The Mother, Newborn and Child Health (MNCH) Programme in Punjab
introduced a cadre of Community Midwives (CMWs) who are trained skilled
birth attendants, as one of the measures for decreasing high maternal
mortality. By June 2010, about 2,200 CMWs were trained and deployed in
all 36 districts of the province. This study seeks to gauge whether
these deployed CMWs are accessible to the low income community women or
This research was conducted as a qualitative study in 18 randomly
sampled districts and explored both the hindering and facilitative
factors to accessibility. Focus group discussions (FGDs) were conducted
with randomly sampled CMWs in each district (18), group interviews with
families of CMWs selected through purposive sampling (36) and in-depth
interviews with community women who were delivered by CMWs (18) and by
daiyan (18). The accessibility was assessed in multiple dimensions
including economic, social, cultural, psychological and geographical
forms. It identified factors that hinder and facilitate accessibility of
CMWs to the women and of women to the CMWs.
Anon. Are CMWs accessible in Punjab? Arjumand And Associates, Islamabad, Pakistan (2012) 6 pp.
Are CMWs accessible in Punjab?