{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T02:46:39Z","timestamp":1766544399281,"version":"build-2065373602"},"reference-count":46,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100010137","name":"Sanofi Espoir Foundation","doi-asserted-by":"publisher","award":["111945-1202-01"],"award-info":[{"award-number":["111945-1202-01"]}],"id":[{"id":"10.13039\/100010137","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Midwifery"],"published-print":{"date-parts":[[2023,7]]},"DOI":"10.1016\/j.midw.2023.103695","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T20:36:25Z","timestamp":1681763785000},"page":"103695","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Strengthening midwives' competencies for addressing maternal and newborn mortality in Tanzania: Lessons from Midwifery Emergency Skills Training (MEST) project"],"prefix":"10.1016","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0975-4493","authenticated-orcid":false,"given":"Dorkasi L","family":"Mwakawanga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Rimoy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feddy","family":"Mwanga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes F.","family":"Massae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stella E","family":"Mushy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Kisaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicodem","family":"Komba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Mabada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ecstasy","family":"Mlay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Mwakalinga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loveluck","family":"Mwasha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filbert Francis","family":"Temba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathanael","family":"Sirili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.midw.2023.103695_bib0001","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/S0140-6736(15)00838-7","article-title":"National, regional, and global levels and trends in maternal mortality between 1990 and 2015 with scenario-based projections to 2030: a systematic analysis by the United Nations Maternal Mortality Estimation Inter-Agency Group","volume":"387","author":"Alkema","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.midw.2023.103695_bib0002","series-title":"Manpower Capacity and Reasons for Staff Shortage in Primary Health Care Maternity Centres in Nigeria\u00a0: A Mixed-Methods Study","first-page":"1","author":"Aluko","year":"2019"},{"key":"10.1016\/j.midw.2023.103695_bib0003","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114473","article-title":"The role of trust in health-seeking for non-communicable disease services in fragile contexts\u00a0: a cross-country comparative study","volume":"291","author":"Arakelyan","year":"2021","journal-title":"Soc. Sci. Med."},{"key":"10.1016\/j.midw.2023.103695_bib0004","doi-asserted-by":"crossref","unstructured":"Avortri, G.S., Nabukalu, J.B., Nabyonga-orem, J., 2019. Supportive supervision to improve service delivery in low-income countries\u00a0: is there a conceptual problem or a strategy problem\u00a0? 1\u20136. doi:10.1136\/bmjgh-2018-001151.","DOI":"10.1136\/bmjgh-2018-001151"},{"year":"2019","series-title":"Births Attended by Skilled Health Staff","author":"Bank","key":"10.1016\/j.midw.2023.103695_bib0005"},{"key":"10.1016\/j.midw.2023.103695_bib0006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pmed.1001847","article-title":"The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review","volume":"12","author":"Bohren","year":"2015","journal-title":"PLoS Med"},{"key":"10.1016\/j.midw.2023.103695_bib0007","first-page":"1","article-title":"Patterns and causes of hospital maternal mortality in Tanzania: a 10-year retrospective analysis","volume":"24","author":"Bwana","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.midw.2023.103695_bib0008","article-title":"Empowering education: a new model for in-service training of nursing staff","volume":"5","author":"Chaghari","year":"2017","journal-title":"Journa Adv. Med. Educ. Prof."},{"key":"10.1016\/j.midw.2023.103695_bib0009","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.ijgo.2014.02.021","article-title":"Competency-based training \u201c Helping Mothers Survive\u00a0: bleeding after Birth \u201d for providers from central and remote facilities in three countries","volume":"126","author":"Evans","year":"2014","journal-title":"Int. J. Gynecol. Obstet."},{"key":"10.1016\/j.midw.2023.103695_bib0010","doi-asserted-by":"crossref","unstructured":"Gabrysch, S., Campbell, O., 2009. BMC Pregnancy and Childbirth Still too far to walk\u00a0: literature review of the determinants of delivery service use 18, 1\u201318. doi:10.1186\/1471-2393-9-34.","DOI":"10.1186\/1471-2393-9-34"},{"key":"10.1016\/j.midw.2023.103695_bib0011","doi-asserted-by":"crossref","unstructured":"Geleto, A., Chojenta, C., Mussa, A., Loxton, D., 2018. Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa \u2014 A systematic review protocol 4\u20139.","DOI":"10.1186\/s13643-018-0720-y"},{"key":"10.1016\/j.midw.2023.103695_bib0012","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.midw.2023.103695_bib0013","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jana.2016.01.007","article-title":"Establishing an online continuing and professional development library for nurses and midwives in east, central, and southern Africa","volume":"27","author":"Hosey","year":"2017","journal-title":"J Assoc Nurses AIDS Care"},{"key":"10.1016\/j.midw.2023.103695_bib0014","doi-asserted-by":"crossref","unstructured":"Jackson, C., Manley, K., 2021. Contemporary Challenges of Nursing CPD\u00a0: time to change the model to meet citizens \u2019 needs 1\u201312. doi:10.1002\/nop2.941.","DOI":"10.1002\/nop2.941"},{"key":"10.1016\/j.midw.2023.103695_bib0015","first-page":"97","article-title":"Communication Skills in Patient-Doctor Interactions\u00a0: learning from Patient Complaints","volume":"4","author":"Kee","year":"2018","journal-title":"Heal. Prof. Educ."},{"key":"10.1016\/j.midw.2023.103695_bib0016","doi-asserted-by":"crossref","unstructured":"Kim, M.K., Arsenault, C., Atuyambe, L.M., Macwan, M., Kruk, M.E., 2020. Determinants of healthcare providers \u2019 confidence in their clinical skills to deliver quality obstetric and newborn care in Uganda and Zambia 1\u201310.","DOI":"10.1186\/s12913-020-05410-3"},{"key":"10.1016\/j.midw.2023.103695_bib0017","article-title":"Nurse Education Today Factors that optimise the impact of continuing professional development in nursing\u00a0: a rapid evidence review","volume":"104652","author":"King","year":"2020","journal-title":"Nurse Educ. Today"},{"key":"10.1016\/j.midw.2023.103695_bib0018","doi-asserted-by":"crossref","unstructured":"Kwame, A., Petrucka, P.M., 2021. A literature-based study of patient-centered care and communication in nurse-patient interactions\u00a0: barriers , facilitators , and the way forward 1\u201310.","DOI":"10.1186\/s12912-021-00684-2"},{"key":"10.1016\/j.midw.2023.103695_bib0019","doi-asserted-by":"crossref","unstructured":"Kwame, A., Petrucka, P.M., 2020. Communication in nurse-patient interaction in healthcare settings in sub- Saharan Africa\u00a0: a scoping review 12. doi:10.1016\/j.ijans.2020.100198.","DOI":"10.1016\/j.ijans.2020.100198"},{"key":"10.1016\/j.midw.2023.103695_bib0020","doi-asserted-by":"crossref","unstructured":"Kyei-nimakoh, M., Carolan-olah, M., Mccann, T. V., 2017. Access barriers to obstetric care at health facilities in sub-Saharan Africa \u2014 A systematic review 1\u201316. doi:10.1186\/s13643-017-0503-x.","DOI":"10.1186\/s13643-017-0503-x"},{"year":"2015","series-title":"Strengthening a Competent Health Workforce For the Provision of Coordinated \/integrated health Services","author":"Langins","key":"10.1016\/j.midw.2023.103695_bib0021"},{"key":"10.1016\/j.midw.2023.103695_bib0022","article-title":"Social trust and health seeking behaviours\u00a0: a longitudinal study of a community-based active tuberculosis case finding program in the Philippines","volume":"12","author":"Lau","year":"2020","journal-title":"SSM - Popul. Heal."},{"key":"10.1016\/j.midw.2023.103695_bib0023","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1177\/1525822X980100020301","article-title":"Codebook Development for Team-Based Qualitative Analysis","volume":"10","author":"MacQueen","year":"1998","journal-title":"CAM J"},{"key":"10.1016\/j.midw.2023.103695_bib0024","doi-asserted-by":"crossref","unstructured":"Madede, T., Sidat, M., Mcauliffe, E., Patricio, S.R., Uduma, O., Galligan, M., Bradley, S., Cambe, I., 2017. The impact of a supportive supervision intervention on health workers in Niassa , Mozambique\u00a0: a cluster-controlled trial 1\u201311. doi:10.1186\/s12960-017-0213-4.","DOI":"10.1186\/s12960-017-0213-4"},{"key":"10.1016\/j.midw.2023.103695_bib0025","first-page":"5","article-title":"Baseline Data on Trend of Maternal Mortality in Tanzania using Administrative Data and its Policy Implication. 2018","volume":"20","author":"Makuwani","year":"2020","journal-title":"Report. Glob. J. Med. Res."