Data Collection Health and Nutrition

Study on How Gender Inequality Affects Midwives in Zambia

Supported qualitative research for UNFPA/hera on how gender inequality limits midwives’ effectiveness in Zambia. The study revealed key barriers and informed global policy recommendations.

AssignmentEffects of Gender Inequality on Midwives' Capacity to Reduce Maternal and Neonatal Mortality

Client
hera
Our role
Zambia field lead
Location
Zambia
Duration
8 months
12key informant interviews
8focus groups with midwives
4locations, urban and rural
The challenge

What the client needed

Midwives are essential to reducing maternal and newborn deaths, yet systemic and social barriers limit how effective they can be. UNFPA commissioned a multi-country study, implemented by hera, to examine how gender inequality affects midwives' ability to provide high-quality care.

For Zambia's part of the study, hera needed a partner that could secure ethical approval and collect sensitive qualitative data with midwives and health leaders in urban and rural settings.

Our solution

How M31 Research delivered

M31 Research led the Zambia field component. We obtained ethical clearance, translated the tools into local languages and engaged stakeholders. Using a qualitative approach rooted in gender and human rights frameworks, our team conducted 12 key informant interviews with national and sub-national stakeholders and 8 focus group discussions with midwives across four locations.

All interviews were fully transcribed and translated, and the data was cleaned rigorously to support thematic analysis.

What we delivered

  • Ethical approval and stakeholder engagement
  • Tools translated into local languages
  • 12 key informant interviews and 8 focus group discussions
  • Full transcription and translation
  • Support to global reporting and a peer-reviewed publication
The result

What changed for the client

M31's work enabled Zambia's part of the multi-country study to be completed, giving UNFPA and hera grounded insights into how gender norms, workplace inequality and professional discrimination undermine midwives. The findings fed into global advocacy, a peer-reviewed paper and a policy brief promoting gender-transformative strategies in health systems.

Key findings and outcomes

  • Zambia's portion of the multi-country study completed
  • Findings used in global advocacy and a policy brief
  • Contribution to a peer-reviewed publication

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