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1
Khattab, M. S., M. Y. Khan, Y. M. Al Khaldi, and M. N. Al Gamal. "The need for traditional birth attendants -dayas- in Saudi Arabia." Eastern Mediterranean Health Journal 6, no. 1 (February 15, 2000): 13–24. http://dx.doi.org/10.26719/2000.6.1.13.
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Preferences of women living in remote areas regarding delivery place and attendant were surveyed, opinions of primary health care [PHC] doctors about traditional birth attendants’ [TBA] maternal care were assessed and training needs for TBAs were identified using questionnaires and a focus group discussion. Home deliveries and TBAs were preferred by approximately 24% and 38% of the women respectively. The fact that they were women and psychological comfort were the main reasons for preferring TBAs. TBAs disclosed many harmful practices. No PHC centre help was sought by 75% of TBAs. Lack of cooperation between PHC centres and TBAs was a concern of most of the doctors. Training and links to PHC services for TBAs are needed
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Mbutu, Paschalia, Wanjiru Gichuhi, and Grace Nyamongo. "Traditional Birth Attendants and Childbirth in Kenya." International Journal for Innovation Education and Research 6, no. 5 (May 31, 2018): 1–18. http://dx.doi.org/10.31686/ijier.vol6.iss5.1019.
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The first objective of this research was to explore the role played by traditional birth attendants (TBAs) during pregnancy and childbirth. The second objective was to establish perspectives of pregnant women regarding the role played by TBAs during childbirth. Eight TBAs out of 12 were selected using simple random sampling technique. These 8 TBAs were drawn from the environs of 10 sampled health facilities. To calculate the sample size for the pregnant women to be interviewed about their perspectives towards TBAs from the 10 sampled health facilities , this formula was used, 1230 x 15/100=184.5 rounded up to 185. According to 2009 census, the population of women at child bearing age (15 – 49 years) was 1230 in Kitui West Sub-County (KNBS et al.; 2009). The final sample size for pregnant women was 187 as shown under the discussion on sampling techniques. An in depth individual interview guide was used to gather information from the 8 TBAs and 165 pregnant women. Unstructured interview guide was used to gather information from 22 respondents who formed focus group discussion (FGD). To make a meaning from the raw data, it was transcribed and emerging themes and patterns according the objective of the study were picked. The Chi-square test analysis showed that more than a half of the women preferred to deliver at home assisted by a TBA. (χ2=1.572; df=2; p=0.036) where p=0.05. This was confirmed by the fact that 37 percent out of 135 respondents who attended ANC clinic and 90 percent out of 30 respondents who did not attend ANC clinic delivered at home assisted by TBAs.
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Homer, Caroline S. E., Tauaitala Lees, Pelenatete Stowers, Fulisia Aiavao, Annabel Sheehy, and Lesley Barclay. "Traditional Birth Attendants in Samoa: Integration With the Formal Health System." International Journal of Childbirth 2, no. 1 (2012): 5–11. http://dx.doi.org/10.1891/2156-5287.2.1.5.
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A traditional birth attendant (TBA) is a person who assists the mother during childbirth and who initially acquired her skills by delivering babies herself or through apprenticeship to other TBAs. In many parts of the world, TBAs continue to provide a significant proportion of maternity care during pregnancy, birth, and the postpartum period. In Samoa, TBAs are recognized part of both the formal and informal health care system. The aim of this research was to examine the contribution that TBAs made in the provision of maternity care in Samoa. A descriptive study was undertaken, and 100 TBAs who had attended more than 400 births a year were interviewed as part of a broader Safe Motherhood Needs Assessment.The findings highlighted that although TBAs can work in collaboration with individual health providers or facilities or be integrated into the health system, TBAs were often practicing autonomously within their communities, independent of collaborative links. This study showed that formal recognition and registration of TBAs would improve the recording of births and augment their partnership to the formal health care system. This formal registration process has since been implemented to improve monitoring and evaluation and assist future research with this important group.
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Lynch, Oona, and Marc Derveeuw. "The Impact of Training and Supervision on Traditional Birth Attendants." Tropical Doctor 24, no. 3 (July 1994): 103–7. http://dx.doi.org/10.1177/004947559402400303.
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A survey of 40 trained and 40 untrained traditional birth attendants (TBAs) was done over a 3-week period in two counties in Uganda to evaluate the impact of training and supervision on TBAs. Forty womens' groups and 20 mothers were also interviewed. The result showed that the most utilized birth attendants were mothers-in-law, trained and untrained TBAs, and the pregnant woman herself. Childbirth was regarded as a normal, private event and the birth attendants were normally called when labour was well advanced or in case of complications. Trained TBAs were attending three times the number of deliveries as untrained TBAs. There was no difference in the knowledge and practices of trained and untrained TBAs, and in the performance of supervised versus unsupervised trained TBAs. All TBAs demonstrated poor knowledge and practices in the management of complications of pregnancy and labour. Reasons suggested for the poor performance included an over ambitious, inappropriate initial training, and lack of useful supervision. Overall the study concluded that there was a case for continuing with the training and supervision of TBAs provided changes were made to the selection, training and supervision processes.
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Choguya, Naume Zorodzai. "Traditional Birth Attendants and Policy Ambivalence in Zimbabwe." Journal of Anthropology 2014 (May 7, 2014): 1–9. http://dx.doi.org/10.1155/2014/750240.
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This paper analyses the importance of the services rendered by traditional birth attendants (TBAs) to pregnant women in Zimbabwe. It argues that, though an integral part of the health system, the ambivalence in terms of policy on the part of the government leaves them in a predicament. Sociocultural values as well as tradition imbue TBAs power and authority to manage pregnancies and assist in child deliveries. On the other hand, government policies expounded through the Ministry of Health (MoH) programs and policies appear to be relegating them to the fringes of healthcare provision. However, in a country with a failing health system characterized by mass exodus of qualified personnel, availability of drugs, and understaffing of healthcare centres, among others, TBAs remain the lifeline for many women in the country. Instead of sidelining them in healthcare interventions, I argue that their integration, however, problematic and often noted to be with disastrous consequences for traditional medicine, presents the sole viable solution towards achieving MDGs 4 and 5. The government and MoH should capitalize on the availability of and standing working relations of TBAs with the grassroots for better/positive maternal health outcomes. In a country reeling with high maternal deaths, TBAs’ status and position in society make them the best intervention tools.
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Taye, Birhan Tsegaw, Mulualem Silesh Zerihun, Tebabere Moltot Kitaw, Tesfanesh Lemma Demisse, Solomon Adanew Worku, Girma Wogie Fitie, Yeshinat Lakew Ambaw, et al. "Women’s traditional birth attendant utilization at birth and its associated factors in Angolella Tara, Ethiopia." PLOS ONE 17, no. 11 (November 11, 2022): e0277504. http://dx.doi.org/10.1371/journal.pone.0277504.
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Background In developing countries, home delivery without a skilled birth attendant is a common practice. It has been evidenced that unattended birth is linked with serious life-threatening complications for both the women and the newborn. Institutional delivery with a skilled birth assistance could reduce 20–30% of neonatal mortality. This study aimed to assess traditional birth attendants’ (TBAs) utilization and associated factors for women who gave birth in the last two years in Angolella Tara District, Ethiopia. Methods A community-based cross-sectional study was employed among 416 women who gave birth in the last two years at rural Angolella Tara District. Study participants were recruited by using a simple random sampling technique. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Epi Data 4.6 and SPSS version 25 were used for data entry and analysis, respectively. A multivariable logistic regression model was fitted to identify factors associated with women’s utilization of traditional birth attendants. The level of significance in the last model was determined at a p-value of <0.05. Result Overall, 131 (31.5%) participants were used traditional birth attendants in their recent birth. Unmarried marital status (AOR 2.63; 95% CI: 1.16, 5.97), age at first marriage (AOR 2.31; 95%CI: 1.30, 4.09), time to reach health facility (AOR = 3.46; 95% CI: 1.94, 6.17), know danger sign of pregnancy and childbirth (AOR = 5.59, 95% CI; 2.89, 10.81), positive attitude towards traditional birth attendants (AOR = 2.56 95% CI; 1.21,5.52), had antenatal care follow-up (AOR: 0.11 95% CI 0.058, 0.21), and listening radio (AOR = 0.43; 95% CI: 0.18, 0.99) were significantly associated factors with the use of traditional birth attendants. Conclusion Nearly one-third of women used traditional birth attendant services for their recent birth. TBAs availability and accessibility in the community, and respect for culture and tradition, problems regarding infrastructure, delay or unavailability of ambulance upon call, and some participants knowing only TBAs for birth assistance were reasons for preference of TBAs. Therefore, effort should be made by care providers and policymakers to ensure that modern health care services are accessible for women in a friendly and culturally sensitive manner. In addition, advocacy through mass media about the importance of maternal health service utilization, particularly antenatal care would be important.
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Roberts, Lisa R., and Barbara A. Anderson. "Enhancing Traditional Birth Attendant Training in Guatemala." International Journal of Childbirth 11, no. 1 (February 18, 2021): 27–36. http://dx.doi.org/10.1891/ijcbirth-d-20-00028.
