Responding to Humanitarian Crises: Midwifery Care in Bangladesh

Review Public, Environmental & Occupational Health

Enhancing quality midwifery care in humanitarian and fragile settings: a systematic review of interventions, support systems and enabling environments

Caroline S. E. Homer et al.

Summary: This paper aims to identify the factors affecting an enabling environment for midwives in humanitarian and fragile settings (HFS) and explore the availability and effectiveness of support systems for midwives. The study found that community involvement, adequate salary, and incentives were facilitators, while security concerns, cultural norms, and a lack of infrastructure and supplies were barriers. Support systems such as education, professional development, supportive supervision, mentorship, and workforce planning were essential for midwives in HFS.

BMJ GLOBAL HEALTH (2022)

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Article Economics

Forgone healthcare and financial burden due to out-of-pocket payments in Bangladesh: a multilevel analysis

Md Mizanur Rahman et al.

Summary: This study used nationally representative household survey data to explore the association between barriers to accessing healthcare and over-reliance on out-of-pocket payments in Bangladesh. The study found that around 25% of individuals incurred catastrophic health expenditures and 14% of the population had forgone healthcare for any reasons. Financial burden and forgone care were higher among households with older populations or chronic illness, and those who utilize either public or private health facilities.

HEALTH ECONOMICS REVIEW (2022)

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Review Obstetrics & Gynecology

The impact of natural disasters and epidemics on sexual and reproductive health in low- and middle-income countries: A narrative synthesis

Samantha Loewen et al.

Summary: Natural disasters and epidemics negatively impact the availability and access to sexual and reproductive health services, leading to decreased utilization of services including family planning methods. Prioritizing sexual and reproductive health in disaster response plans is essential, with a lack of evidence regarding effective interventions and policies.

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2022)

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Article Obstetrics & Gynecology

The impact of professional midwives and mentoring on the quality and availability of maternity care in government sub-district hospitals in Bangladesh: a mixed-methods observational study

Rondi Anderson et al.

Summary: The study found that facilities with professional midwives had better availability and quality of maternity care across multiple components of the health system. Care quality further improved with facility mentors who created enabling environments, and facilitated supportive relationships between existing maternity staff and managers and the newly deployed midwives.

BMC PREGNANCY AND CHILDBIRTH (2022)

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Editorial Material Public, Environmental & Occupational Health

Scaling up care by midwives must now be a global priority

Mary J. Renfrew et al.

LANCET GLOBAL HEALTH (2021)

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Article Public, Environmental & Occupational Health

Preparing for and responding to sexual and reproductive health in disaster settings: evidence from Fiji and Tonga

Kristen Beek et al.

Summary: This study emphasizes the importance of comprehensive activities at various levels within countries and across the Pacific to build capacity for a SRH response. While the SPRINT program has improved organisational and national capacity preparedness, there is a need to enhance training for communities. Partnerships need to be formalized and regular meetings and training sessions should be held to ensure coordination efforts are up-to-date for activation.

REPRODUCTIVE HEALTH (2021)

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Article Health Policy & Services