Evidence-informed framework for gender transformative continuing education interventions for midwives and midwifery associations

Bibliographic Data

ID21879969
AuthorsKirsty Bourret (0000-0003-4319-5728, Karolinska Institutet, corresponding author), Cristina A Mattison (0000-0001-7210-0690, Karolinska Institutet), Emmanuelle Hebert (0000-0003-2275-5490, Université du Québec à Trois-Rivières), Ambrocckha Kabeya (Fondation Congolaise Pour La Recherche Médicale), Stephano Simba (Tanzania Public health Association), Moya Crangle (Association of Ontario Midwives), Eliza Darling (0000-0002-7007-6735, McMaster University), Jamie R Robinson (0000-0003-0888-0156, Association of Ontario Midwives), Jamie Robinson (Canadian Association of Midwives, Montreal, Quebec, Canada)
Year2023
Volume8
Issue1
Pagese011242
Publication date2023-01-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2022-011242
PMID36634981
OpenAlexW4315785205
LanguageEN
Citations received1
References cited63

INTRODUCTION: Continuing education for midwives is an important investment area to improve the quality of sexual and reproductive health services. Interventions must take into account and provide solutions for the systemic barriers and gender inequities faced by midwives. Our objective was to generate concepts and a theoretical framework of the range of factors and gender transformative considerations for the development of continuing education interventions for midwives. METHODS: A critical interpretive synthesis complemented by key informant interviews, focus groups, observations and document review was applied. Three electronic bibliographic databases (CINAHL, EMBASE and MEDLINE) were searched from July 2019 to September 2020 and were again updated in June 2021. A coding structure was created to guide the synthesis across the five sources of evidence. RESULTS: A total of 4519 records were retrieved through electronic searches and 103 documents were included in the critical interpretive synthesis. Additional evidence totalled 31 key informant interviews, 5 focus groups (Democratic Republic of Congo and Tanzania), 24 programme documents and field observations in the form of notes. The resulting theoretical framework outlines the key considerations including gender, the role of the midwifery association, political and health systems and external forces along with key enabling elements for the design, implementation and evaluation of gender transformative continuing education interventions. CONCLUSION: Investments in gender transformative continuing education for midwives, led by midwifery associations, can lead to the improvement of midwifery across all United Nations' target areas including governance, health workforce, health system arrangements and education

Business · CINAHL · Corporate governance · Focus group · Medical education · Pedagogy · Political science · Psychological intervention · Public relations · Sociology · Transformative learning · Workforce · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Nursing

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