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BACKGROUNDThis article describes the follow-up study to Simulation Learning Among Low Literacy Guatemalan Traditional Birth Attendants, published in the International Journal of Childbirth in 2017. This current study had two purposes: (a) to implement and evaluate the use of enhanced training modalities (active-learning strategies and use of technology in a remote area), and (b) to pilot training-of-trainer (ToT) methods. The current study builds upon the previous study in which we conducted and evaluated a simulation-based training among low-literacy Guatemala traditional birth attendants (TBAs).MATERIALS AND METHODSIn the current study, we conducted a focus group with experienced TBAs (n = 8) to elicit concepts and issues important to address in the training. The 60-hour training designed for low-resource settings, was enhanced with active-learning strategies, technology, and ToT modules. We assessed pre–posttest knowledge and attitudes by paper-pencil format, and pre–post skills by demonstration using simulation.RESULTSTraining participants (N = 31) included the eight experienced TBAs from the focus group. Knowledge, skills, and attitudes all improved, with statistical significance achieved in many parameters. Evaluation of the training was positive and enhancement strategies were noted as particularly helpful. Two participants participated in the additional ToT modules and are now collaborating to provide short educational programs to other TBAs in their regions.CONCLUSIONTraining enhancement strategies have the potential to increase safe practice among TBAs where skilled birth attendants are lacking. Adding ToT modules enhances sustainability and exemplifies the importance of locally prepared trainers in a time when global interaction is severely limited.
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Surtimanah, Tuti, and Yanti Herawati. "Traditional Birth Attendants (TBAs) Positioning on Strengthening Partnership with Midwives." Jurnal Kesehatan Masyarakat 13, no. 1 (July 28, 2017): 77–87. http://dx.doi.org/10.15294/kemas.v13i1.7452.
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Background of this research was the still high number of infant mortality and high use of Traditional Birth Attendants (TBAs). The This study aims aimed to determine TBAs positioning on the effort of strengthening partnership with midwives. A number of pregnant women, TBAs, and midwives become became informants, through in-depth interviews and focus group discussions. The results showed positioning TBAs still needed with different roles but side by side with midwife role, used by primi and multi pregnant women before and during pregnancy, during and after birth. The requirement forrequirement for TBAs was derived from parents as a cultural heritage, whereas the requirement for midwife obtained was from formal and non- formal information. The TBAs services toward maintain family health care including include cultural events. The midwife is givingserved professional servicescare. The partnership includes clients registration, motivation, abnormalities early detection. There has had been an unwritten financing unwritten agreement. The TBAs midwife partnership needs to be strengthened through legislation and , communication to diverse audiences in order to form the right positioning.
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Choguya, Naume Zorodzai. "Traditional and Skilled Birth Attendants in Zimbabwe: A Situational Analysis and Some Policy Considerations." Journal of Anthropology 2015 (May 18, 2015): 1–11. http://dx.doi.org/10.1155/2015/215909.
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The paper focuses on the situational analysis of traditional birth attendants (TBAs) and skilled birth attendants (SBAs) in Zimbabwe. Against a background of a frail health care system, characterised by a shortage in skilled professionals, increased cost of medical care, and geographic and economic inaccessibility of health care centres among others, TBAs have remained a life-line for especially many rural women in maternal health care provision. Moreover, TBAs have also found their way into the urban areas of Zimbabwe. The shift in international policy and health funding toward skilled birth attendants (i.e., an accredited health professional) has materialized into concerted government efforts to increase numbers of both midwifery training institutions and midwives themselves. The call for SBAs, though a worthy ideal, is out of touch with the lived realities of pregnant women in low resource settings such as Zimbabwe. The study is concerned with situational analysis of TBAs and SBAs in maternal health care service provision in Zimbabwe analysing and evaluating policy considerations.
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Roberts, Lisa R., and Barbara A. Anderson. "Simulation Learning Among Low Literacy Guatemalan Traditional Birth Attendants." International Journal of Childbirth 7, no. 2 (2017): 67–76. http://dx.doi.org/10.1891/2156-5287.7.2.67.
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Guatemalan maternal and infant mortality rates remain high, particularly among indigenous populations. In remote areas, traditional birth attendants (TBAs), without formal midwifery education, are frequently the only maternal care providers. We conducted a mixed methods study to evaluate knowledge, skills, and attitudes of 26 TBAs in western Guatemala. The purposes of this study were to evaluate the efficacy of a community-based midwifery training program and to determine how the knowledge, skills, and attitudes of TBAs influence the care provided to indigenous mothers and infants. Themes from 5 key informant interviews included survival of mother and baby, facilitating referrals, and community pressure not to refer. We offered a 2-week simulation-based training designed for low resource settings. Participants completed pre- and posttests and demonstrated midwifery skills. Knowledge scores and objectively measured skills improved significantly. Attitude outcomes included increased endorsement regarding importance of pre- and postnatal visits, recognizing risk/complications, and partnering with medical providers. Potential effects discussed include safe TBA practice, training value, and intent to disseminate learnings in their communities.
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Musie, Maurine Rofhiwa, Mavis Fhumulani Mulaudzi, Rafiat Anokwuru, and Varshika Bhana-Pema. "Recognise and Acknowledge Us: Views of Traditional Birth Attendants on Collaboration with Midwives for Maternal Health Care Services." International Journal of Reproductive Medicine 2022 (July 13, 2022): 1–10. http://dx.doi.org/10.1155/2022/9216500.
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Background. Traditional birth attendants have since ancient time provided care to pregnant women. As such, the collaboration between midwives and traditional birth attendant (TBAs) can be an essential effort towards the reduction of the maternal and neonatal mortality and morbidity rate especially in low- and middle-income countries (LMICs). This paper argues that the collaboration between traditional and formal health systems expands the reach and improves outcomes of community health care. The study is aimed at exploring the traditional birth attendant’s views on collaboration with midwives for maternal health care services at selected rural communities in South Africa (SA). Methods. The study was conducted in two rural communities in Tshwane and Johannesburg metropolitan districts from 15 June to 31 October 2021. The study followed the qualitative explorative and descriptive research design. The sampling technique was nonprobability purposive, and snowballing technique was also used to sample the key informants who are the traditional birth attendants also known as traditional healers and who provide maternal health care services in the respective communities. The access to these participants was through the gatekeepers, the Traditional Health Organisation Council (THO) council. Data collection was through semistructured in-depth interviews. Data were analysed thematically through the eight steps of Tesch. Results. Five main themes were identified which included the recognition of traditional birth attendants as enablers of collaboration, the envisaged value of the collaboration, processes required to foster collaboration, repositioning for new roles, and barriers to collaboration. Conclusion. The TBAs are ready to collaborate with the formal health care system, and all they require is for their services to maternal health care to be recognised and acknowledged.
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Musyimi, Christine W., Victoria N. Mutiso, Darius N. Nyamai, Ikenna D. Ebuenyi, and David M. Ndetei. "Integration of Traditional Birth Attendants into Mental Healthcare: A Multistakeholder Qualitative Study Exploration." BioMed Research International 2019 (March 21, 2019): 1–7. http://dx.doi.org/10.1155/2019/8195267.
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Background. A significant number of people with common mental disorders are undiagnosed or undetected at primary healthcare facilities. The experience of traditional birth attendants (TBAs) in reassuring perinatal mothers could be utilized in maternal mental healthcare. The aim of this study was to gain insight into the feasibility of integrating TBAs into maternal mental healthcare using multiple stakeholder views. Methods. We conducted an exploratory qualitative study in September 2017 using focus group discussions (FGDs) and in depth interviews in Makueni County, Kenya. A total of 246 participants (TBAs, community health volunteers (CHVs), healthcare workers (HCWs), antenatal and postnatal mothers seeking care from TBAs and those seeking both hospital and TBA services, mothers in law and/or husbands of perinatal mothers, and opinion leaders based in the county) were purposively selected to participate in the discussions. Transcribed data was analyzed using NVivo version 10. Results. Four major themes emerged from the qualitative data and were identified as follows; (a) involving TBAs in perinatal mental healthcare by assigning them roles, (b) utilizing TBAs’ patient rapport and counseling experience, (c) recognition and appreciation of TBAs by the healthcare system, and (d) training and collaboration of TBAs with healthcare workers. Discussion. The findings of this study reveal that although TBAs informally provide psychosocial interventions to pregnant mothers, their roles in mental health are not clearly defined. The importance of TBAs sharing their experience and being recognized as important stakeholders in mental healthcare for perinatal mothers was highlighted. Inclusion of TBAs in dialogue and training them to offer evidence-based mental healthcare were identified as important steps towards improving the mental wellbeing of mothers and the future generation.
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Ogbo, Felix, Felicity Trinh, Kedir Ahmed, Praween Senanayake, Abdon Rwabilimbo, Noel Uwaibi, and Kingsley Agho. "Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018." International Journal of Environmental Research and Public Health 17, no. 1 (January 6, 2020): 372. http://dx.doi.org/10.3390/ijerph17010372.
