“…Goldman and Glei [41] initiated integration with registration of TBAs and followed up with inclusion at monthly health facility meetings First: delay in deciding to seek care TBA training and supervision for referral of all pregnant women, or early recognition and referral of complications SBAs have been increasingly favored with training and supervision, focusing on facility-delivery promotion [44], risk assessments [37], and referral of complications [42], with SBAs overseeing TBA-attended complicated deliveries Collaboration skills for health workers to encourage TBAs to integrate, give a sense of inclusion, and encourage women to choose SBAs Culturally appropriate SBAs and services-including manner, care, language-became respected by TBAs and well utilized [48]. Improved relationships with SBAs led TBAs to escort women and support them through birth at facilities [52] Communication systems enabling TBAs to call SBA, assess risk, and detect and manage complications Referral cards create communication between TBAs and SBAs for case management throughout pregnancy [57], ensuring women see SBAs as required Role definition for TBAs for referrals, community health activities, and promotion of services TBA roles include distributing vouchers, referring women (for which they may be paid) [59], providing maternal health, and nutrition education and services [46,60,66] Second: delay in accessing the required level of care…”