Title:
Community Midwives in Yemen: The Challenges in Fragile Situation
Authors:
Al-Aghbari, Gamal Badr
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
x, 53
Language:
En
Subject:
Health and Poverty
Keywords:
Community Midwives, Fragile, Yemen, Human resource, Policy
Abstract:
Community midwives (CMWs) play an important role within the health sys-tem of Yemen. The majority of population live in rural and underserved ar-eas, in which CMWs mostly are the only available health workers. Yemen since 2014 engulfed in an armed conflict which has affected the health care delivery. It has led to a humanitarian crisis which affected millions of Yem-enis for the past few years. This literature review is conducted, to analyse and critically discuss CMWs in health system in the fragile situation of Yemen. Reviewing some interven-tions and strategies from similar settings to improve the CMWs situation and enhance the health care system in Yemen. Within the framework of the health system in Yemen, CMWs, face a lot of challenges in term of production, availability, mal-distribution, recruitment and retention. There are some policies and strategies to regulate health workforce in general, yet there are still many gaps existing in CMW financ-ing, monitoring, coordination with stakeholders, weak structure within MoPHP and lack of CMWs’ strategies. In the light of the current chaotic situa-tion CMWs do more work than is expected of them. This is in addition to the presence of two ministries of health and the monthly payment cut which have negatively affected them. To improve CMWs’ situation, it is recommended to adapt and activate the CMWs’ national strategy. Conduct in service training and task shifting along adapting the existing job description according to the current health needs. Establish a midwifery council within MoPHP structure and contract the un-employed CMWs. Pre-arrange deployment and support the public and pri-vate health institutes for pre-service education. Finally ensure paying sala-ries and rural allowance through donors.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Yemen
Region:
Middle East
Training:
Master of Public Health
Category:
Research
Right:
© 2017 Al-Aghbari
Document type:
Thesis/dissertation
File:
fyO3P5OmTZ_20180404131321838.pdf