Can a midwife-led continuity model improve maternal services in a low-resource setting? A non-randomised cluster intervention study in Palestine.

ABSTRACT:

Objectives

To improve maternal health services in rural areas, the Palestinian Ministry of Health launched a midwife-led continuity model in the West Bank in 2013. Midwives were deployed weekly from governmental hospitals to provide antenatal and postnatal care in rural clinics. We studied the intervention's impact on use and quality indicators of maternal services after 2 years' experience.

Design

A non-randomised intervention design was chosen. The study was based on registry data only available at cluster level, 2 years before (2011and2012) and 2 years after (2014and2015) the intervention.

Setting

All 53 primary healthcare clinics in Nablus and Jericho regions were stratified for inclusion.

Primary and secondary outcomes

Primary outcome was number of antenat

SUBMITTER: Mortensen B 

PROVIDER: S-EPMC5875636 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature