Traditional birth attendants’ roles and homebirth choices in Ethiopia: A qualitative study

Gurara, Mekdes Kondale; Muyldermans, Kristel; Jacquemyn, Yves; Geertruyden, Jean-Pierre Van; Draulans, Veerle

doi:10.1016/j.wombi.2019.09.004

Cited by 38 publications

(36 citation statements)

References 24 publications

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“…Midwives are obliged to facilitate continuity of care through follow-up and support of women, neonates and family during pregnancy, labour and the post-natal period (SANC 2013). Therefore, midwives are responsible for their attitudinal changes, in order to initiate therapeutic working relationships with the TBAs, which was recommend by many researchers worldwide (Adatara et al 2018;Amutah et al 2017;Byrne & Morgan 2011;Gurara et al 2019;Miller & Smith 2017;Reeve et al 2016;WHO 2015). As a result, active involvement of TBAs might be ensured because midwives will be able to advise TBAs about danger signs during the post-natal period that need urgent referral.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the accessibility and affordability of maternal and neonatal care services, some women still prefer assistance of TBAs during pregnancy, labour, childbirth and puerperium (Chi & Urdal 2018;Mulenga et al 2018;Ngomane & Mulaudzi 2012). The preference and choice of maternity care by pregnant women is influenced by factors such as cultural beliefs, long distance to the nearest health facilities, disrespectful and abusive maternity care and friendliness of TBAs (Adatara et al 2018;Fantaye, Gunawardena & Yaya 2019;Gurara et al 2019;Mulenga et al 2018). In Burundi and Northern Uganda, TBAs were selected as the first point of consultation by many pregnant women in times of crisis (Chi & Urdal 2018).…”

Section: Introductionmentioning

confidence: 99%

“…In 2015, WHO recognised the TBAs' important role and employed strategies to develop a collaborative relationship with TBAs to improve maternal and newborn outcomes (WHO 2015). The need for provision of quality and culturally acceptable maternal health care through involvement with TBAs was also recommended in different research studies (Adatara et al 2018;Byrne & Morgan 2011;Gurara et al 2019;Miller & Smith 2017;Reeve et al 2016).…”

Section: Introductionmentioning

confidence: 99%

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Traditional birth attendants’ experiences during the provision of post-natal care in Mopani District, Limpopo province of South Africa

Ngunyulu

Mulaudzi

Peu

2020

Health SA Gesondheid

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Background South African maternity care guidelines stipulate that post-natal patients can be discharged within 6 h after delivery, provided that the condition of mothers and neonates do not require medical, surgical or obstetric attention. Hence in many instances post-natal care is rendered at home by traditional birth attendants (TBAs). Traditional birth attendants play a crucial role in the care of women during pregnancy, birth and puerperium within communities. Aim To explore and describe the experiences of TBAs during the provision of post-natal care to mothers and their neonates in order to make recommendations to improve the quality of post-natal care delivered at home. Setting The community hall of a selected rural traditional community was used as a setting for data collection. Methods A qualitative, exploratory and descriptive design was used. Three focus groups were held with 26 TBAs whom were purposively selected. Data were analysed using qualitative content analysis. Results The study confirmed two categories that included: lack of supportive working relationships between TBAs and midwives and lack of respect of TBAs, by post-natal women. Conclusion It is evident that the TBAs experienced negative experiences. Therefore, initiation of teamwork, empowerment and confidence development are crucial to improve the working experiences of TBAs during the provision of post-natal care. Quality post-natal care might reduce maternal and neonatal morbidity and mortality rates. Teamwork between TBAs and midwives might be initiated. Continuity of care for post-natal women might be improved.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Traditional birth attendants’ experiences during the provision of post-natal care in Mopani District, Limpopo province of South Africa

Ngunyulu

Mulaudzi

Peu

2020

Health SA Gesondheid

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“…Although skilled delivery has been promoted in Ethiopia, home delivery with traditional birth attendants is still common, primarily in rural area that is hard-to-reach (15). The 2016 EDHS showed that only 28% of live births in the 5 years before the survey were delivered by a skilled provider, 26% in the health facility whereas home delivery was 73% and 1% in other places.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Skilled Birth Attendance Utilization Among Mothers Who Gave Birth In The Past 24 Months In Kembata Tembaro Zone