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Comprehensive epidemiological data on prevalence, trends, and determinants of the use of unskilled birth attendants (traditional birth attendants (TBAs) and other unskilled birth attendants) are essential to policy decision-makers and health practitioners, to guide efforts and resource allocation. This study investigated the prevalence, trends, and drivers of the utilization of unskilled birth attendants during democratic governance in Nigeria from 1999 to 2018. The study used the Nigeria Demographic and Health Surveys data for the years 1999 (n = 3552), 2003 (n = 6029), 2008 (n = 28,647), 2013 (n = 31,482), and 2018 (34,193). Multivariate multinomial logistic regression was used to investigate the association between socioeconomic, demographic, health-service, and community-level factors with the utilization of TBAs and other unskilled birth attendants in Nigeria. Between 1999 and 2018, the study showed that the prevalence of TBA-assisted delivery remained unchanged (20.7%; 95% CI: 18.0–23.7% in 1999 and 20.5%; 95% CI: 18.9–22.1% in 2018). The prevalence of other-unskilled-birth-attendant use declined significantly from 45.5% (95% CI: 41.1–49.7%) in 2003 to 36.2% (95% CI: 34.5–38.0%) in 2018. Higher parental education, maternal employment, belonging to rich households, higher maternal age (35–49 years), frequent antenatal care (ANC) (≥4) visits, the proximity of health facilities, and female autonomy in households were associated with lower odds of unskilled birth attendants’ utilization. Rural residence, geopolitical region, lower maternal age (15–24 years), and higher birth interval (≥2 years) were associated with higher odds of unskilled-birth-attendant-assisted deliveries. Reducing births assisted by unskilled birth attendants in Nigeria would require prioritized and scaled-up maternal health efforts that target all women, especially those from low socioeconomic backgrounds, those who do not attend antenatal care, and/or those who reside in rural areas.
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Sowunmi, C. O., A. O. Olajide, O. Olorunfemi, O. M. Iwaola, and O. F. Adeyemo. "Enhancing Knowledge of Traditional Birth Attendants for the Identification of Selected Labor Emergencies." African Journal of Health, Nursing and Midwifery 4, no. 3 (May 27, 2021): 1–14. http://dx.doi.org/10.52589/ajhnm-hl0bdmzj.
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Objectives: In Nigeria, the number of professional midwives available for care of pregnant women and their babies is inadequate; hence, most pregnant women are attended to by Traditional Birth Attendants (TBAs). Studies show that TBAs have poor knowledge of how to identify obstetrics complications. Aim: To determine the effectiveness of a training program on enhancing the knowledge of TBAs in the identification of some selected labor emergencies. Materials and Methods: An experimental research design was conducted with probability sampling to select sample size (n = 111 TBAs). A modified, structured questionnaire from TBAs knowledge on identification of labor emergencies (TBAs-TPKI) was used for data collection. Data collected were analyzed using Statistical Packages for the Social Science (SPSS) software. Descriptive statistics were used to provide answers to the six research questions of the study while inferential statistics of paired t-test was used to test the hypothesis of the study at 0.05 level of significance. Results: The results show that the mean score on knowledge identification on prolonged labor increased from 4.88±2.54 to 11.56±1.48; obstructed labor from 4.18±2.18 to 5.73±1.26, cord presentation from 2.44 ±1.27 to 5.78 ± 0.74, cord prolapse from 2.79±1.45 to 6.60±0.84, placenta abruptio from3.83±1.99 to 9.08±1.16 and postpartum hemorrhage from 3.48±1.82 to 8.26±1.05. The overall mean score of TBAs on knowledge of identification increased from 21.59 ± 11.26 to 51.19 ± 6.54 post-intervention. There was a significant difference between pre- and post-intervention mean scores of knowledge of TBAs on the identification of all the selected labor emergencies (t = 32.208, p = 0.00). Conclusions: The Ministry of Health in each state should organize regular training for TBAs to target early identification of obstetrics emergencies in order to reduce maternal mortality in Nigeria.
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Carr, Katherine Camacho, and Ruth White. "Focus Group and Health Teaching With Traditional Birth Attendants in Njeru, Uganda." International Journal of Childbirth 2, no. 1 (2012): 12–19. http://dx.doi.org/10.1891/2156-5287.2.1.12.
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The Safe Motherhood Initiative identifies the presence of skilled birth attendants at delivery as the single most critical intervention for safe motherhood. This article reports the findings from a focus group with traditional birth attendants (TBAs) conducted at the request of the Namwezi Health Center and the Njeru town council in Uganda as part of a community needs assessment. The purposes of the focus group included the identification of the problems encountered by the TBAs during antenatal, birth, and postpartum care for mother and newborn and how these problems were managed to assess the educational needs of the TBAs and plan for appropriate education and skills training for them. With a high prevalence of HIV, malaria, neonatal tetanus, and maternal morbidity and mortality in this region, TBAs were in need of education to promote hygiene, including hand washing, handling of bodily fluids, and disposal of the placenta; instruction on cord cutting, tying, and care; malaria prevention in pregnancy; and the management of common complications of childbirth and the newborn. “Too much bleeding” was identified as the primary maternal complication, and bleeding from the umbilical cord and preterm delivery were identified as the most common baby problems. Complication narratives from the TBAs indicated a need for continued training in the management of the common complications of childbirth and the neonatal period to improve maternal and newborn survival.
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Mwoma, Teresa, Josephine Gitome, Newton Kahumbi, Priscila Ndegwa, Muthoni Maina, and Jen Bagelman. "Role of traditional birth attendants in providing pre and postnatal care to mothers in refugee camps: a case of Ifo Camp Dadaab Kenya." International Journal of Pregnancy & Child Birth 7, no. 3 (May 18, 2021): 58–62. http://dx.doi.org/10.15406/ipcb.2021.07.00229.
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Access to skilled birth attendance is critical in improving maternal and newborn health. However, in low resource settings, rural and refugee camps, professionally trained staff are often in short supply hence women tend to rely on traditional birth attendants (TBAs) for delivery. Despite knowledge that a health care facility delivery is safer, many women from low resource environments continue to seek for the care of TBAs. In order to understand the care provided to refugee women during pregnancy and after birth, in a refugee camp, a study was conducted in Ifo Dadaab refugee camp in Kenya. The aim of this article therefore, is to document findings on participants’ perspectives on pre and post-natal care provided to women in refugee camps during pregnancy and after birth. This was a qualitative study conducted in Ifo refugee camp in Dadaab Kenya. Nine participants were purposively selected for the study to give their perspectives on the role of TBAs in providing caregiving support to refugee women during pregnancy and after birth. The participants included two married men, three traditional birth attendants, two Somali pregnant women and two refugee safe mothers. Data was collected through focus group discussions and interviews. The data was beefed up with feedback from dissemination of preliminary findings to stakeholders’ validation conference held at Kenyatta University. Findings revealed that TBAs play a critical role in supporting women during pregnancy and after birth. However, they are not able to attend to complications associated to delivery. Among the caring support cited include, guiding and counselling pregnant women, educating them on the importance of attending antenatal clinics, massaging women during labour, praying for the baby after birth, and escorting women to the health facilities to take their babies for immunization. It was also apparent that TBAs advise pregnant women on the herbs they should have in stock while pregnant. In addition, they advise women to breast feed their babies immediately after birth. While TBAs are able to assist un complicated births at home, it was apparent that it becomes challenging for them to provide support for women with complication during the birth process. In view of this, it will be more helpful for TBAs to be encouraged to guide and advise pregnant women to deliver in the health care facility, where they can escort them to get professional attention during birth
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Yati, Alhidayati. "Mother Behavior Prefer Untrained Traditional Birth Attendant As Labor Support Person At Tembilahan Hulu Public Health Center Districts On 2016." Jurnal Kesehatan Komunitas 3, no. 5 (March 27, 2018): 182–88. http://dx.doi.org/10.25311/keskom.vol3.iss5.126.
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Background: Maternal Mortality Rate (MMR) is one indicator of health development in Indonesia. Deliveries by health personnel to be very important in efforts to reduce maternal mortality. Coverage of births attended by skilled health personnel at health centers Tembilahan Hulu has yet to reach the target of 90%. Target Health Center Tembilahan Hulu is 80% but reached only 45%. The number of maternal deaths in health centers Hulu 2016 Tembilahan 1 case and the number of infant mortality as much as 5 case, one cause of death is handled by TBAs.
Objective: to know the mother's behavior in selecting birth attendants in health centers working area Tembilahan Hulu.
Design: Qualitative research, to obtain in-depth information about how the Mother Behavior in Choosing Auxiliary Power Delivery at Puskesmas Tembilahan Hulu 2016.
Methods: This study used a qualitative descriptive method, which is an approach to research that revealed certain social situations to describe reality correctly, formed by words based on the techniques of collecting and analyzing relevant data obtained from the natural situation.
Results and Discussion: Research shows that mothers choose birth attendants decision is closely linked to the knowledge, attitudes, social culture, access to health services, family support.
Conclusions: The behavior of mothers in selecting birth attendant is still a lot to TBAs compared to the health worker / midwife.
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Zeidenstein, Laura, and Mary W. Byrne. "A Parallel Strategy: Deliberate Inclusion of Trained Traditional Birth Attendants in Maternal and Child Health Workforce of Low-Income Countries." Clinical Scholars Review 7, no. 2 (2014): 184–89. http://dx.doi.org/10.1891/1939-2095.7.2.184.
