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TBA Knowledge performance and Relation with the Formal Health System in Lindi Region and the role of Maternal Waiting Homes

Leshabari, S. (2002) TBA Knowledge performance and Relation with the Formal Health System in Lindi Region and the role of Maternal Waiting Homes. UNSPECIFIED. (Unpublished)

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Abstract

In Lindi region 110 active trained TBAs (10 or more deliveries per year) and women who delivered with TBAs were interviewed about the role of these TBAs, their knowledge and practice and their relationship with the health facilities. In addition key information in the communities, the districts and the health care system were interviewed. The study that play a unique role in their respective communities as care giver for delivering mother and as principal advisor to families in all issues related to birth –giving. They are highly appreciated by their clients and the communities and often preferred to the health facilities, which are perceived as too expensive, hardly accessible and staff often not friendly to the clients. The training has increased the reputation of the TBAs in the community because they are perceived as comparable to the staff in the facility where they went for training. TBAs complained that I cases where the local government financed the training clients afterwards expect to get the service free of change because it was the community who paid for training. In addition communities are suspicious that the trained TBA gets money from the government. The TBAs do not play the expected role in referral because referral to the health facilities is perceived as a professional failure on the side of the TBA and as a shame on the part of the woman. The communication between health services and the TBAs is not satisfactory. There is no supervision and monitoring, no visits to the TBAs or any kind of meeting and supply of gloves or other equipment. Proper records are not available especially regarding problems during delivery (death of mother or the child). It is recommended that working relation between formal health system and TBAs has to be improved. Maternal waiting homes are not yet available in Lindi Region however a need is perceived by professionals and communities because many villages are too far from the nearest health facilities to make use of it for delivery. One church hospital offers a simple house for woman and their relatives where they can stay while waiting. However it does not yet meet the criteria defined by the Maternal Waiting Homes.

Item Type: Other
Keywords: Health System, Health Facilities, Health Care, Maternal Health, Lindi, Tanzania
Subjects: Health Systems > Service delivery & access
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 04 Mar 2013 05:26
Last Modified: 04 Mar 2013 05:26
URI: http://ihi.eprints.org/id/eprint/502

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