As one of the measures for decreasing high maternal mortality, the
Mother, Newborn and Child Health (MNCH) Programme introduced a cadre of
Community Midwives (CMWs) who are trained skilled birth attendants. By
June 2010, CMWs were trained in 18 out of 23 districts of the province,
hence this study was proposed. However, their official deployment was
delayed and took place only two weeks before the initiation of the
fieldwork for the study. The research focused on the activities that
were carried out by the CMWs during the gap between the completion of
the training and official deployment. It also gauged whether those CMWs
who are now officially deployed are accessible to the low income
community women or not?
This research was conducted as a qualitative study in 9 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 (9), group interviews with
families of CMWs selected through purposive sampling (18) and in-depth
interviews with community women who were delivered by CMWs (9) and by
daiyan (9). 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 Sindh? Arjumand And Associates, Islamabad, Pakistan (2012) 6 pp.
Are CMWs Accessible in Sindh?