Perceptions, Motivations, and Empowerment Strategies of Midwives in Rural and Remote Areas of Northern Morocco

Abdelouahid Louazi, Antonio Frías-Osuna (), Catalina López-Martínez () and Sara Moreno-Cámara
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Abdelouahid Louazi: Higher Institute of Nursing Professions and Health Techniques of Tetouan (ISPITST), Tetouan 93020, Morocco
Antonio Frías-Osuna: Department of Nursing, School of Health Sciences, University of Jaén, 23071 Jaén, Spain
Catalina López-Martínez: Department of Nursing, School of Health Sciences, University of Jaén, 23071 Jaén, Spain
Sara Moreno-Cámara: Department of Nursing, School of Health Sciences, University of Jaén, 23071 Jaén, Spain

IJERPH, 2022, vol. 19, issue 22, 1-14

Abstract: The shortage of midwives is a problem in rural and remote areas. This is mainly the consequence of job insecurity and difficult living conditions. The present study aimed to identify and analyse the perceptions and motivations of midwives in rural and remote areas of northern Morocco on the quality of their working life and the motivational factors and empowerment strategies they use to maintain and develop their work. It is a qualitative study that follows Van Manen’s hermeneutic phenomenology approach. Three focus groups and in-depth interviews were conducted with 15 midwives from rural and remote areas. The results indicate that midwives in rural and remote areas have a negative perception of the quality of the work and their personal life because of the scarcity of basic resources, unfavourable working conditions, and the personal sacrifices they have to make to support themselves. However, some factors favour their efforts. Therefore, there is a need to promote intersectoral policies that focus on improving material and human resources, as well as the working and personal conditions of midwives and the factors that support and empower them.

Keywords: nurse midwives; rural health services; motivation; empowerment; qualitative research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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