How the integration of traditional birth attendants with formal health systems can increase skilled birth attendance

Byrne, Abbey; Morgan, Alison

doi:10.1016/j.ijgo.2011.06.019

Cited by 103 publications

(108 citation statements)

References 46 publications

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“…Today that number has been reduced dramatically, with a 66% increase in SBAs. However, approximately 30 million women worldwide are still using TBAs for delivery 7 .…”

Section: Introductionmentioning

confidence: 99%

Association of type of birth attendant and place of delivery on infant mortality in sub-Saharan Africa

Stanley

Huber²,

Laditka

et al. 2016

Afr H. Sci.

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Objective: To examine the association between type of birth attendant and place of delivery, and infant mortality (IM). Methods: This cross-sectional study used self-reported data from the Demographic Health Surveys for women in Ghana, Kenya, and Sierra Leone. Logistic regression estimated odds ratios (ORs) and95% confidence intervals. Results: In Ghana and Sierra Leone, odds of IM were higher for women who delivered at a health facility versus women who delivered at a household residence (OR=3.18, 95% confidence interval, CI: 1.29-7.83, p=0.01 and OR=1.62, 95% CI: 1.15-2.28, p=0.01, respectively). Compared to the use of health professionals, the use of birth attendants for assistance with delivery was not significantly associated with IM for women in Ghana or Sierra Leone (OR=2.17, 95% CI: 0.83-5.69, p=0.12 and OR=1.25, 95% CI: 0.92-1.70, p=0.15, respectively). In Kenya, odds of IM, though nonsignificant, were lower for women who used birth attendants than those who used health professionals to assist with delivery (OR=0.85, 95% CI: 0.51-1.41, p=0.46), and higher with delivery at a health facility versus a household residence (OR=1.29, 95% CI: 0.81-2.03, p=0.28). Conclusions: Women in Ghana and Sierra Leone who delivered at a health facility had statistically significant increased odds of IM. Birth attendant type-IM associations were not statistically significant.Future research should consider culturally-sensitive interventions to improve maternal health and help reduce IM.

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“…Today that number has been reduced dramatically, with a 66% increase in SBAs. However, approximately 30 million women worldwide are still using TBAs for delivery 7 .…”

Section: Introductionmentioning

confidence: 99%

Association of type of birth attendant and place of delivery on infant mortality in sub-Saharan Africa

Stanley

Huber²,

Laditka

et al. 2016

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…More than 40 HPV types specifically infect the anogenital tract, these types can further be separated based on their oncogenic potential, and available HPV tests are able to identify 14 of these designated high-risk HPV types (9; Table 1). 16,18,31,33,35,39,45,51,52,56,58,59 possibly carcinogenic 68 probably carcinogenic 26,53,66,67,70,73,82 tested for in available detection systems 16,18,31,33,35,9,45,51,52,56,58,59,66,11,40,42,43,44,54,61,72,81,89 Source: Erickson BK et al (9) Except for a low number of e.g. iatrogenic infections, only sexually active women will acquire HPV infections, and the rate of acquisition correlates with the number of sexual partners (10).…”

Section: Resultsmentioning

confidence: 99%

“…Family members, traditional birth attendants, community health workers or formally trained health staff like midwives deployed to the communities do play a role in different LMIC settings. [14][15][16][17][18]21,26,[60][61][62] They could assist in resuscitation, prevent and treat infections and support families to care for LBW and premature infants.…”

Section: Neonatal Care In the Communitymentioning

confidence: 99%

“…[14][15][16][17][18]21,26,[60][61][62][63][64] These new approaches which are covered by the term "community-based neonatology/newborn care" nowadays, can be divided into medical interventions, strategies directed towards changes in community behaviour and a mixture of both. 21,26,[62][63][64] In 1999, a large pioneering study by Bang and colleagues from Gadchiroli/India was the first to demonstrate that treatment of neonatal infections by village health workers in the community can significantly reduce neonatal mortality.…”

Section: Neonatal Care In the Communitymentioning

confidence: 99%

“…63,64 Thus this approach is a necessary and effective intermediate step in improving neonatal health in the community, but it must be accompanied by continuous efforts to link home deliveries with emergency and routine facility-based intra-partum and postnatal care, [73][74][75][76] to increase the number of births in health institutions and to provide high-quality care at these facilities. 2,[15][16][17][18]21,[24][25][26]28,41,44,45,61,62,74,76 …”

Section: Neonatal Care In the Communitymentioning

confidence: 99%

See 2 more Smart Citations

Maternal-child health

Groß¹,

Wydra²

2013

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Repositioning traditional birth attendants to provide improved maternal healthcare services in rural Ghana

Haruna

Kansanga

Bagah

2019

Health Planning & Management

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Summary Following the World Health Organization's recommendation for developing countries to discontinue the use of Traditional Birth Attendants (TBAs) in rural areas, the government of Ghana banned TBAs from offering maternal health care services. Since this ban, community‐level conflicts have intensified between TBAs, (who still see themselves as legitimate culturally mandated traditional midwives) and nurses. In this articles, we propose a partnership model for a sustainable resolution of these conflicts. This article emanates from the apparent ideological discontent between people from mainstream medical practice who advocate for the complete elimination of TBAs in the maternal health service space and individuals who argue for the inclusion of TBAs in the health sector given the shortage of skilled birth attendants and continued patronage of their services by rural women even in context where nurses are available. In the context of the longstanding manpower deficit in the health sector in Ghana, improving maternal healthcare in rural communities will require harnessing all locally available human resources. This cannot be achieved by “throwing out” a critical group of actors who have been involved in health‐care provision for many decades. We propose a win‐win approach that involve retraining of TBAs, partnership with health practitioners, and task shifting.

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How the integration of traditional birth attendants with formal health systems can increase skilled birth attendance

Abstract: The integration of TBAs with formal health systems increases skilled birth attendance. The greatest impact is seen when TBA integration is combined with complementary actions to overcome context-specific barriers to contact among SBAs, TBAs, and women.

Cited by 103 publications

References 46 publications

Association of type of birth attendant and place of delivery on infant mortality in sub-Saharan Africa

Association of type of birth attendant and place of delivery on infant mortality in sub-Saharan Africa

Maternal-child health

Repositioning traditional birth attendants to provide improved maternal healthcare services in rural Ghana

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