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Traditional birth attendant training and local birthing practices in India

journal contribution
posted on 2011-08-01, 00:00 authored by Sheela Saravanan, Gavin Turrell, Helen Johnson, Jenny Fraser, Carla Patterson
Training birth attendants (TBAs) provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training programmes redirected funds to providing skilled attendants during delivery. This study aimed to assess the ways in which a TBA training programme in India has been successful in disseminating evidence-based knowledge on birthing practices. TBAs practicing within 16 villages targeted by training programme initiatives were administered with structured questionnaires. The post training birthing practices of trained (24) and untrained (14) TBAs was compared and birthing practices adopted by women assisted by trained (16) and untrained (9) TBAs was analysed. Positive post training practices were hand washing, use of a clean blade for cutting the cord, immediate breastfeeding and weighing of babies. Nevertheless, the training could be further improved with up to date and evidence-based information and more comprehensive instructions. The findings suggest an integration of local and evidence-based knowledge is needed to improve the training. Raising community awareness of public health measures related to maternal and child health is also recommended.

History

Journal

Evaluation and program planning

Volume

34

Issue

3

Pagination

254 - 265

Publisher

Elsevier

Location

Amsterdam, The Netherlands

eISSN

1873-7870

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2011, Elsevier Ltd.