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The Impact of Training on Knowledge and Performance of Traditional Birth Attendants in Tanga Region

Twaha, A.L.A., Muro, P., Steinle-Paul, E. and Goergern, R. (1999) The Impact of Training on Knowledge and Performance of Traditional Birth Attendants in Tanga Region. UNSPECIFIED. (Unpublished)

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Abstract

A description study was carried out using quantitative and qualitative method to describe and analyze difference in knowledge and performances in knowledge and performance of trained TBA. The study provides the following main results: About half of the TBA is not able to read and write kisuaheli, more in the group of untrained than in trained. Mean number of deliveries per year per TBA is 2.8 for untrained and 3.9 for trained TBA, ranging from 0 to 22 in trained and from 0 to 12 in untrained. All mothers interviewed attended MCH Clinics during pregnancy. Concerning knowledge of risk factors and danger signs trained TBA have a better knowledge. Trained TBA are more aware of complications and dangerous situations. Trained TBA know more about the need of hygienic condition and about routes of infections including HIV. Nearly all of them wear gloves during delivery. Practical management in case of complication as reported by the TBA is similar in both groups, however trained TBA use less traditional methods and refer the patients earlier and more frequently. Routine procedures include more abdominal palpation in the group of trained TBA. Trained TBA gives referral advice in pregnancy more frequently. Compliance of the mothers to the referral advice is weak in both groups. Advice after delivery concerning the child and concerning family planning is given more often by trained TBA. Knowledge and performance is better in trained than in untrained TBA. The small average number of deliveries per TBA per year found in this study is too low to ensure sufficient quality. It is recommended to train less TBA intensively and to guarantee supervision and refresher courses. Effort should be made by the TBA and health workers in involving the communities in providing better transport system and improving the quality of care in the health facilities are indispensable prerequisites to reduce maternal mortality.

Item Type: Other
Keywords: Hygienic, HIV Infections, Practical Management, Family Planning, Pregnancy, Health Workers, Health Facilities, Maternal Mortality, Traditional Birth, Tanga, Tanzania
Subjects: Maternal & Neonatal Health > Obstetric care
Maternal & Neonatal Health > Neonatal Health
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/508

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