @default.
• W1572626784 cites W1866484990 @default.
• W1572626784 cites W1894768210 @default.
• W1572626784 cites W1908188772 @default.
• W1572626784 cites W1924661502 @default.
• W1572626784 cites W1947556167 @default.
• W1572626784 cites W1963519464 @default.
• W1572626784 cites W1966213541 @default.
• W1572626784 cites W1966897308 @default.
• W1572626784 cites W1968852244 @default.
• W1572626784 cites W1973959619 @default.
• W1572626784 cites W1974290611 @default.
• W1572626784 cites W1976363636 @default.
• W1572626784 cites W1977882860 @default.
• W1572626784 cites W1978421157 @default.
• W1572626784 cites W1982275648 @default.
• W1572626784 cites W1983947356 @default.
• W1572626784 cites W1988161265 @default.
• W1572626784 cites W1993435099 @default.
• W1572626784 cites W1995734665 @default.
• W1572626784 cites W1999582071 @default.
• W1572626784 cites W2000384228 @default.
• W1572626784 cites W2000811527 @default.
• W1572626784 cites W2000960809 @default.
• W1572626784 cites W2002713724 @default.
• W1572626784 cites W2016889163 @default.
• W1572626784 cites W2020204666 @default.
• W1572626784 cites W2020451936 @default.
• W1572626784 cites W2021470326 @default.
• W1572626784 cites W2022496169 @default.
• W1572626784 cites W2024764641 @default.
• W1572626784 cites W2029148378 @default.
• W1572626784 cites W2030399694 @default.
• W1572626784 cites W2030549930 @default.
• W1572626784 cites W2034095228 @default.
• W1572626784 cites W2034110016 @default.
• W1572626784 cites W2037010249 @default.
• W1572626784 cites W2038290762 @default.
• W1572626784 cites W2038721407 @default.
• W1572626784 cites W2043408967 @default.
• W1572626784 cites W2043551598 @default.
• W1572626784 cites W2043902217 @default.
• W1572626784 cites W2045801390 @default.
• W1572626784 cites W2045817207 @default.
• W1572626784 cites W2048284023 @default.
• W1572626784 cites W2050973715 @default.
• W1572626784 cites W2051461611 @default.
• W1572626784 cites W2053223507 @default.
• W1572626784 cites W2054721168 @default.
• W1572626784 cites W2054968931 @default.
• W1572626784 cites W2055684322 @default.
• W1572626784 cites W2055890459 @default.
• W1572626784 cites W2059933808 @default.
• W1572626784 cites W2060633449 @default.
• W1572626784 cites W2062382086 @default.
• W1572626784 cites W2066327824 @default.
• W1572626784 cites W2067416234 @default.
• W1572626784 cites W2067427774 @default.
• W1572626784 cites W2068075745 @default.
• W1572626784 cites W2068155534 @default.
• W1572626784 cites W2068463620 @default.
• W1572626784 cites W2070500390 @default.
• W1572626784 cites W2073058037 @default.
• W1572626784 cites W2075077159 @default.
• W1572626784 cites W2077272046 @default.
• W1572626784 cites W2081641417 @default.
• W1572626784 cites W2081818519 @default.
• W1572626784 cites W2081949063 @default.
• W1572626784 cites W2083606258 @default.
• W1572626784 cites W2083677333 @default.
• W1572626784 cites W2086841854 @default.
• W1572626784 cites W2087350201 @default.
• W1572626784 cites W2090101247 @default.
• W1572626784 cites W2091552173 @default.
• W1572626784 cites W2091622932 @default.
• W1572626784 cites W2092580524 @default.
• W1572626784 cites W2092705018 @default.

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