Traditional birth attendant training and local birthing practices in India
Sheela Saravanan1, Gavin Turrell, Helen Johnson
1Karl Jasper Centre, University of Heidelberg, Germany. sheela_saravanan@hotmail.com
Evaluation and Program Planning
|May 11, 2011
Summary
Training birth attendants (TBAs) in India improved essential practices like handwashing and immediate breastfeeding. However, integrating local and evidence-based knowledge is crucial for enhancing maternal and infant healthcare training effectiveness.
Area of Science:
- Maternal and Child Health
- Public Health Interventions
- Healthcare Training Effectiveness
Background:
- Traditional birth attendants (TBAs) provide critical maternal and infant care in developing nations.
- A global policy shift has seen funding move from TBA training to skilled birth attendants.
- The effectiveness of TBA training programs requires ongoing evaluation.
Purpose of the Study:
- To assess the dissemination of evidence-based birthing practices through a TBA training program in India.
- To compare birthing practices of trained versus untrained TBAs.
- To analyze practices adopted by women assisted by trained and untrained TBAs.
Main Methods:
- Structured questionnaires administered to TBAs in 16 villages.
- Comparison of post-training birthing practices between trained (n=24) and untrained (n=14) TBAs.
- Analysis of birthing practices for women assisted by trained (n=16) and untrained (n=9) TBAs.
Main Results:
- Positive post-training practices included hand washing, clean cord cutting, immediate breastfeeding, and infant weighing.
- Training effectiveness can be enhanced with updated, evidence-based information and comprehensive instructions.
- Integration of local and evidence-based knowledge is recommended for improved training outcomes.
Conclusions:
- TBA training in India has shown positive impacts on key birthing practices.
- Further improvements in TBA training require a blend of local and scientific knowledge.
- Community awareness initiatives for maternal and child health are recommended alongside training.
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