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The authors propose an interim parallel strategy for the thoughtful inclusion of trained traditional birth attendants (TTBAs) in the maternal and child health (MCH) human resources of low-resource nations to improve safe childbirth. This is in contrast with international policy recommendations that traditional birth attendants (TBAs) be eliminated and replaced by skilled birth attendants (SBAs). Dimensions for critical awareness that should inform global MCH enterprises are identified and elaborated in support of this proposal: omnipresent women’s status, international nursing and midwifery standards, ethnographic values and strategies, local government roles, culturally specific birthing expectations, and the realities of current MCH human resources infrastructures.
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MA, Gadanya, ADAMU KA, and IBRAHIM UM. "TRADITIONAL BIRTH ATTENDANTS AND REPRODUCTIVE HEALTH SERVICES IN THE CONTEXT OF COVID-19: A SCOPING REVIEW." Kanem Journal Medical Sciences 15, no. 1 (June 1, 2021): 1–12. http://dx.doi.org/10.36020/kjms.2021.1501.001.
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Background: In developing countries, the lack of accessible, affordable and acceptable orthodox care makes a significant proportion of the populace patronize the nearby available and cheap traditional birth attendants (TBAs) that share similar local custom and tradition. Although there are widely diverging shreds of evidence regarding their effectiveness as health care providers, they may have a limited role as a workforce during the ongoing COVID-19 pandemic where the more community-based distribution of commodities is increasingly considered due to movement restrictions. However, it is still doubtful if their integration into the formal health system may substantially contribute to basic health care delivery especially in the rural often hard to reach areas. Objectives: To explore the various roles of TBAs in reproductive health service delivery with implication for redefining their roles especially with the advent of the COVID-19 pandemic. Methodology: We searched and reviewed relevant literature on TBAs in PubMed, Africa Journals Online (AJOL) and Google scholar and relevant institutional websites for the role of TBAs pre and during the pandemic. The databases searched yielded 92 articles of potential significance to this review. After title/abstract review, 65 articles were moved to full document review. Nineteen articles explicitly and strictly focusing on TBAs concerning reproductive health were included in this review. Results: TBAs are providers of a wide range of reproductive health services and training to expand their roles and makes them safer is necessary for any consideration of their engagement; this implies the fight against COVID-19. TBAs should only be engaged if the gap in the resources for health must be filled by leveraging on their existing traditional roles and acceptance in the community. Conclusion: TBAs are widely utilised providers of care to their communities especially in the area of maternal care. With increasing emphasis on community-based services in healthcare delivery and the emergence of COVID-19, their roles must be reviewed and updated regularly to redefine their role in the health care delivery system especially because of the myriad personal and technical limitations associated with them. Any engagement with them should be with caution and as a stop-gap measur.
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McKellar, Lois V., and Kevin Taylor. "Safe Arrivals: Responding to the Local Context in a Training Program for Birth Attendants in Cambodia." International Journal of Childbirth 4, no. 2 (2014): 77–85. http://dx.doi.org/10.1891/2156-5287.4.2.77.
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The World Health Organization (WHO) recommends that every woman should have a skilled birth attendant (SBA) attend her birth; however, until this ideal is met, traditional birth attendants (TBA) continue to provide care to women, particularly in rural areas of countries such as Cambodia. The lack of congruence between an ideal and reality has caused difficulty for policy makers and governments. In 2007, The 2h Project, an Australian-based, nongovernment organization in partnership with a local Cambodian organization, “Smile of World,” commenced the “Safe Arrivals” project, providing annual training for SBAs and TBAs in the rural provinces of Cambodia. Following implementation of this project, feedback was collected through a questionnaire undertaken by interviews with participants. This was part of a quality assurance process to further develop training in line with WHO recommendations and to consider the cultural context and respond to local knowledge. Over a 2-year period, 240 birth attendants were interviewed regarding their role and practice. Specifically, through the responses to the questionnaires, several cultural practices were identified that have informed training focus and resource development. More broadly, it was evident that TBAs remain a valuable resource for women, acknowledging their social and cultural role in childbirth.
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Triratnawati, Atik, Rani Ditya Kristianti, Aldo Pandega Putra, and Pandu Bagas Setyaji. "The Effort to Decrease Maternal and Child Mortality Rates through Cultural Transformation." International Journal of Public Health Science (IJPHS) 5, no. 1 (March 1, 2016): 84. http://dx.doi.org/10.11591/ijphs.v5i1.4768.
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Maternal and infant mortality in Ende is still high, but research related a social science is rare. The cultural aspect and medical factors such as the lack of primary health care services are also play a role. This study aims are to identifying and formulate the local cultural transformation as a way to solve maternal and infant mortality. This ethnographic research was conducted in 2013. The study carried not only interviews, but also observation towards reproductive-age women, heads of family, traditional birth attendants, doctors, midwives, local leaders, <em>adat </em>leaders, pastors and sisters, local government officials, and head of health district at Ende. Data is analysed phenomenologically. The strong belief to <em>adat </em>and local tradition has implication to people’s attitude towards traditional birth attendants. Traditional birth attendants hold superior position in the community. They also have strong influence due to their ability to massage, correctly guess infant’s sex, reposition infant in the womb, and stop bleeding during labor. Maternal and/or infant mortality has nothing to do with traditional birth attendants because local people believe that such case happens as a result of hex or black magic called <em>ru’u. </em>Anemia, bleeding, food taboo, and incorrect diet pattern worsen the overall condition of pregnant women. Cultural transformation is done by alternating TBAs practices in massaging pregnant women. TBAs are encouraged to massage pregnant women’s back instead of stomach since pregnant women often have to deal with low back pain during pregnancy.
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Triratnawati, Atik, Rani Ditya Kristianti, Aldo Pandega Putra, and Pandu Bagas Setyaji. "The Effort to Decrease Maternal and Child Mortality Rates through Cultural Transformation." International Journal of Public Health Science (IJPHS) 5, no. 1 (March 1, 2016): 84. http://dx.doi.org/10.11591/.v5i1.4768.
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Maternal and infant mortality in Ende is still high, but research related a social science is rare. The cultural aspect and medical factors such as the lack of primary health care services are also play a role. This study aims are to identifying and formulate the local cultural transformation as a way to solve maternal and infant mortality. This ethnographic research was conducted in 2013. The study carried not only interviews, but also observation towards reproductive-age women, heads of family, traditional birth attendants, doctors, midwives, local leaders, <em>adat </em>leaders, pastors and sisters, local government officials, and head of health district at Ende. Data is analysed phenomenologically. The strong belief to <em>adat </em>and local tradition has implication to people’s attitude towards traditional birth attendants. Traditional birth attendants hold superior position in the community. They also have strong influence due to their ability to massage, correctly guess infant’s sex, reposition infant in the womb, and stop bleeding during labor. Maternal and/or infant mortality has nothing to do with traditional birth attendants because local people believe that such case happens as a result of hex or black magic called <em>ru’u. </em>Anemia, bleeding, food taboo, and incorrect diet pattern worsen the overall condition of pregnant women. Cultural transformation is done by alternating TBAs practices in massaging pregnant women. TBAs are encouraged to massage pregnant women’s back instead of stomach since pregnant women often have to deal with low back pain during pregnancy.
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Nshiowo, Kingsley Chikaodili, and C. A. Owopetu. "Mothers’ Experiences of Delivery Services by Traditional Birth Attendants at Egbe Community, Yagba West Lga Kogi State, Nigeria." International Journal of Nursing, Midwife and Health Related Cases 8, no. 2 (February 15, 2022): 35–52. http://dx.doi.org/10.37745/ijnmh.15/vol80n2pp3552.
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A lot of women gave birth in their homes historically, and are often attended by a family member or assisted by a woman residing in the communities who are known as Traditional Birth Attendants (TBAs).The mothers’ experiences before labor, after delivery and care of the new born was a mixed one. This study was aimed to explore mothers’ that have delivered with TBAs in the past at Egbe Community, Yagba West Local Government Area, Kogi State, Nigeria. The study employed a qualitative research design with in-depth interview supported with two Focus Group Discussions as method of data collection, to explore the experiences of mothers’ during with TBAs. Sixteen participants were used for FGD, eight in each group and thirteen participants for one-on-one in-depth interview using a snowball sampling technique. Both the FGD and IDI sessions were audio taped and transcribed verbatim. The research was analysed using a manual method of qualitative data. The findings revealed that majority of the participants used the services of traditional birth attendants because of the affordable cost. Majority were delivered at their homes and they had good experience. Relatives were allowed to stay with them during labor. They were not given food during labor and their babies were taken good care of. However, few of them would like to deliver at a regular hospital in next delivery due to some complications they experienced. In conclusion, many of the women patronized TBAs because of the cost and services provided were just basic. Therefore, it’s recommended that the cost of delivery at the hospitals should be subsidised and the TBAs should be trained and supervised on a regular basis by the Primary health care centres at the Local Government Areas nearest to them.
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O'Rourke, Kathleen. "Maternal Exhaustion as an Obstetric Complication: Implications of TBA Training." International Quarterly of Community Health Education 15, no. 4 (January 1995): 395–404. http://dx.doi.org/10.2190/t9fr-px0p-w52x-xq6e.
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Maternal exhaustion is a common diagnosis for Guatemalan women referred to community hospitals by traditional birth attendants (TBAs). Maternal exhaustion is associated with prolonged labor, bearing down for > 2 hours, and oxytocin administration by TBAs. The strongest association is with prolonged bearing down which is a practice commonly encouraged by Guatemalan TBAs. Training TBAs in instructing the mother not to bear down until she has an urge to push and not to administer oxytocin to their patients had little impact in curtailing these practices. This lack of effect may be due to cultural beliefs about appropriate birthing practices and their importance for the women in the community.
