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The countries were chosen purposively because of their involvement in the Making it Happen programme (11) which aims to build capacity for healthcare providers to provide skilled birth attendance and emergency obstetric and early newborn care.
Cadres of healthcare providers expected to provide skilled birth attendance differ across countries.
In the four South Asian countries included in this study, the different cadres of healthcare providers expected to provide skilled birth attendance were authorized (legislated) to provide most of the interventions they performed and it was rather lack of training that was highlighted as a reason why not all signal functions of EOC were provided.
Enabling all healthcare providers who are expected to provide skilled birth attendance to provide the signal functions of emergency obstetric care is urgently needed.
For any healthcare provider who is expected to provide skilled birth attendance, training and legislation needs to be in place (12, 13).
It is generally assumed that trained health care providers (nurses, clinical officers, and doctors) provide skilled delivery assistance.
The global shortage of midwives is especially severe: an estimated 700,000 new midwives* and other trained providers are needed in order to provide skilled childbirth care to all women who need it.
The programme process theory is that if women from rural areas are recruited and trained in midwifery skills, they will go back to their home villages and provide skilled domiciliary maternity care to local women, including poor women, through the establishment of private practices.
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