Domiciliary midwifery care, including traditional birth attendants

Aletor, G. A.

doi:10.1007/978-1-349-05386-5_7

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…Some argue that TBAs are often closer and more influential within their communities than formally trained health care staff because they usually speak the local language, are more affordable, provide essential social support during childbirth, and have the trust and respect of local community members. [16][17][18][19] In resource-limited settings, TBAs already attend to a large portion of births and could be used to further expand the availability of certain PMTCT services to mothers and children in need. 20 Our pilot study demonstrates that point-of-care testing and NVP dosing in the home by TBAs are feasible and adequately capture the large number of women who give birth outside health facilities.…”

Section: Discussionmentioning

confidence: 99%

“…Traditional birth attendants have been successfully assisting mothers to give birth to children in sub‐Saharan Africa for millennia. Some argue that TBAs are often closer and more influential within their communities than formally trained health care staff because they usually speak the local language, are more affordable, provide essential social support during childbirth, and have the trust and respect of local community members 16‐19 . In resource‐limited settings, TBAs already attend to a large portion of births and could be used to further expand the availability of certain PMTCT services to mothers and children in need …”

Section: Discussionmentioning

confidence: 99%

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In‐Home HIV Testing and Nevirapine Dosing by Traditional Birth Attendants in Rural Zambia: A Feasibility Study

Brennan¹,

Thea²,

Semrau³

et al. 2013

J Midwife Womens Health

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

In‐Home HIV Testing and Nevirapine Dosing by Traditional Birth Attendants in Rural Zambia: A Feasibility Study

Brennan¹,

Thea²,

Semrau³

et al. 2013

J Midwife Womens Health

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“…In the region, traditional health practitioners (THPs) were often old men and had the most information on the medicinal use of plants, minerals and animals to cure chronic diseases, while midwives were experienced older women who were familiar with pregnancy problems and treated them with herbal medicines. These details have also been described elsewhere in the literature [55][56][57][58]. Pastoralists also had significant ethnomedicinal information (9.18 species; 8.62 uses), as nomadic pastoralist communities not only have direct experience with the use of plants but are also important collectors of medicinal plants, especially at higher altitudes, as also reported from Mustang, Nepal [59].…”

Section: Traditional Health Systemsmentioning

confidence: 60%

Ethnomedicinal Plants and Herbal Preparations Used by Rural Communities in Tehsil Hajira (Poonch District of Azad Kashmir, Pakistan)

Jabeen,

Amjad,

Ahmad

et al. 2024

Plants

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The present study emphasizes the importance of documenting ethnomedicinal plants and herbal practices of the local rural communities of Tehsil Hajira (Pakistan). The aim was to document, explore and quantify the traditional ethnomedicinal knowledge. Ethnobotanical data were collected using semi-structured questionnaires and analyzed using various quantitative indices. The results showed that 144 medicinal plant species from 70 families and 128 genera play an important role in herbal preparations. The most common type of preparation was powder (19.0%), followed by paste (16.7%), aqueous extract (15.7%), decoction (14.7%) and juice (11.0%). Fragaria nubicola (0.94) and Viola canescens (0.93) had the highest relative frequency of mention (RFC), while Berberis lycium (1.22) and Fragaria nubicola (1.18) had the highest use value (UV). Geranium wallichianum (85.5), Ligustrum lucidum (83) and Indigofera heterantha (71.5) were the most important species in the study area with the highest relative importance (RI) value. The diseases treated were categorized into 17 classes, with diseases of the digestive system and liver having the highest Informant Consensus Factor (ICF) value, followed by diseases of the oropharynx and musculoskeletal system. Important plants mentioned for the treatment of various diseases of the gastrointestinal tract are Zanthoxylum alatum, Berberis lycium, Mentha longifolia, Punica granatum, Rubus ellipticus and Viola canescens. New applications of rarely documented plants from this area are: Oxalis corniculata paste of the whole plant to treat vitiligo, Carthamus tinctorius flowers to treat chicken pox, Dioscorea deltoidea tuber powder to treat productive cough, Inula cappa root decoction to treat miscarriage, Habenaria digitata tuber juice for the treatment of fever, Viola canescens leaves and flowers for the treatment of sore throat and Achillea millefolium root and leaf juice for the treatment of pneumonia. These plants may contain interesting biochemical compounds and should be subjected to further pharmacological studies to develop new drugs. Traditional medicinal knowledge in the area under study is mainly limited to the elderly, traditional healers and midwives. Therefore, resource conservation strategies and future pharmacological studies are strongly recommended.

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“We have been working overnight without sleeping”: traditional birth attendants’ practices and perceptions of post-partum care services in rural Tanzania

Mahiti

Kiwara

Mbekenga

et al. 2015

BMC Pregnancy Childbirth

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BackgroundIn many low-income countries, formal post-partum care utilization is much lower than that of skilled delivery and antenatal care. While Traditional Birth Attendants (TBAs) might play a role in post-partum care, research exploring their attitudes and practices during this period is scarce. Therefore, the aim of this study was to explore TBAs’ practices and perceptions in post-partum care in rural Tanzania.MethodsQualitative in-depth interview data were collected from eight untrained and three trained TBAs. Additionally, five multiparous women who were clients of untrained TBAs were also interviewed. Interviews were conducted in February 2013. Data were digitally recorded and transcribed verbatim. Qualitative content analysis was used to analyze data.ResultsOur study found that TBAs take care of women during post-partum with rituals appreciated by women. They report lacking formal post-partum care training, which makes them ill-equipped to detect and handle post-partum complications. Despite their lack of preparation, they try to provide care for some post-partum complications which could put the health of the woman at risk. TBAs perceive that utilization of hospital-based post-partum services among women was only important for the baby and for managing complications which they cannot handle. They are poorly linked with the health system.ConclusionsThis study found that the TBAs conducted close follow-ups and some of their practices were appreciated by women. However, the fact that they were trying to manage certain post-partum complications can put women at risk. These findings point out the need to enhance the communication between TBAs and the formal health system and to increase the quality of the TBA services, especially in terms of prompt referral, through provision of training, mentoring, monitoring and supervision of the TBA services.

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Domiciliary midwifery care, including traditional birth attendants

Cited by 5 publications

References 2 publications

In‐Home HIV Testing and Nevirapine Dosing by Traditional Birth Attendants in Rural Zambia: A Feasibility Study

In‐Home HIV Testing and Nevirapine Dosing by Traditional Birth Attendants in Rural Zambia: A Feasibility Study

Ethnomedicinal Plants and Herbal Preparations Used by Rural Communities in Tehsil Hajira (Poonch District of Azad Kashmir, Pakistan)

“We have been working overnight without sleeping”: traditional birth attendants’ practices and perceptions of post-partum care services in rural Tanzania

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