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Chabot, H. T. J., and A. M. Rutten. "Use of Antenatal Cards for Literate Health Personnel and Illiterate Traditional Birth Attendants: An Overview." Tropical Doctor 20, no. 1 (January 1990): 21–24. http://dx.doi.org/10.1177/004947559002000107.
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A review of the existing literature on various risk-oriented antenatal cards developed during the last 15 years, makes apparent a multitude of action-oriented cards available for trained health personnel (obstetric nurses, midwives and doctors). Few antenatal cards, however, have been developed for use by illiterate traditional birth attendants (TBAs). A revised version of an illiterate antenatal card is presented, that has been developed over the past 3 years in Mali. It contains some important improvements, notably its use at the various levels of the health care pyramid both by illiterate TBAs and by trained midwives. It also includes specific ‘standing orders’, based on generally accepted ‘at-risk’ criteria. Suggestions for its adaptation elsewhere in Africa as part of current Safe Motherhood policies are discussed.
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Audu, O., C. O. Ojabo, A. O. Ojabo, V. N. Omole, G. O. Ogbeyi, and M. T. Maanongun. "Primordial Methods of Antenatal and Delivery Services on the Prowl in North- Central Nigeria." Journal of BioMedical Research and Clinical Practice 1, no. 2 (June 30, 2018): 118–23. http://dx.doi.org/10.46912/jbrcp.48.
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The Nigeria national reproductive health policy that was put in place to control maternal mortality is yet to achieve its desired effects as it is been hampered by the activities of traditional birth attendants in most communities. This study assessed the correlates of patronage of traditional birth attendants among women of reproductive age group in three rural communities of Apa local Government area of Benue State, Nigeria. A community-based cross sectional study design was employed to study 456 women in the settlements via a multistage sampling technique. Structured interviewer administered questionnaire was used for data collection. Multiple logistic regression analysis was used to assess the independent variables that had significant chi-square at p<0.05. The findings revealed that patronage of traditional birth attendants amongst the respondents was 172(37.7%). The prevalent reasons for the patronage by respondents were the affordable cost of treatment 135(78.5%), cultural acceptability 80(46.5%), negative attitude of health workers 58(33.8%), proximity 51(29.7%), and compassionate care of the traditional birth attendants 15(8.7%), Husband’s decisions 8(4.7%) and TBAs not embarking on industrial strike 3(1.7%). About 164(95.3%) of those that patronize traditional birth attendants were satisfied with the services rendered. However, 33(19.2%) admitted to have experienced complications during delivery. Education and the marital status of respondents had the highest impact (Beta= 3.114 and 2.486 respectively) on traditional birth attendants patronage. A more aggressive approach in advocacy and awareness campaign is therefore needed to promote the utilization of health facilities that are within the provision of the reproductive policy of the country.
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O Olakunde, Babayemi, Sabastine Wakdok, Yewande Olaifa, Francis Agbo, Uduak Essen, Mathews Ojo, Maria Oke, and Sarah Ibi. "Improving the coverage of prevention of mother-to-child transmission of HIV services in Nigeria: should traditional birth attendants be engaged?" International Journal of STD & AIDS 29, no. 7 (December 4, 2017): 687–90. http://dx.doi.org/10.1177/0956462417745200.
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Traditional birth attendants (TBAs) play an important role in the provision of care to pregnant women in rural parts of Nigeria, but they are barely engaged by the formal healthcare system in expanding the low coverage of prevention of mother-to-child transmission of HIV (PMTCT) services. Using a systematic approach, we engaged TBAs in Abia and Taraba States to scale-up PMTCT services under the National Agency for Control of AIDS Comprehensive AIDS Program with States. We conducted mapping of the TBAs, built their capacities, obtained their buy-in on mobilization of their clients and other pregnant women for HIV testing service outreaches, and established referral and linkage systems. A total of 720 TBAs were mapped (Abia 407; Taraba 313). Three hundred and ninety-nine TBAs who participated in the capacity-building meeting were linked to 115 primary healthcare centers (PHCs) in Abia State, while 245 TBAs were linked to 27 PHCs in Taraba State. From July 2016 to March 2017, the outreaches contributed 20% to the overall total number of pregnant women counseled, tested and received results, and 12% to the total number of HIV-infected women identified. There was a considerable yield of HIV-infected pregnant women among those tested in the TBA outreaches in comparison with the supported antenatal facilities (2% versus 3%, respectively). Engaging TBAs has the potential to improve the coverage of PMTCT services in Nigeria.
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Adeyemi, Nurat Kehinde. "Determinants, Treatment and Consequences of Post-Partum Haemorrhage in Osun State, Nigeria." Nigerian Journal of Sociology and Anthropology 17, no. 1 (June 1, 2019): 133–52. http://dx.doi.org/10.36108/njsa/9102/71(0190).
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Despite concerted efforts made by United Nations and other health agencies to reduce Maternal Mortality Rate (MMR) through Skilled Birth Attendants (SBAs) and use of healthcare facilities, report reveals that Traditional Birth Attendants (TBAs) still have a place in maternal healthcare in developing countries. This paper examines causes, treatment and consequences of Post-Partum Haemorrhage (PPH) from TBAs’ perspectives in Osun State, Southwestern Nigeria. The study adopted qualitative method of data collection (In-depth Interview and Focus Group Discussion). Results show some similar (Tone, Trauma, Tissue and Thrombin) as obtained from medical literature and some divergent causes of PPH which includes: consumption of Potassium, intoxicants, dairy product, junks and iron tablets at advanced stage of pregnancy. This implies that substance/food consumption has implication on maternal health. TBAs’ treatment techniques for PPH include: use of powdery substances, concoctions, herbs and roots, and sometimes use of animal parts. Consequences of PPH include: organ failure, respiratory disorder, infection, fever, vomiting, anaemia and loss of fertility. WHO has revealed that misoprostol is effective in treating PPH in home delivery in developing countries. Reducing MMR due to PPH and achieving development in health sector in Nigeria therefore, requires training Nigeria TBAs on the proper administration of misoprostol.
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T., Awotunde O., Awotunde T. A., Fehintola F. O., Adesina Adesina S. A., Oladeji O. A., Fehintola A. O., and Ajala D. E. "Determinants of utilisation of traditional birth attendant services by pregnant women in Ogbomoso, Nigeria." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 7 (June 24, 2017): 2684. http://dx.doi.org/10.18203/2320-1770.ijrcog20172894.
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Background: This study was designed to assess the determinants of utilization of Traditional Birth Attendants (TBAs) services by pregnant women in different communities in Ogbomoso, Nigeria.Methods: This was a community- based cross-sectional study. Fisher's formula was used to calculate the sample size and a total of 270 eligible pregnant women were enrolled for the study using multistage sampling technique. Data was collected using pretested structured interviewer-administered questionnaire. Data analysis was done using SPSS version 20 and results were presented in frequencies and percentages.Results: Factors found to have a significant influence on the utilization of TBA services in this study include: low educational status (p <0.001), lower socioeconomic status (p <0.001), and compassionate care given by the TBAs (p=0.004). Other factors include service proximity and lower cost of TBA services.Conclusions: The impact of TBAs and their services cannot be overemphasized in the present state of maternal and child health in Nigeria. Lower educational status among others has been found to be a strong predictor of utilization of TBA services. There is, therefore, the need to improve the educational and socioeconomic status of women in order to allow them to access quality health care services that will safeguard their well-being. Inculcating compassionate care into orthodox healthcare delivery will go a long way to improve patronage and discourage TBA utilization.
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Abubakar Saleh, Jalal-Eddeen. "Do traditional Birth Attendants (TBAs) Have a Role in the Prevention of Neonatal Tetanus." American Journal of Health Research 3, no. 3 (2015): 189. http://dx.doi.org/10.11648/j.ajhr.20150303.24.
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Fotso, Jean Christophe, Ashley Ambrose, Paul Hutchinson, and Disha Ali. "Improving maternal and newborn care: cost-effectiveness of an innovation to rebrand traditional birth attendants in Sierra Leone." International Journal of Public Health 65, no. 9 (October 10, 2020): 1603–12. http://dx.doi.org/10.1007/s00038-020-01487-z.
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Abstract Objectives This paper evaluates the cost-effectiveness of rebranding former traditional birth attendants (TBAs) to conduct health promotion activities and refer women to health facilities. Methods The project used 200 former TBAs, 100 of whom were also enrolled in a small income generating business. The evaluation had a three-arm, quasiexperimental design with baseline and endline household surveys. The three arms were: (a) Health promotion (HP) only; (b) Health promotion plus business (HP+); and (c) the comparison group. The Lives Saved Tool is used to estimate the number of lives saved. Results The HP+ intervention had a statistically significant impact on health facility delivery and four or more antenatal care (ANC) visits during pregnancy. The cost-effectiveness ratio was estimated at US$4130 per life year saved in the HP only arm, and US$1539 in the HP+ arm. Therefore, only the HP+ intervention is considered to be cost-effective. Conclusions It is critical to prioritize cost-effective interventions such as, in the case of rural Sierra Leone, community-based strategies involving rebranding TBAs as health promoters and enrolling them in health-related income generating activities.
