Impact of Training of Traditional Birth Attendants on Maternal Health Care: A Community-based Study

Satishchandra, D. M.; Naik, Vijaya A.; Wantamutte, A. S.; Mallapur, M D; Sangolli, H. N.

doi:10.1007/s13224-013-0457-4

Cited by 10 publications

(9 citation statements)

References 3 publications

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“…Despite these challenges of the audio-visual workshop intervention, its effect on knowledge was statistically signi cant across the zones and in the total population of TBAs. This further emphasizes that, effective training of TBAs with appropriate materials can improve knowledge as similarly reported in other studies with training interventions, where knowledge had resulted in improved maternal and neonatal outcomes [12,17,18,21].…”

Section: Discussionsupporting

confidence: 72%

“…The training of TBAs in the conventional maternal health-care delivery systems, has shown to increase the utilization of health facility's prenatal, antenatal and postnatal care services which invariably improves maternal and neonatal health [12]. Empowerment, a consequence of effective training is an intentional process, centered in local communities involving active participation, critical re ection, awareness, understanding and control over decisions [13].…”

Section: Introductionmentioning

confidence: 99%

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Empowering Traditional Birth Attendants as Agents of Maternal and Neonatal Immunization Uptake in Nigeria: a repeated measures design.

Iwu

Uwakwe

Oluoha

et al. 2020

Preprint

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Background: Adequate immunization coverage in rural communities remain a challenge in Nigeria. Traditional birth attendants (TBAs) form an integral part of the social, cultural and religious fabric in most rural communities in Nigeria. Despite their limitations in handling the complications of childbirth, TBAs are widely accepted and patronized, especially in rural areas. The objectives of the project were to empower TBAs and assess the use of a culturally adapted audio-visual workshop intervention to change their knowledge, attitude and willingness to promote immunization uptake. Methods: A repeated-measures design that used a convenience sampling technique to select 90 TBAs from the three geopolitical zones of Imo State, Nigeria. The TBAs were engaged through a culturally adapted audio-visual workshop. Data were collected before and immediately after intervention using a pretested questionnaire. Chi square test was done to determine any significant association with the zone of practice and paired sample t-test analysis to determine any significant pre and post intervention change. Level of significance was set at p ≤ ·05.Results: More than half of the TBAs had at most, a secondary level of education (54·4 %). The average length of time they practiced as TBAs was 16 years with an average of ten birth deliveries per month. After the intervention, all the respondents (100%) reported a willingness to always promote immunization uptake and also, there was a statistically significant increase in Knowledge (p<·000). Similarly, the level of knowledge in the post intervention period appeared to be significantly associated with the zone of practice (p= ·027). Conclusion: The workshop intervention empowered the TBAs irrespective of their zones of residence by successfully improving their knowledge, though at varying levels; and consequently, their willingness to always promote immunization uptake.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Empowering Traditional Birth Attendants as Agents of Maternal and Neonatal Immunization Uptake in Nigeria: a repeated measures design.

Iwu

Uwakwe

Oluoha

et al. 2020

Preprint

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“…While the WHO has specifically excluded TBAs from their recommendation for skilled attendance at birth, they can play a valuable role where skilled care is available but underutilized, by serving as liaisons between rural women and health providers due to their existing social and cultural importance [23]. Training TBAs to provide prenatal and postpartum care, to recognize warning signs of pregnancy complications during delivery, and when to refer a woman to a health provider has the potential to improve maternal and newborn health outcomes in Nepal [24].…”