},{"key":"10.1016\/j.midw.2023.103695_bib0026","doi-asserted-by":"crossref","unstructured":"Mlambo, M., Sil\u00e9n, C., Mcgrath, C., 2021. Lifelong learning and nurses \u2019 continuing professional development , a metasynthesis of the literature 1\u201313.","DOI":"10.1186\/s12912-021-00579-2"},{"year":"2016","series-title":"Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS) 2015-16; MoHCDGEC: Dar es Salaam, Tanzania, and Rockville, MD, USA, MoH, NBS","key":"10.1016\/j.midw.2023.103695_bib0027"},{"key":"10.1016\/j.midw.2023.103695_bib0028","first-page":"587","article-title":"Data were saturated... Qual","volume":"25","author":"Morse","year":"2015","journal-title":"Health Res"},{"key":"10.1016\/j.midw.2023.103695_bib0029","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12884-019-2385-5","article-title":"Humanizing birth in Tanzania: a qualitative study on the (mis) treatment of women during childbirth from the perspective of mothers and fathers","volume":"19","author":"Mselle","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.midw.2023.103695_bib0030","first-page":"64","article-title":"Childbirth care. World Health Organization: opportunities for Africa's newborns: practical data, policy and programmatic support for newborn care in Africa. Geneva, World Heal","author":"Pearson","year":"2007","journal-title":"Organ"},{"key":"10.1016\/j.midw.2023.103695_bib0031","first-page":"1","article-title":"Nurse Education Today Motives and activities for continuing professional development\u00a0: an exploration of their relationships by integrating literature and interview data","author":"Pool","year":"2016","journal-title":"YNEDT"},{"year":"2013","series-title":"Mandatory Continuing Professional Development requirements\u00a0: What Does This Mean For Australian nurses","author":"Ross","key":"10.1016\/j.midw.2023.103695_bib0032"},{"key":"10.1016\/j.midw.2023.103695_bib0033","doi-asserted-by":"crossref","unstructured":"Sakeah, E., Mccloskey, L., Bernstein, J., Yeboah-antwi, K., Mills, S., Doctor, H. V., 2014. Is there any role for community involvement in the community-based health planning and services skilled delivery program in rural Ghana\u00a0? 1\u201314.","DOI":"10.1186\/1472-6963-14-340"},{"key":"10.1016\/j.midw.2023.103695_bib0034","doi-asserted-by":"crossref","unstructured":"Say, L., Chou, D., Gemmill, A., Tun\u00e7alp, \u00d6., Moller, A., Daniels, J., G\u00fclmezoglu, A.M., Temmerman, M., Alkema, L., 2014. Global causes of maternal death\u00a0: a WHO systematic analysis. Lancent Glob Heal. 323\u2013333. doi:10.1016\/S2214-109X(14)70227-X.","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"10.1016\/j.midw.2023.103695_bib0035","first-page":"63","article-title":"Strategies for ensuring trustworthiness in qualitative research projects","volume":"22","author":"Shenton","year":"2014","journal-title":"SAGE Encycl. Action Res."},{"key":"10.1016\/j.midw.2023.103695_bib0036","doi-asserted-by":"crossref","unstructured":"Tanaka, N., Horiuchi, S., Shimpuku, Y., Leshabari, S., 2015. Career development expectations and challenges of midwives in Urban Tanzania\u00a0: a preliminary study 1\u20136. doi:10.1186\/s12912-015-0081-y.","DOI":"10.1186\/s12912-015-0081-y"},{"year":"2014","series-title":"2014. Scope of Practice for Nurses and Midwives in Tanzania","key":"10.1016\/j.midw.2023.103695_bib0037"},{"key":"10.1016\/j.midw.2023.103695_bib0038","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1177\/1468794104044430","article-title":"Qualitative research and translation dilemmas","volume":"4","author":"Temple","year":"2004","journal-title":"Qual. Res."},{"year":"2017","series-title":"Maternal & Child Health Fact Sheet","key":"10.1016\/j.midw.2023.103695_bib0039"},{"key":"10.1016\/j.midw.2023.103695_bib0040","series-title":"Communication in Healthcare\u00a0: A Narrative Review of the Literature and Practical Recommendations","first-page":"1257","author":"Vermeir","year":"2015"},{"year":"2019","series-title":"Respectful Maternity Care and Human Resources For Health","key":"10.1016\/j.midw.2023.103695_bib0041"},{"volume":"6","first-page":"e1140","year":"2016","key":"10.1016\/j.midw.2023.103695_bib0042"},{"first-page":"16","year":"2015","series-title":"Strengthening Nursing and Midwifery Towards Health 2020 Goals","key":"10.1016\/j.midw.2023.103695_bib0043"},{"year":"2015","series-title":"Nurses and Midwives: A Vital Resource for Health","key":"10.1016\/j.midw.2023.103695_bib0044"},{"year":"2019","key":"10.1016\/j.midw.2023.103695_bib0045"},{"year":"2018","series-title":"Delivering Quality Health Services. A Global Imperative For Universal Health Coverage","key":"10.1016\/j.midw.2023.103695_bib0046"}],"container-title":["Midwifery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613823000980?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613823000980?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:06:27Z","timestamp":1759421187000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266613823000980"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":46,"alternative-id":["S0266613823000980"],"URL":"https:\/\/doi.org\/10.1016\/j.midw.2023.103695","relation":{},"ISSN":["0266-6138"],"issn-type":[{"type":"print","value":"0266-6138"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Strengthening midwives' competencies for addressing maternal and newborn mortality in Tanzania: Lessons from Midwifery Emergency Skills Training (MEST) project","name":"articletitle","label":"Article Title"},{"value":"Midwifery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.midw.2023.103695","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"103695"}}