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Ruwayda, Ruwayda, and M. Dody Izhar. "Analisis Program Kemitraan Bidan dan Dukun Bayi di Kota Jambi." Jurnal Ilmiah Universitas Batanghari Jambi 20, no. 2 (July 1, 2020): 424. http://dx.doi.org/10.33087/jiubj.v20i2.952.
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Based on the results of the 2018 Riskesdas, the proportion of birth attendants in women aged 10 - 54 years still has 6.7% of pregnant women giving birth not with health workers. Aur Duri Health Center is one of the Puskesmas from 20 Puskesmas in Jambi City, which in 2018 occurred 1 death of pregnant women who were helped by TBAs in Penyengat Rendah Village, Telanai Pura Sub-District. This incident should not have happened considering the location of the Aur Duri Puskemas area was still in the Jambi City Center and access to health workers, health centers and hospitals was very smooth and easy to reach. There are still 12 traditional birth attendants in the work area of Aur Duri Health Center in 2018. This study aims to analyze the implementation of partnership programs for midwives and traditional birth attendants in the work area of Aur Duri Health Center, Jambi City: input, process and output variables. Data collection techniques used the method of in-depth interviews, Focus Group Discussion (FGD), and document review.Based on the results of the study it was known that the partnership between midwives and traditional birth attendants had not gone well, while the partnership between midwives and traditional birth attendants in the Aur Duri Community but there was no continuation of implementation of these activities. It is recommended that the Health Office and Aur Duri Puskesmas provide support and guidance and can allocate funds for partnership activities between midwives and traditional birth attendants so that it can be a solution to achieving KIA coverage targets, especially labor assistance by health workers and suppressing death cases. In addition, it is necessary to conduct monitoring and evaluation in the implementation of this partnership so that it can run well
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Maina, Newton Kahumbi, Josephine Gitome, Jennifer Bagelman, Muthoni Mainah, Jacqueline M. Kituku, Teresa Mwoma, and Priscilla Ndegwa. "Family Planning as A Determining Factor in Preference to Traditional Birth Attendants (TBAs) Among Somali Community in Dadaab Refugee Camps, Kenya." European Journal of Humanities and Social Sciences 1, no. 6 (November 4, 2021): 1–5. http://dx.doi.org/10.24018/ejsocial.2021.1.6.126.
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Statement of Problem: Family planning is a determining factor in the maternal health care choices for Somali pregnant mothers in Dadaab Refugee camps. Research has revealed that during delivery, the Somali mothers prefer the services of Traditional Birth Attendants (TBAs) to those of midwives in hospitals. The preference for TBAs is borne of the belief that when women deliver in hospitals, they could be subjected to family planning against their will. The contention is that Islam and socio-cultural practices of the Somali community do not advocate family planning. The purpose of this paper is to discuss Islam’s position on family planning in order to explain the response of the Somalis of Dadaab refugee camps on family planning. Methodology & Theoretical orientation: The paper is derived from a qualitative study that involved snowball sampling, in-depth interviews and focus group discussions (FGDs). These methods brought out family planning as a determining factor in the mother’s choice of TBAs as opposed to hospital midwives in Dadaab Refugee camps. Findings: Any discourse on Islam and family planning offers two perspectives: proponents of family planning and opponents of family planning. Both perspectives use the texts of the Qur’an and Hadith (traditions) and different interpretations to justify and support their respective positions and opinions. Through primary and secondary sources, the paper interrogates both perspectives of family planning in Islam. Conclusion & Significance: It is concluded that the Somalis’ belief on family planning is informed by the two perspectives of family planning, but the opponents’ perspective holds sway. This determines the preference for TBAs for fear that mothers who deliver in hospitals could be subjected to family planning contraceptives. Recommendation: there is need to educate the community further on Islamic teachings on family planning; and more sensitization conducted on the benefits of child spacing.
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Imogie, A. O., E. O. Agwubike, and K. Aluko. "Assessing the Role of Traditional Birth Attendants (TBAs) in Health Care Delivery in Edo State, Nigeria." African Journal of Reproductive Health 6, no. 2 (August 2002): 94. http://dx.doi.org/10.2307/3583135.
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Pristya, Terry Y. R., Fajaria Nurcandra, and Azizah Musliha Fitri. "Kepemilikan Asuransi Kesehatan Dan Hubungannya Dengan Persalinan Pada Dukun Bayi." Buletin Penelitian Sistem Kesehatan 24, no. 3 (September 20, 2021): 237–45. http://dx.doi.org/10.22435/hsr.v24i3.4458.
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Delivery by traditional birth attendants (TBAs) has become a culture in several regions in Indonesia. The absence of health insurance ownership and lack of knowledge have supported the decision to choose TBA by the expectant mothers. This study aimed to determine the relationship between health insurance ownership with delivery by TBA. This research was a cross-sectional study with 120 samples of women aged 15-49 years who had ever given birth in the last five years and lived in Sangiangtanjung Village, Lebak, Banten. Multivariate logistic regression analysis was used in this study consist of health insurance ownership with delivery by TBAs controlled by age, education, socioeconomic, knowledge, antenatal care provider, frequency of antenatal care, and danger of pregnancy. The results showed that women who did not have health insurance were 3.20 times higher (95%CI= 1.10-9.30) for choosing delivery by TBAs compared to women who had health insurance after being controlled by knowledge. This study concluded that there was a significant relationship between health insurance ownership with delivery by TBAs. This study suggests that it is needed to conduct maternity care about health insurance ownership and positive health-seeking behavior, and the system of integrating TBAs with skilled birth attendants especially midwives in which TBAs as birth companions.
Abstrak
Persalinan oleh dukun bayi sudah menjadi budaya di beberapa daerah di Indonesia. Tidak adanya jaminan kesehatan dan pengetahuan menjadi pendorong dalam pemilihan dukun sebagai penolong persalinan. Penelitian bertujuan mengetahui hubungan antara kepemilikan asuransi kesehatan dengan persalinan oleh dukun bayi. Penelitian kuantitatif ini menggunakan desain potong lintang dengan 120 sampel. Sampel merupakan wanita berusia 15-49 tahun yang melahirkan dalam lima tahun terakhir dan tinggal di Desa Sangiangtanjung, Lebak, Banten. Analisis multivariat regresi logistik digunakan dalam penelitian ini terdiri dari kepemilikan asuransi kesehatan dengan persalinan oleh dukun bayi dan dikontrol oleh usia ibu, pendidikan ibu, sosial ekonomi, pengetahuan, tenaga pemeriksa kehamilan, frekuensi pemeriksaan kehamilan, dan bahaya kehamilan. Hasil penelitian menunjukkan bahwa ibu yang tidak memiliki asuransi kesehatan 3,20 kali lebih tinggi (95% CI = 1,10-9,30) untuk melakukan persalinan oleh dukun bayi dibandingkan dengan ibu yang memiliki asuransi kesehatan setelah dikontrol oleh pengetahuan. Penelitian ini menyimpulkan bahwa terdappat hubungan antara kepemilikan asuransi kesehatan dengan persalinan oleh dukun bayi. Diperlukan asuhan maternitas tentang kepemilikan asuransi dan perilaku pencarian kesehatan yang positif, serta pengintegrasian dukun bayi dengan tenaga kesehatan terutama bidan di mana dukun bayi perlu ditetapkan kembali perannya sebagai pendamping kelahiran.
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UDDIN AHMED, FARID, ENAMUL KARIM, and SYEDA NURJAHAN BHUIYAN. "MID-ARM CIRCUMFERENCE AT BIRTH AS PREDICTOR OF LOW BIRTH WEIGHT AND NEONATAL MORTALITY." Journal of Biosocial Science 32, no. 4 (October 2000): 487–93. http://dx.doi.org/10.1017/s0021932000004879.
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In Bangladesh, like other developing countries, most births occur at home or in the community, so logistic problems and taboos prevent the weighing of every newborn child. This study was performed to see whether other simpler measurements could be substituted for weight to identify neonates of low birth weight. A total of 1676 live births at the Chittagong Medical College Hospital constituted the study sample, and this showed a high correlation between mid-arm circumference and birth weight (r=0.792, p<0·000). A mid-arm circumference of <9·0 cm had the best sensitivity and specificity for identifying newborns with a birth weight of less than 2500 g. These neonates were followed up to record neonatal deaths. Neonatal mortality showed an inverse relation with mid-arm circumference. A mid-arm circumference of <9·0 cm and a birth weight of <2500 g were equally useful in predicting neonatal outcome. Mid-arm circumference is a simple, quick and reliable indicator for predicting low birth weight and neonatal outcome, and can be easily measured by medical practitioners and traditional birth attendants (TBAs) in the community of developing countries like Bangladesh.
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Sarker, Bidhan Krishna, Musfikur Rahman, Tawhidur Rahman, Jahangir Hossain, Laura Reichenbach, and Dipak Kumar Mitra. "Reasons for Preference of Home Delivery with Traditional Birth Attendants (TBAs) in Rural Bangladesh: A Qualitative Exploration." PLOS ONE 11, no. 1 (January 5, 2016): e0146161. http://dx.doi.org/10.1371/journal.pone.0146161.
