scholarly journals Integration of Traditional Birth Attendants into Mental Healthcare: A Multistakeholder Qualitative Study Exploration

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Christine W. Musyimi ◽  
Victoria N. Mutiso ◽  
Darius N. Nyamai ◽  
Ikenna D. Ebuenyi ◽  
David M. Ndetei
Keyword(s):  
Qualitative Study ◽  
Healthcare Workers ◽  
Common Mental Disorders ◽  
Mental Healthcare ◽  
Psychosocial Interventions ◽  
Future Generation ◽  
Traditional Birth Attendants ◽  
Mental Wellbeing ◽  
Healthcare Facilities ◽  
Birth Attendants

Background. A significant number of people with common mental disorders are undiagnosed or undetected at primary healthcare facilities. The experience of traditional birth attendants (TBAs) in reassuring perinatal mothers could be utilized in maternal mental healthcare. The aim of this study was to gain insight into the feasibility of integrating TBAs into maternal mental healthcare using multiple stakeholder views. Methods. We conducted an exploratory qualitative study in September 2017 using focus group discussions (FGDs) and in depth interviews in Makueni County, Kenya. A total of 246 participants (TBAs, community health volunteers (CHVs), healthcare workers (HCWs), antenatal and postnatal mothers seeking care from TBAs and those seeking both hospital and TBA services, mothers in law and/or husbands of perinatal mothers, and opinion leaders based in the county) were purposively selected to participate in the discussions. Transcribed data was analyzed using NVivo version 10. Results. Four major themes emerged from the qualitative data and were identified as follows; (a) involving TBAs in perinatal mental healthcare by assigning them roles, (b) utilizing TBAs’ patient rapport and counseling experience, (c) recognition and appreciation of TBAs by the healthcare system, and (d) training and collaboration of TBAs with healthcare workers. Discussion. The findings of this study reveal that although TBAs informally provide psychosocial interventions to pregnant mothers, their roles in mental health are not clearly defined. The importance of TBAs sharing their experience and being recognized as important stakeholders in mental healthcare for perinatal mothers was highlighted. Inclusion of TBAs in dialogue and training them to offer evidence-based mental healthcare were identified as important steps towards improving the mental wellbeing of mothers and the future generation.

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

2020 ◽  
Vol 33 (5) ◽  
pp. e464-e472 ◽  
Author(s):  
Mekdes Gurara ◽  
Kristel Muyldermans ◽  
Yves Jacquemyn ◽  
Jean-Pierre Van geertruyden ◽  
Veerle Draulans
Keyword(s):  
Qualitative Study ◽  
Traditional Birth Attendants ◽  
Birth Attendants

scholarly journals Socio-cultural factors favoring home delivery in Afar pastoral community, northeast Ethiopia: A Qualitative Study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohammed Ahmed ◽  
Meaza Demissie ◽  
Alemayehu Worku ◽  
Araya Abrha ◽  
Yamane Berhane
Keyword(s):  
Qualitative Study ◽  
Care Service ◽  
Health Care Service ◽  
Home Delivery ◽  
Cultural Factors ◽  
Health Facilities ◽  
Traditional Birth Attendants ◽  
Cultural Barriers ◽  
District Health ◽  
Birth Attendants

Abstract Background Despite expanding the number of health facilities, Ethiopia has still the highest home delivery services utilization. Health care service utilization varies between regions within the country. This study explored the socio-cultural factors influencing health facility delivery in a pastoralist region of Afar, Ethiopia. Methods An explorative qualitative study was conducted in October–December 2015. A total of 18 focus group discussions were conducted separately with mothers, male tribal leaders and religious leaders. In addition, 24 key informant interviews were conducted with Women’s Affairs Bureau and district health office experts and traditional birth attendants and all were selected purposively. Data were coded and categorized using open code software and analyzed based on a thematic approach. Results The social factors that affect the choice of delivery place include workload, lack of independence and decision-making power of women, and lack of substitute for childcare and household chores during pregnancy and childbirth. The cultural and spiritual factors include assuming delivery as natural process ought to happen at home, trust in traditional birth attendants, traditional practices during and after delivery and faithful to religion practice, besides, denial by health facilities to benign traditional and spiritual practices such as prayers and traditional food preparations to be performed over there. Conclusion Socio-cultural factors are far more than access to health centers as barriers to the utilization of health facilities for child birth. The provision of a maternity waiting home around the health facilities can alleviate some of these socio-cultural barriers.

scholarly journals Health care seeking behaviors in Puerperal sepsis in rural Sindh, Pakistan: a qualitative study

2020 ◽  
Author(s):  
Shabina Ariff ◽  
Ubaidullah Khan ◽  
turab ali ◽  
farrukh raza ◽  
farhana tabassum ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Division Of Labor ◽  
Decision Maker ◽  
Healthcare Providers ◽  
Family Members ◽  
Traditional Birth Attendants ◽  
Financial Resources ◽  
Care Seeking ◽  
Puerperal Sepsis ◽  
Birth Attendants

Background Puerperal sepsis (PS) is one of the major causes of maternal death, contributing to 26 000 deaths per year in developing countries. Early recognition and treatment are essential to managing PS but numerous social, cultural and technical barriers prevent or delay access to care and necessary medical attention. Through this qualitative study, we identified barriers to care seeking for puerperal sepsis among recently delivered women in Matiari, Pakistan. Methods We conducted 20 in-depth interviews among recently delivered women with and without sepsis and their family members. Key informant interviews were conducted with 14 healthcare providers and traditional birth attendants. The themes used for content analysis were knowledge of danger signs, factors affecting care seeking and local treatment practices for postpartum sepsis. Results Recently delivered women, their family members and traditional birth attendants were unaware of the word PS or the local translated term for PS. However, they were familiar with most of the individual symptoms associated with PS. Healthcare providers were aware of the condition and the associated symptoms. The healthcare providers understanding of the seriousness of PS was directly proportional their age and clinical experience. The most common barriers to care seeking was the division of labor within the household, obtaining permission from the primary decision maker, access to transportation, lack of financial resources and support from family members. Discussion In rural Pakistan, limited knowledge of PS, division of labor within the household, obtaining permission from primary decision maker and access to transportation and financial resources were identified as barriers to seeking care among recently delivered women. Conclusion To improve maternal care seeking behaviors for PS, interventions focusing on increasing knowledge of PS, addressing gender inequality, implementing an affordable community transport service and enhancing TBAs knowledge and skills to manage PS need to be implemented.

Sign in / Sign up

Export Citation Format

Share Document