Experiences of midwifery students and graduates in conflict-affected settings in Yobe State, Nigeria: Evidence from qualitative data

Students and graduates in conflict-affected settings face challenges that impact training and practice. This qualitative study, nested in a broader mixed methods study, explored factors influencing midwifery students' and new graduates' experiences in conflict affected contexts in Yobe State Nigeria. Four focus group discussions (FGDs) were conducted in October 2023 with students and graduates from basic and community midwifery programs. The groups consisted of 7-8 female participants, aged 19-26 years. Discussions were audio-recorded, transcribed and analysed thematically. Participants reported positive childhood influences by health workers, strong motivation for a career in midwifery, compassion and desire to save lives. Barriers elicited include stereotypes and myths about midwifery, negative community perceptions of the midwifery profession, restrictive social and gender norms; distrust of young midwives' competence; and security challenges. The graduates felt well-prepared for practice. However, some identified gaps in skills like episiotomy and expressed a preference for more opportunities for practice. All expressed fear of kidnapping and murder due to armed conflict. These findings have important implications for workforce retention and require action by the government and communities.