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Austad, Kirsten, Michel Juarez, Hannah Shryer, Cristina Moratoya, and Peter Rohloff. "Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala." BMJ Quality & Safety 29, no. 2 (November 2, 2019): 169–78. http://dx.doi.org/10.1136/bmjqs-2019-009524.
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BackgroundMany maternal and perinatal deaths in low-resource settings are preventable. Inadequate access to timely, quality care in maternity facilities drives poor outcomes, especially where women deliver at home with traditional birth attendants (TBA). Yet few solutions exist to support TBA-initiated referrals or address reasons patients frequently refuse facility care, such as disrespectful and abusive treatment. We hypothesised that deploying accompaniers—obstetric care navigators (OCN)—trained to provide integrated patient support would facilitate referrals from TBAs to public hospitals.MethodsThis project built on an existing collaboration with 41 TBAs who serve indigenous Maya villages in Guatemala’s Western Highlands, which provided baseline data for comparison. When TBAs detected pregnancy complications, families were offered OCN referral support. Implementation was guided by bimonthly meetings of the interdisciplinary quality improvement team where the OCN role was iteratively tailored. The primary process outcomes were referral volume, proportion of births receiving facility referral, and referral success rate, which were analysed using statistical process control methods.ResultsOver the 12-month pilot, TBAs attended 847 births. The median referral volume rose from 14 to 27.5, meeting criteria for special cause variation, without a decline in success rate. The proportion of births receiving facility-level care increased from 24±6% to 62±20% after OCN implementation. Hypertensive disorders of pregnancy and prolonged labour were the most common referral indications. The OCN role evolved to include a number of tasks, such as expediting emergency transportation and providing doula-like labour support.ConclusionsOCN accompaniment increased the proportion of births under TBA care that received facility-level obstetric care. Results from this of obstetric care navigation suggest it is a feasible, patient-centred intervention to improve maternity care.
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Abdul, I. F., and S. M. Belgore. "Integration of traditional birth attendants (TBAs) into modern family planning services in 2 local government areas in Nigeria." International Journal of Gynecology & Obstetrics 70 (2000): D94. http://dx.doi.org/10.1016/s0020-7292(00)84453-7.
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Muchabveyo, Brenda, and Jimoh Amzat. "Medical Pluralism and Cultural Practices Associated with Umbilical Cord-Care in Rural Communities in Zimbabwe." Nigerian Journal of Sociology and Anthropology 20, no. 2 (December 31, 2022): 1–18. http://dx.doi.org/10.36108/njsa/2202.02.0210.
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This study explores how Traditional Birth Attendants (TBAs) in rural Zimbabwe care for babies’ umbilical cords, examining cultural practices associated with umbilical cord care. This study relies on a qualitative interpretive approach, guided by symbolic interactionist theory, involving 16 Key Informant Interviews (KIIs). The respondents were de jure (trained) and de facto (untrained) TBAs in Mawadza village in Mutasa District in Manicaland, Zimbabwe. The data from the KIIs were analysed using the framework analysis method. Umbilical cord care is embedded in cultural practices and symbolic meanings. There are various local substances, such as cooking oil, petroleum jelly, local herbs, mothers’ breast milk and vaginal discharge as well as pet (cat and chicken) dung, used for cord care. Many of the substances are harmful and associated with a high risk of child morbidity and mortality in the study area. Only a few TBAs revealed that they used bio-medically recommended substances. The finding suggests that the risks associated with harmful umbilical cord care methods are high in the study communities. This points to the need to strengthen concerted initiatives to improve universal access to modern postnatal healthcare to reduce neonatal mortality..
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Fretes, Elzina De, Hardi Warsono, and Ayun Sriatmi. "Analisis Pelaksanaan Program Kemitraan Bidan dan Dukun Ditinjau Dari Aspek Input, Proses dan Output di Wilayah Dinas Kesehatan Kabupaten Fakfak Provinsi Papua Barat." Jurnal Manajemen Kesehatan Indonesia 4, no. 3 (December 1, 2016): 163–68. http://dx.doi.org/10.14710/jmki.4.3.2016.163-168.
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Number of midwives in Fakfak District in 2012 was 108 persons. Number of Traditional Birth Attendants (TBAs) was 191 persons consisted of 79 (41%) trained TBAs and 112 (59%) untrained TBAs. The TBAs had an important role in delivery process because number of them was higher than number of midwives. Therefore, coverage of delivery process helped by health workers had not achieved the target. This research aimed to analyze the implementation of the partnership program between midwives and TBAs viewed from the aspects of input, process, and output at Fakfak District Health Office. This was qualitative research with descriptive-explorative approach by conducting indepth interview. Subjects were midwives and TBAs who had been partnering. Data were analysed using a content analysis. The input aspect showed that: 1) Implementers, midwives and TBAs only knew partnership in helping delivery; 2) Specific allocation funds for the program was not available. The funds was from Operational Support for Health but it was still not sufficient; 3) Specific means for the program was not available. The current means is from health center and village polyclinic but it is still limited. Furthermore, the process aspect revealed that: 1) Program planning, midwives and TBAs collected data of pregnant women, maternal, postpartum women, and number of TBAs; 2) The implementation was not good because midwives were not available when needed by TBAs and there was difficult to access. Socialization for cross-program (community leaders and religious leaders) and internship for TBAs had not been done yet due to insufficient fund; 3) Recording and reporting especially about partnership activities had not been done yet and only used a form on a Maternal and Child Health report. Regarding the output aspect, as many as 195 (89%) from 219 TBAs had not been partnered. Coverage of K1, K4, and delivery process helped by health workers from 2011 to 2012 decreased gradually. As a suggestion, District Health Office and Health Center need to maintain partnership by recruiting midwives, providing means, allocating fund, socializing to community leaders, and funding TBAs’ daughter or grandchild to study midwifery.
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Nyaaba, Gertrude N., Atinuke O. Olaleye, Mary O. Obiyan, Oladapo Walker, and Dilly O. C. Anumba. "A socio-ecological approach to understanding the factors influencing the uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in South-Western Nigeria." PLOS ONE 16, no. 3 (March 15, 2021): e0248412. http://dx.doi.org/10.1371/journal.pone.0248412.
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Malaria in pregnancy (MiP) remains a key cause of poor maternal and neonatal health outcomes, particularly in the African region. Two strategies globally promoted to address MiP require pregnant women in malaria-endemic regions to sleep under insecticide-treated bed nets (ITNs) and take at least three doses of intermittent preventive treatment (IPTp) during pregnancy. Yet, several multilevel factors influence the effective uptake of these strategies. This study explored the factors for the poor uptake of IPTp and use of ITNs in lower socio-economic communities in Nigeria. We conducted semi-structured interviews (SSI) and focus group discussions (FGD) with a total of 201 key stakeholders in six communities in Ogun State, South-Western Nigeria. Twelve SSIs were conducted with traditional birth attendants (TBAs), faith-based birth attendants and healthcare providers operating in public health facilities. Community leaders (7), pregnant women (30) and 20 caregivers were individually interviewed. Sixteen FGDs were conducted with multi- and first-time pregnant women grouped by location and pregnancy experiences. A thematic approach was used for data analysis. At the individual and social levels, there is a high general awareness of MiP, its consequences and ITNs but low awareness of IPTp, with type of antenatal care (ANC) provider being a key factor influencing access to IPTp. The choice of ANC provider, which facilitates access to IPTp and ITNs, is influenced by the experiences of women, relatives and friends, as well as the attitudes of ANC providers and community perceptions of the type of ANC providers. Concurrent use of multiple ANC providers and ANC providers’ relationships further influence acceptability and coverage for IPTp and ITN use. At the health sector level, there is low awareness about preventive malarial strategies including IPTp among TBAs and faith-based birth attendants, in contrast to high IPTp awareness among public healthcare providers. The findings highlight several factors that influence the utilisation of IPTp services and call for greater synergy and collaboration between the three groups of healthcare providers towards enhancing access to and acceptability of IPTp for improving maternal and child outcomes.
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U, SulaymanHajaratu, and AdajiSunday E. "Integration of traditional birth attendants (TBAs) into the health sector for improving maternal health in Nigeria: a systematic review." Sub-Saharan African Journal of Medicine 6, no. 2 (2019): 55. http://dx.doi.org/10.4103/ssajm.ssajm_25_17.
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Egharevba, MD, MPH, Johnbull, Jennifer R. Pharr, PhD, Brian Van Wyk, PhD, and Echezona E. Ezeanolue, MD, MPH. "Factors Influencing the Choice of Child Delivery Location among Women Attending Antenatal Care Services and Immunization Clinic in Southeastern Nigeria." International Journal of MCH and AIDS (IJMA) 6, no. 1 (June 25, 2017): 82. http://dx.doi.org/10.21106/ijma.213.
