scholarly journals Community and provider perceptions of traditional and skilled birth attendants providing maternal health care for pastoralist communities in Kenya: a qualitative study

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Abbey Byrne ◽  
Tanya Caulfield ◽  
Pamela Onyo ◽  
Josephat Nyagero ◽  
Alison Morgan ◽  
...  
2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Naume Zorodzai Choguya

The paper focuses on the situational analysis of traditional birth attendants (TBAs) and skilled birth attendants (SBAs) in Zimbabwe. Against a background of a frail health care system, characterised by a shortage in skilled professionals, increased cost of medical care, and geographic and economic inaccessibility of health care centres among others, TBAs have remained a life-line for especially many rural women in maternal health care provision. Moreover, TBAs have also found their way into the urban areas of Zimbabwe. The shift in international policy and health funding toward skilled birth attendants (i.e., an accredited health professional) has materialized into concerted government efforts to increase numbers of both midwifery training institutions and midwives themselves. The call for SBAs, though a worthy ideal, is out of touch with the lived realities of pregnant women in low resource settings such as Zimbabwe. The study is concerned with situational analysis of TBAs and SBAs in maternal health care service provision in Zimbabwe analysing and evaluating policy considerations.


2021 ◽  
Vol 3 (2) ◽  
pp. 479-495

Introduction: This study seeks to explore health care providers’ perspectives of the traditional birth attendants’ knowledge and practices. Methods: This qualitative study was conducted in 2018 with 16 health care professionals working at various levels of maternal health care system in two purposefully selected research settings, Khorog town and Dushanbe, which have different social, economic and ethnic backgrounds. Semi-structured face-to-face interviews were conducted to gather the data. Duration of interviews ranged from 30-60 min. NVivo software for qualitative research was used to analyse the results. Results: This study has shown that health care workers have extremely negative views of the knowledge and practices of traditional birth attendants. They highlight the lack of adequate knowledge of traditional birth attendants on biomedical aspects of birth, poor skills in infections control and lack of use of clean delivery practices. They also claim that the traditional birth attendants’ practices also lead to different complications while they are woefully unprepared to recognize obstetric complications during birth. Conclusion: The study recommends providing a skilled birth attendant in every area. It also recommends avoiding a homogeneous approach to address maternal health issues in diverse countries of the Global South and reviewing maternal health care policies and programs to provide the most marginalized groups of women with skilled birth services to improve their maternal health and further decrease maternal mortality in Tajikistan.


PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0217968
Author(s):  
ASM Shahabuddin ◽  
Therèse Delvaux ◽  
Christiana Nöstlinger ◽  
Malabika Sarker ◽  
Azucena Bardají ◽  
...  

Author(s):  
Maja Aleksandra Milkowska-Shibata ◽  
Thin Thin Aye ◽  
San Myint Yi ◽  
Khin Thein Oo ◽  
Kyi Khaing ◽  
...  

The study objective was to examine barriers and facilitators of maternal health services utilization in Myanmar with the highest maternal mortality ratio in Southeast Asia. Data for 258 mothers with children under five were extracted from a community health survey administered between 2016 and 2017 in Mandalay, the largest city in central Myanmar, and analyzed for associations between determinants of maternal health care choices and related outcomes. The study showed that late antenatal care was underutilized (41.7%), and antenatal care attendance was significantly associated with geographical setting, household income, education, and access to transportation (p ≤ 0.05). Less than one-third of women gave birth at home and 18.5% of them did so without the assistance of traditional birth attendants. Household education level was a significant predictor for home delivery (p < 0.01). Utilization of postnatal care services was irregular (47.9%–70.9%) and strongly associated with women’s places of delivery (p < 0.01). Efforts geared towards improving maternal health outcomes should focus on supporting traditional birth attendants in their role of facilitating high-quality care and helping women reach traditional health facilities, as well as on maternal health literacy based on culturally appropriate communication.


2017 ◽  
Vol 2 ◽  
pp. 93
Author(s):  
Alicia Giralt

Las tasas de mortalidad materna guatemalteca son las más altas de Centroamérica. Dichas tasas varían drásticamente entre grupos étnicos, con las más altas presentes entre mujeres rurales mayas. Mientras Guatemala se esfuerza para reducir estas cifras, la controversia se centra en comadronas tradicionales. Esta investigación estudia el papel de dichas comadronas dentro de un marco postcolonialista y descolonialista. Los resultados muestran un país bajo el legado de la colonización, manifestado en el cuerpo femenino colonizado. Un cambio de paradigma es crucial en relación con las comadronas y sus pacientes. La salud reproductiva de las mujeres indígenas no mejorará hasta que esto suceda y la atención médica sea descolonizada.Palabras clave: maya, mujer, indígena, salud maternal, mortalidad, colonialism, postcolonialismo, descolonialismo, partera, comadrona.  Guatemala’s Indigenous Maternal Health Care: A System in Need of DecolonizationAbstract: Guatemala’s Maternal Mortality Ratios are the highest in Central America. These ratios vary drastically among ethnic groups, the highest occurring among rural Mayan women. As Guatemala struggles to reduce its MMRs, the controversy centers on Mayan Traditional Birth Attendants. This research investigates the role of Mayan traditional midwives within the framework of Postcolonialism. The results show a country under the legacy of colonization, manifested in the female colonized body. A paradigm shift is crucial in relation to both traditional birth  attendants and their patients. Indigenous women’s reproductive health will not improve until health care, a legacy of Colonialism, is decolonized.Key words: Maya, woman, indigenous, maternal health, mortality, Colonialism, Postcolonialism, Decolonialism, midwives.


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