All four registered midwives were based at facilities randomized to arm B. Seventy-two percent and 61 % of MLP were Clinical Officers in arm A and arm B respectively.
Call the Midwife is based on the memoirs of Jennifer Worth and – scripted by Heidi Thomas, who wrote Cranford – it tells the true story of a young midwife going into Poplar in the East End of London in the 1950s.
Women in that community rarely went to the hospital to have babies, according to former midwife Jennifer Worth, upon whose memoirs "Call the Midwife" is based.
Because of the lack of CHW studies estimating productivity and wages, the relative CHW productivity and wage as compared to a nurse or midwife were based on the authors' preliminary assessment, and the authors realize these estimates will vary across countries.
"Women and their partners have the support, throughout the pregnancy, through the birth and once the baby is born, of a midwife or a small team of midwives who are based in the local community, and who they've come to know and to trust.
Local protocols developed by midwives and obstetricians are based on the VIL, but may differ in detail.
Disparities are equally apparent in the coverage of midwives between urban and rural areas, as just over half (51%) of the midwives working in the public system are based in Dakar [ 12].
"The number of midwives trained is based on what the NHS determines it will require to meet future demand.
Women interviewed here may not have been representative of other pregnant women in this locality; however midwives' perspectives were based on a more mixed client group and presenting the two alongside one another raises a number of issues for discussion.
