Exploring Midwives' Challenges and Strategies to Provide Care in Maternity Settings during Harsh Winter Weather in Northern Areas, Pakistan: A Qualitative Study Protocol

Background: Midwives play a vital role in enhancing the quality of care and achieving substantial reductions in maternal and newborn mortality rates. However, in the context of Gilgit Baltistan, the harsh winter weather, and frequent heavy snowfall present distinct challenges for midwives providing essential maternal care. These challenges can lead to an increased risk of maternal infections and newborn hypothermia. Consequently, the limited accessibility to healthcare facilities due to frequent harsh winter weather, and resulting scarcity of resources like heating, electricity, and water further exacerbates the situation. Objective: The objective of the study is to explore the challenges and barriers that midwives face in maternity settings andthe strategies they use to overcome those challenges during winter weather in Northern Areas of Pakistan. Methodology: The qualitative exploratory design will be used in this study. Where approximately 11 midwives will be recruited using purposive sampling technique. Interviews will be conducted by using a semi-structured interview guide. Data will be analyzed by using Creswell content analysis approach.