Cultural norms create a preference for traditional birth attendants and hinder health facility-based childbirth in Indonesia and Ethiopia: a qualitative inter-country study

Nasir, Sudirman; Kea, Aschenaki Zerihun; Steege, Rosalind; Limato, Ralalicia; Tumbelaka, Patricia; Datiko, Daniel Gemechu; Syafruddin, Syafruddin; Kok, Maryse; Ahmed, Rukhsana; Taegtmeyer, Miriam

doi:10.1080/14635240.2020.1719862

Cited by 4 publications

(3 citation statements)

References 26 publications

(35 reference statements)

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“…From FGD 1, for me, traditional birth attendants are mothers of pregnant and non-pregnant women because they are the decision-maker of the women regarding pregnancy plan, complication readiness, and preparedness but currently they reduce their help because of opposition in the local area. This is similar to the study conducted in a different part of African countries 3,5 Sub-theme 1.2 Assist labor and delivery About 5 women and 6 men in FGD 2 explain that traditional birth attendants like health professionals in assisting and delivery of the fetus, especially in remote areas. But some women may try without the skill they have, nally, the women and the child may die, so better give training for traditional birth attendants women.…”

Section: Data Analysis and Interpretationsupporting

confidence: 78%

“…If these TBAs could be taught rather than replaced, then the formal health care system would not need to exert time, money, and strategy in getting TBAs into these underserved places 2 . Close to community maternal health providers play an important role in bridging communities and health systems and their role in maternal health are particularly very vital for rural community 5,6 .…”

Section: Introductionmentioning

confidence: 99%

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The Continuation of Traditional Birth Attendances in the Remote Rural Communities without any Training and the Problem of Integration with Health Facilities in West Omo Zone 2021: Exploratory Qualitative Study

Wale¹,

Kassie²,

Girma³

et al. 2021

Preprint

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Introduction: Mothers in the rural community of Ethiopia prefer to give birth at home because most TBAs do not charge anything for deliveries and are willing to make house visits, which allow the mother privacy that many prefer. The shift toward training TBAs in developing countries, specifically those in Sub-Saharan Africa, is an important intervention that health care workers can utilize to increase the health of both mothers and children, so Assessing the role of traditional birth attendance in Feto-maternal care during pregnancy, childbirth, postnatal period and integration with health professionals in West Omo Zone will a great role for bringing out the endogenous experience to the scientific standards. Objective: To explore the role of traditional birth attendance in Feto-maternal care during pregnancy, childbirth, postnatal period, and integration with health professionals in West Omo Zone. Methods: A qualitative study will be employed by using individual in-depth interviews, focus group discussion, and key informant interviews. The individual in-depth interview and focus group discussion will be tape-recorded after verbal consent will be granted and finally translated and transcribed by the data collectors. Thematic analysis will be used to analyze the qualitative data based on emerging themes and sub-themes in line with the study objectives. Result: A total of 34 individuals such as 2 FGD (9 each group),6 in-depth interviews,10 key informants were used. The role of TBAs in remote areas of Ethiopia is very vital to save the life of women and the Childs. TBAs take care of the women during pregnancy labor and delivery as well in the post-partum period but with no formal integration with health facility and training.Conclusion: Locally demotion and punishment of the TBA, lack of formal relationship between TBAs and the health facility resulted in increasing Fetomaternal morbidity and mortality especially in remote areas of the country. Even if the traditional birth attendants always on the side of the women in the previous year currently they forced to stop their activity because of prohibited by the local judge and no motivation and training to improve the performance of TBA to trained traditional birth attendance.

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Section: Data Analysis and Interpretationsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

The Continuation of Traditional Birth Attendances in the Remote Rural Communities without any Training and the Problem of Integration with Health Facilities in West Omo Zone 2021: Exploratory Qualitative Study

Wale¹,

Kassie²,

Girma³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…If these TBAs could be trained, the formal health care system would not need to exert resources in these areas [ 7 ]. Moreover, their close relationship with the community they live in plays an important role in bridging communities and health care systems [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

The role of traditional birth attendants and problem of integration with health facilities in remote rural community of West Omo Zone 2021: exploratory qualitative study

Kassie

Wale

Girma

et al. 2022

BMC Pregnancy Childbirth

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Background Mothers in rural Ethiopian communities prefer giving birth at home. In developing countries, traditional birth attendants play an important role in reducing the maternal mortality rate. In Ethiopia, however, their role during pregnancy, childbirth, the postnatal period, and their integration with health professionals is not clearly defined. This study aimed to explore the role of traditional birth attendants in feto-maternal care during pregnancy, childbirth, and the postnatal period, and integration with health professionals in the West Omo Zone, southern Ethiopia. Methods A qualitative descriptive design was used with triangulation of methods and data sources. We conducted in-depth interviews with traditional birth attendants, key informant interviews with health care professionals and community or religious leaders, and two focus group discussions with multiparous pregnant women. Each interview and focus group discussion was tape-recorded and the data obtained were transcribed and translated into English for analysis. The analysis was done based on thematic analysis framework. Results Traditional birth attendants stated that they used herbal remedies to treat nausea and vomiting, decrease pain during labor, and increase pregnant women's desire to push. The absence of incentives for their work, shortage of logistics, and lack of training was mentioned as challenges to the continuity of their roles. All study participants explained the importance of training traditional birth attendants on maternal and child health in rural communities. However, health care professionals reported that few traditional birth attendants advised mothers about traditional practices such as milk tooth extraction and uvulectomy. Conclusion and recommendation Traditional birth attendants continued their roles despite the existing challenges. There was no integration between TBA and the formal health care system. The need for training traditional birth attendants has been emphasized by all study participants and its impact on reducing feto-maternal death was recognized by health care professionals. Therefore, the federal ministry of health should works better for the development of TBAs to scale up their skills across all regions in the country.

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Awareness of cultural practices by skilled birth attendants during pregnancy and birth in Kenya: An interpretive phenomenological study

Ngotie

Kaura

Mash

2022

International Journal of Africa Nursing Sciences

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Cultural norms create a preference for traditional birth attendants and hinder health facility-based childbirth in Indonesia and Ethiopia: a qualitative inter-country study

Cited by 4 publications

References 26 publications

The Continuation of Traditional Birth Attendances in the Remote Rural Communities without any Training and the Problem of Integration with Health Facilities in West Omo Zone 2021: Exploratory Qualitative Study

The Continuation of Traditional Birth Attendances in the Remote Rural Communities without any Training and the Problem of Integration with Health Facilities in West Omo Zone 2021: Exploratory Qualitative Study

The role of traditional birth attendants and problem of integration with health facilities in remote rural community of West Omo Zone 2021: exploratory qualitative study

Awareness of cultural practices by skilled birth attendants during pregnancy and birth in Kenya: An interpretive phenomenological study

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