Susan Bradley

TL;DR: A systematic review and meta-synthesis of the growing literature on women's experiences of facility-based delivery in sub-Saharan Africa revealed a prevailing model of maternity care that is institution-centred, rather than woman-centre, which is seen as dehumanised and disrespectful.

TL;DR: The difficult circumstances under which maternity staff are operating and the professional and emotional toll this exacts are revealed and thoughtful strategies that match supply to demand are necessary to mitigate the effects of working in this context and to improve the quality of obstetric care for women in Malawi.

TL;DR: Although insufficient financial remuneration had a negative impact on retention and performance, the main factors identified were limited opportunities for career development and further education and inadequate or non-existent human resources management systems.

TL;DR: The perceptions of district health management teams in Tanzania and Malawi on their role as supervisors and on the challenges to effective supervision at the district level are explored.

TL;DR: Key ‘tipping points’ that drive staff to seriously consider leaving their jobs are revealed and staff motivation and an enabling environment are crucial factors for retaining MLPs in the Malawian health system.