Dedication of Professional Midwives in Providing Healthcare Services in Selected Rural Communities in the Philippines: a Descriptive Qualitative Study

Abstract

The majority of professional midwives in the Philippines work in public health, particularly in rural areas. In this paper, we sought to investigate and gain insights into midwives' motivations, experiences, and aspirations while working and providing client-centered care in rural areas of the Cordillera Administrative Region, one of the administrative regions in the Philippines. This study utilized a qualitative descriptive study design through in-depth interviews using a semi-structured topic guide to collect data from September–October 2021. Participants were selected based on their at least three-year work experience, current roles as midwives in public rural health settings, and willingness to participate. Phone calls were used for interviews due to travel restrictions during the COVID-19 pandemic. Data were recorded, transcribed, and analyzed through content analysis. Developed themes were confirmed and validated by the study participants. A total of seven rural professional midwives participated in this study. Three main themes emerged from the data analysis – including the process of embracing the midwifery profession, rewarding yet challenging work experiences, and aspiration for competence and better work status. This study is the first of its kind done in the country and, as such, has provided new insights and findings regarding the midwifery profession in the Philippines. Despite facing challenges in providing healthcare in the rural setting, rural midwives find their profession to be a fulfilling and gratifying work experience. They strive for greater competence and improved work status and are dedicated to serving rural areas to the best of their abilities. Enabling midwives in rural communities with support and avenues for professional growth will enhance the provision of healthcare services in geographically challenged regions.