Section: Discussionmentioning

confidence: 99%

The quality of skilled birth attendants in Nepal: High aspirations and ground realities

et al. 2019

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Background While Nepal’s maternal mortality ratio (MMR) has improved overall, the proportion of maternal deaths occurring in health facilities and attended to by skilled birth attendants (SBAs), has nearly doubled over 12 years. Although there are numerous socioeconomic, environmental and other factors at play, one possible explanation for this discrepancy between utilization of skilled maternal care services and birth outcomes lies in the quality of care being provided by SBAs. The objective of this study is to determine how competent SBAs are after training, across multiple settings and facility types in Nepal. Methods We used a quantitative cross-sectional analysis to evaluate a sample of 511 SBAs, all female, from 276 sub-health posts (SHP), health posts (HP), primary healthcare centers (PHC), and district and regional hospitals in the mountain, hill, and terai districts of Nepal. Any SBA actively employed by one of these health facilities was included. SBAs who had received less than three months of training were excluded. Outcomes were measured using SBAs’ scores on a standardized knowledge assessment, clinical skills assessment, and monthly delivery volume, particularly as it compared with the WHO’s recommendation for minimum monthly volume to maintain competence. Results SBAs on average exhibit a deficiency of both knowledge and clinical skills, failing to meet even the 80-percent standard that is required to pass training (knowledge: 75%, standard deviation 12%; clinical skills: 48%, standard deviation 15%). Moreover, SBAs are conducting very few deliveries, with only 7 percent (38/511) meeting the minimal volume recommended to maintain competence by the WHO, and a substantial fraction (70/511, 14%) performing an average of no monthly deliveries at all. Conclusions Taken together, our findings suggest that while countries like Nepal have made important investments in SBA programs, these healthcare workers are failing to receive either effective training or sufficient practice to stay clinically competent and knowledgeable in the field. This could in part explain why institutional deliveries have generally failed to deliver better outcomes for pregnant women and their babies.

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“…[ 23 ] A study conducted in India among trained and untrained TBAs found that 64% of untrained TBAs felt it was important for women to receive antenatal care services (ANC). [ 24 ] Additionally, over 80% of trained TBAs and 60% of untrained TBAs in the study expressed that safe delivery practices will reduce maternal and infant deaths.…”

Section: Resultsmentioning

confidence: 99%

Progresses and Challenges of Utilizing Traditional Birth Attendants in Maternal and Child Health in Nigeria

et al. 2018

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Background and Objectives:Despite advances in modern healthcare, Traditional Birth Attendants (TBA) have continued to be heavily utilized in rural communities in Nigeria. Major disparities in maternal health care in Nigeria remain present despite the goal of the United Nations Millennium Development Goal to reduce maternal mortality by 2015. The objective of this study is to review the contribution of TBAs in the birthing process in Nigeria, and to examine barriers and opportunities for utilizing TBAs in improving maternal and child health outcomes in Nigeria.Methods:A literature review of two major electronic databases was conducted using the PRISMA framework to identify English language studies conducted between 2006 and 2016. Inclusion criteria included articles that examined the role of traditional birth attendants as a factor influencing maternal health in Nigeria.Results:The value of TBAs has not been fully examined as few studies have aimed to examine its potential role in reducing maternal mortality with proper training. Eight manuscripts that were examined highlighted the role of TBAs in maternal health including outcomes of utilizing trained versus non-trained TBAs.Conclusion and Global Health Implications:Specific areas of training for TBAs that were identified and recommended in review including: recognizing delivery complications, community support for TBA practices through policy, evaluation of TBA training programs and increasing collaboration between healthcare facilities and TBAs. Policies focused on improving access to health services and importantly, formal health education training to TBAs, are required to improve maternal health outcomes and underserved communities.

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Impact of Training of Traditional Birth Attendants on Maternal Health Care: A Community-based Study

Abstract: Training programme for TBAs with regular follow-ups in the resource-poor setting will not only improve the quality of maternal care but also reduce perinatal deaths.

Cited by 10 publications

References 3 publications

Empowering Traditional Birth Attendants as Agents of Maternal and Neonatal Immunization Uptake in Nigeria: a repeated measures design.

Empowering Traditional Birth Attendants as Agents of Maternal and Neonatal Immunization Uptake in Nigeria: a repeated measures design.

The quality of skilled birth attendants in Nepal: High aspirations and ground realities

Progresses and Challenges of Utilizing Traditional Birth Attendants in Maternal and Child Health in Nigeria

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