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 not?
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.