Background/Aims:
Midwives providing care in refugee camps can confront exceptional challenges that demand provision of care in difficult and often unforeseeable circumstances. The purpose of this study was to describe the challenges midwives faced in implementing the ORAMMA project¹, which aimed to provide appropriate perinatal care for refugee women.

Material and Methods:
Midwives working in refugee camps participated in focus groups and individual interviews. The interviews were transcribed and analysed with qualitative content analysis using phenomenology method.

Results:
The challenges that midwives working in refugee camps reported to have include insufficient resources, poor midwifery workforce, language barriers and cultural differences. Furthermore, providing effective care can present extra challenges for midwives working in refugee camps because they frequently care for women who have undergone traumatic experiences. On the whole, the ORAMMA project was considered to be a good initiative that linked primary health care and hospital care for refugee women.

Conclusions:
In spite of the challenges they face, midwives working in refugee camps are dedicated to providing quality care to the women and babies they look after, and, in many cases, they are able to make a notable difference in the lives of those they care for. By addressing the challenges and supporting midwives that work in such settings, we can assist in making certain that refugee women obtain access to the necessary maternity services.