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Background and Objective: In Nigeria, most deliveries take place at home or with traditional birth attendants (TBAs). This study examined the factors that influenced or determined utilization of healthcare facility delivery services among women who attended antenatal care (ANC) services.Methods: A cross-sectional survey was conducted with 220 women who registered for ANC at a hospital and delivered within 18 months. Associations between independent variables and choice of healthcare facility delivery were analyzed. Multiple logistic regression was also used to identify the predictors of choice of delivery among women.Results: Of the 220 women who registered for ANC, 75% delivered at a healthcare facility while 15% delivered with a TBA or at home. In the final model, number of children, having planned to deliver at a hospital, labor occurring at night, and labor allowing time for transportation were significant predictors of child delivery location among the women.Conclusion and Global Health Implications: Utilization of the health facilities for childbirth may increase if pregnant women are encouraged to book early for ANC and if during ANC, pregnant women were counseled to detect labor signs early. In addition to focused and intensified counseling for women with more children, support should be provided that includes financial provisions for transportation to the healthcare facility.Key words: Delivery Location • Pregnant Women • Maternal Utilization • Healthcare Facility Delivery • Skilled Birth Attendants • Traditional Birth Attendants (TBA) • Antenatal Care Services (ANC) • NigeriaCopyright © 2017 Egharevba et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Kathirvel, Soundappan. "Divergent Approaches to Health-related Behavior Change: Pampering under NACP vs Persecution under RCH II." Journal of Postgraduate Medicine, Education and Research 47, no. 3 (2013): 148–49. http://dx.doi.org/10.5005/jp-journals-10028-1073.
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ABSTRACT Reproductive and Child Health Program II (RCH II) is essentially the largest program within the gamut of the National Rural Health Mission (NRHM) in India which aims to improve the maternal and child health indicators of the country. The program has evolved through various strategies and witnessed major policy changes that range from training traditional birth attendants (TBAs) to targeting 100% institutional deliveries. The TBAs who were earlier encouraged have almost eclipsed into extinction in the movement toward abolishing the practice of home deliveries. A contrasting scenario is observed in the strategies adopted under the NACP (National AIDS Control Program) like condom promotion and needle exchange which attempt to make the risky behavior safer. Applying the same rationale of NACP to RCH, one can justify the earlier practice of training TBAs and providing them with sterile kits to make home deliveries safer. While different strokes are required to solve different problems a difference in the fundamental ideology of two major National Health Programs has to be justified with solid evidence base. How to cite this article Jeyashree K, Kathirvel S, Singh A. Divergent Approaches to Health-related Behavior Change: Pampering under NACP vs Persecution under RCH II J Postgrad Med Edu Res 2013;47(3):148-149.
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Gitome, Josephine, Newton Kahumbi, Muthoni Mainah, Jacqueline M. Kituku, Teresa Mwoma, Priscilla Ndegwa, and Jennifer Bagelman. "Female Genital Mutilation: A Religio-Cultural Sensitive Issue Determining Maternal Health Care Choices among Somali Women in Dadaab Refugee Camp, Kenya." European Scientific Journal, ESJ 8 (August 23, 2022): 209. http://dx.doi.org/10.19044/esj.2022.v8n0p209.
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The paper addresses Kenya’s development challenges in maternal health care with a specific focus on the impact of traditional birth attendants (TBAs) and female genital mutilation (FGM) among the refugees. It purposes to achieve four objectives: to discuss the persistence of FGM among Somali women in Ifo Refugee Camp, to establish the hospital process of providing maternal health care to mothers who have gone through FGM; find out the level of preparedness of the midwives to handle mothers with religio- cultural concerns such as prayer, non-involvement of male nurses and how the practice of FGM contributes to the preference of TBA by mothers. The study assumes that midwives’ training may not have effectively addressed FGM, a social-cultural sensitive issue affecting childbirth and care. Secondly, the specific support of midwives in refugee camps contexts remains limited. A qualitative research approach was used in the study, involving Snowballing sampling method, in-depth interviews, and focus group discussions (FGDs). These methods brought out pertinent issues that make TBAs the preferential option for some mothers in spite of the presence of level 4 category hospitals in the refugee camps. In case of birth complications, the mother’s choice for TBA delays the family’s decision to take her to the hospital and for health care workers to save mother and child. The shortage of midwives and the presence of male midwives in hospitals make some Somali mothers seek assistance from TBAs. There is a need to contextualize midwifery training by enhancing the curriculum with evidence-based /mother-centered skills.
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Fleming, Jennifer R. "What in the world is being done about TBAs? an overview of international and national attitudes to traditional birth attendants." Midwifery 10, no. 3 (September 1994): 142–47. http://dx.doi.org/10.1016/0266-6138(94)90044-2.
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Mwangi, Julius K., and Anne M. Pertet. "Mothers’ knowledge, attitude and self efficacy of clean home birthing practices in a rural community of Kenya." International Journal Of Community Medicine And Public Health 5, no. 5 (April 24, 2018): 1730. http://dx.doi.org/10.18203/2394-6040.ijcmph20181678.
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Background: In Kenya, approximately 38% of the children are delivered at home. Thus, hygienic practices during home birthing are essential in the prevention of infections to the mother and baby as well as prevention of neonatal deaths. The purpose of our study was to establish mothers’ knowledge, attitude and self-efficacy of clean birthing which would help her influence the behaviour of those assisting her during child birth. We used a correlational, cross-sectional design to examine the relationships knowledge, attitude, and self-efficacy and clean birthing practices.Methods: We collected data using a structured questionnaire through face to face interviews in Olkalou sub-county, Nyandarua County, Kenya. They consisted of 374 mothers of reproductive who had delivered at home six months before the start of the study. Multi-stage sampling technique was used to select the study sample. Likert scale was used to assess attitude and self-efficacy.Results: Close to 2/3rd of the babies were delivered at home by friends, relatives, traditional birth attendants (TBAs) or self-delivered. Cleanliness during home birthing was sub-optimal. Clean home birthing was associated with mothers’ knowledge (odds ratio=1.70) and marital status (OR=2.9).Conclusions: Despite the advocacy on skilled birth attendants, women continue to deliver at home, thus the need to empower mothers with knowledge, positive attitudes and self-efficacy on clean home birthing to reduce infections during childbirth.
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Houy, Chandy, Sam Ol Ha, Margit Steinholt, Eystein Skjerve, and Hans Husum. "Delivery as Trauma: A Prospective Time-Cohort Study of Maternal and Perinatal Mortality in Rural Cambodia." Prehospital and Disaster Medicine 32, no. 2 (January 26, 2017): 180–86. http://dx.doi.org/10.1017/s1049023x1600145x.
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AbstractObjectiveThe majority of maternal and perinatal deaths are preventable, but still women and newborns die due to insufficient Basic Life Support in low-resource communities. Drawing on experiences from successful wartime trauma systems, a three-tier chain-of-survival model was introduced as a means to reduce rural maternal and perinatal mortality.MethodsA study area of 266 villages in landmine-infested Northwestern Cambodia were selected based on remoteness and poverty. The five-year intervention from 2005 through 2009 was carried out as a prospective study. The years of formation in 2005 and 2006 were used as a baseline cohort for comparisons with later annual cohorts. Non-professional and professional birth attendants at village level, rural health centers (HCs), and three hospitals were merged with an operational prehospital trauma system. Staff at all levels were trained in life support and emergency obstetrics.FindingsThe maternal mortality rate was reduced from a baseline level of 0.73% to 0.12% in the year 2009 (95% CI Diff, 0.27-0.98; P<.01). The main reduction was observed in deliveries at village level assisted by traditional birth attendants (TBAs). There was a significant reduction in perinatal mortality rate by year from a baseline level at 3.5% to 1.0% in the year 2009 (95% CI Diff, 0.02-0.03; P<.01). Adjusting maternal and perinatal mortality rates for risk factors, the changes by time cohort remained a significant explanatory variable in the regression model.ConclusionThe results correspond to experiences from modern prehospital trauma systems: Basic Life Support reduces maternal and perinatal death if provided early. Trained TBAs are effective if well-integrated in maternal health programs.HouyC,HaSO,SteinholtM,SkjerveE,HusumH.Delivery as trauma: a prospective time-cohort study of maternal and perinatal mortality in rural Cambodia.Prehosp Disaster Med.2017;32(2):180–186.
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Barclay, Lesley, Yu Gao, Caroline Homer, and Kayli Wild. "Unintended Consequences of Policy Decisions to Reduce Maternal Mortality in the Asia Pacific." International Journal of Childbirth 2, no. 4 (2012): 222–29. http://dx.doi.org/10.1891/0886-6708.2.4.222.
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OBJECTIVES:To describe the role of midwives and maternity care in three low resource settings and to challenge some policy options introduced to reduce maternal mortality for women residing in rural and remote areas.APPROACH:A series of retrospective analyses were undertaken drawing on work the authors have conducted in rural and remote China, Timor-Leste, and Samoa over the past 5–20 years. Sources include our own empirical research, grey literature, as well as published secondary sources.FINDINGS:In China, hospital birthing is promoted as a major strategy in reducing maternal mortality. This has greatly increased financial burdens for women and their families. In Samoa, traditional birth attendants (TBAs) are integrated into Samoa’s health system alongside midwives and other health professionals, and they play a critical role in providing support for pregnant and birthing women. In Timor-Leste, the government has moved away from training TBAs and has shifted the focus from skilled attendance to facility-based delivery. Evaluation of a national maternity waiting home strategy, designed to improve access to facility-based delivery, did not improve access for women in remote areas.CONCLUSIONS:Low-income countries need to be cautious when adopting global solutions, such as facility-based delivery, to tackle maternal deaths. Women-centered and cost-effective care should be provided locally. Culturally compatible maternity care can be achieved in concert with safety and emergency obstetric care. Midwives can create the bridges between social and professional systems that allow this to happen.