Mathewos¹,

Kassa²

2021

Preprint

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Background: Skilled delivery is encouraged as a single most important strategy in preventing maternal and neonatal morbidity and mortality. It ensures safe birth, reduce both actual and potential complications and increase the survival of most mothers and newborns. Little is known on current factors that affect utilization of skilled birth attendance in the study area. Therefore this study was aimed identify determinants of skilled birth attendance utilization among women who gave birth in the last 24 months preceding the studyMethods: A community based cross-sectional study was employed among women who gave birth in the last 24 months prior to the survey in Kembata Tembaro zone from April 1 to 30, 2020. 624 study participants were recruited for the study as eligible study participants. Multi-stage stratified sampling was used to select three districts and one town administrative unit of the study area. The data were collected and verified for their completeness, edited, and coded. Multivariate analysis was performed using the back ward LR method to identify factors independently associated with dependent variable. Statistical significance was declared at p-value of less than 0.05 and the strength of statistical association was measured by adjusted odds ratios and 95% confidence intervals.Results: In this study, 375(61.8%) women gave their last birth at health institutions being attended by skilled birth attendants. Place of residence [AOR (95% CI)=0.33(0.215, 0.582)], age at interview [AOR (95% CI=3.41(1.572, 5.449)], maternal education [AOR (95% CI)=1.50(1.336, 4.193)], history of still birth [AOR (95% CI)=3.85(2.144, 6.905)], maternal occupation [AOR (95% CI)=3.35(1.793,6.274)], husband occupation [AOR (95% CI)=2.69(1.701,7.986)], ANC visit [AOR (95% CI) =4.62(3.124, 7.324)], knowledge about obstetric complications [AOR (95% CI) =3.10(1.371,5.214)] and final decision maker about place of delivery [AOR (95% CI)= 3.64(1.701,7.986)] were significant with utilization of skill birth attendance.Conclusion: In this study, about two fifth of the respondents were delivering in the home without using unskilled delivery attendant. Place of residence, age at interview, maternal education, history of still birth, maternal occupation, husband occupation, ANC visit, knowledge about obstetric complications and final decision maker about place of delivery were determinants of utilization of skilled attendant delivery.

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“…This study, therefore, considers birth preparedness practice as a factor which may affect stay at MWHs. Although MWH intervention has been promoted in the study area to decrease delays in access to maternal care, previous studies have reported that only 9.7% of the women completed the continuum of care [25] and 18.5% of births were assisted by skilled birth attendants [22,26], with about 30% prevalence of birth preparedness plans [27].…”

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confidence: 99%

Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

Gurara

Geertruyden

Gutema

et al. 2020

Preprint

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Background: In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Establishment of maternity waiting homes (MWH) is part of a strategy to improve access to skilled care by bringing pregnant women physically close to health facilities. This study assessed barriers to MWHs in Arba Minch Zuria District, Southern Ethiopia. Methods: A community-based cross-sectional study was undertaken from February 01 to 30, 2019. Study participants were selected by computer-generated random numbers from a list of women who gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. Data were collected using a pre-tested and interviewer-administered questionnaire. STATA statistical software version-15 was used for data analysis, and variables with p-values ≤0.25 in bivariate analysis were considered for multivariable logistic regression analysis. Level of statistical significance was declared at a -value <0.05. Qualitative data were analyzed manually based on thematic areas.Results: MWH utilization was found to be 8.4%. Wealth index (lowest wealth quintile aOR 7.3; 95% CI 1.2, 42), decisions made jointly with male partners (husbands) for obstetric emergencies (aOR 3.6; 95% CI 1.0, 12), birth preparedness plan practice (aOR 6.5; 95% CI 2.3, 18.2), complications in previous childbirth (aOR 3; 95% 1.0, 9), history of previous institutional childbirth (aOR 12; 95% CI 3.8, 40), residence in areas within two hours walking distance to the nearest health facility (aOR 3.3; 95% CI: 1.4, 7.7), and ease of access to transport in obstetric emergencies (aOR 8.8; 95% CI: 3.9, 19) were factors that showed significant associations with MWH utilization.Conclusions: A low proportion of women has ever used MWHs in the study area. To increase MWH utilization, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, improving access to health institutions for women living far away and upgrading existing MWHs are highly recommended.

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Traditional birth attendants’ roles and homebirth choices in Ethiopia: A qualitative study

Cited by 38 publications

References 24 publications

Traditional birth attendants’ experiences during the provision of post-natal care in Mopani District, Limpopo province of South Africa

Traditional birth attendants’ experiences during the provision of post-natal care in Mopani District, Limpopo province of South Africa

Determinants of Skilled Birth Attendance Utilization Among Mothers Who Gave Birth In The Past 24 Months In Kembata Tembaro Zone

Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

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