Addressing the attitudes of service providers: increasing access to professional midwifery care in Nepal.

Research paper by S S Clapham, D D Pokharel, C C Bird, I I Basnett

Indexed on: 30 Sep '08Published on: 30 Sep '08Published in: Tropical doctor


Increasing access to professional care during labour and delivery is the central strategy in Nepal's commitment to reducing its maternal mortality ratio. This paper outlines a number of complementary interventions used by the Nepal Safer Motherhood Project to address the negative attitudes prevalent among service providers, which is a contributing factor to the under-utilization of the health-care services. The perspectives of the community and the service providers are presented, with a discussion of the importance of effective communication, the establishment of positive relationships and a demonstration of the critical role of local ownership and involvement in bringing about a positive change.