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Impact of a training package for community birth attendants in Madagascar

Olivia Lucey1, Mamy Andriatsihosena, Matthew Ellis

  • 1Faculty of Medicine and Dentistry, University of Bristol, 69 St Michael's Hill, Bristol, UK.

Journal of Tropical Pediatrics
|June 8, 2010
PubMed

This brief report assesses the impact of community birth attendant training and explores barriers to safe delivery in rural Madagascar. We assessed the knowledge of 25 community birth attendants using interviewer-administered questionnaires and explored attitudes to delivery in 4 focus groups of 10 women of reproductive age and 1 focus group of 10 birth attendants. We found a mismatch between hygiene knowledge and reported practice. Clinical experience appears to reinforce training to achieve longer lasting change in practitioner knowledge (e.g. of labour complications). Focus groups helped to identify practical barriers to clean (delivery kits) and safe delivery (cost) despite this knowledge. We proposed that a facilitated women's group programme may complement such training.

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