当前位置： SCI文献检索 > MIDWIFERY期刊下所有文献 > Exploring the connectedness of rural auxiliary midwives to social networks in Koutiala, Mali.

Exploring the connectedness of rural auxiliary midwives to social networks in Koutiala, Mali.

Abstract：

BACKGROUND:rural auxiliary midwives are central to clinical maternal care in Mali. However, little is known about their social role within the villages they serve. Exploring the social connectedness of midwives in their communities can reveal areas in which they need additional support, and ways they could benefit their communities beyond their clinical role. OBJECTIVE:to examine rural auxiliary midwives' social connectedness to the communities they serve. DESIGN:embedded, mixed methods design combining social network case studies with semi-structured interviews. PARTICIPANTS AND SETTING:midwives were recruited for semi-structured interviews during technical trainings held in Koutiala in southern Mali. Social network analyses were conducted among all adult women in two small villages purposively sampled from the Koutiala region. METHODS:29 interviews were conducted, transcribed, and coded using NVivo (Version 9) to qualitatively assess social connectedness. In two villages, the complete social networks of women's friendships were analysed using UCINET Version 6 (n=142; 74). Rank-orders of actors according to multiple measures of their centrality within the network were constructed to assess the midwives' position among village women. FINDINGS:both local and guest midwives reported feeling high levels of social integration, acceptance, and appreciation from the women in their communities. Specific challenges existed for guest or younger midwives, and in midwives' negotiations with men. In the two sociometric analyses, both the local and guest midwives ranked among the most influential social actors in their respective villages. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:though they hold a unique position among other rural women, this study suggests that midwives in Koutiala are well connected socially, and may be capable of becoming effective agents of network based-behavioural health interventions. Additional support is warranted to help midwives affirm a credible professional status in a male-dominated society, especially those of local status and younger age. Programme planners and policy-makers should consider the potential of midwives in communication when designing behaviour change interventions for women in similarly underserved areas.

journal_name

Midwifery

journal_title

Midwifery

authors

Hurley EA,Warren NE,Doumbia S,Winch PJ

doi

10.1016/j.midw.2013.03.002

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

123-9

issue

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(13)00080-6

journal_volume

pub_type

杂志文章

在线工具

Exploring the connectedness of rural auxiliary midwives to social networks in Koutiala, Mali.