BU Research Blog

Congratulations to Dr. Rachel Arnold on the publication of her fourth PhD paper.  Today the Journal of Asian Midwives informed us that the paper ‘Hidden Relationships: Perspectives on Leadership and Management in Afghan Maternity Services – An Ethnographic Exploration‘ has been published today [1].  Earlier papers have been published in BJOG, Social Science & Medicine as well as BMC Pregnancy & Childbirth [2-4].  The paper discusses the improvement of the quality of healthcare, particularly in low-income countries, which often focuses on the performance of healthcare providers and the availability, acceptability, and uptake of services. The role that health service leaders play in facilitating effective care has received less attention in the literature. This ethnographic study explored the perspectives of Afghan maternity care providers, managers and other stakeholders on leadership and the provision of quality maternity care.
The results of this study involves 1. Healthcare providers who described their managers as both autocratic and weak. They explained that their managers failed to enforce standards or listen to their concerns. 2. Managers who felt powerless to improve
care because the government did not support their initiatives to reform the working environment or discipline staff members who were flouting the rules.

Prof. Edwin van Teijlingen

CMMPH

References:

1. Arnold, R,  vanTeijlingen, E, Ryan, K, & Holloway, I. (2022) Hidden Relationships: Perspectives on Leadership and Management in Afghan Maternity Services – An Ethnographic Exploration. Journal of Asian Midwives. 9(1):45–55.
2. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care, BMC Pregnancy & Childbirth 19 :307 https://rdcu.be/bPqlj
3. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
4. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.