Effect of shifting policies on traditional birth attendant training

Journal of Midwifery & Women's Health
Sue Kruske, Lesley Barclay

Abstract

Traditional birth attendant (TBA) training commenced in many places in the non-Western world in the 1970s, supported by the World Health Organization and other funding bodies. By 1997, senior policy makers decided to refocus priorities on the provision of "skilled attendants" to assist birthing women. The definition of skilled attendants excluded TBAs and resulted in the subsequent withdrawal of funding for TBA training globally. A review of the health and sociological literature and international policy documents that address TBA training revealed how international policy and professional orientation are reflected in education programs designed for the TBA. Policy makers risk ignoring the important cultural and social roles TBAs fulfill in their local communities and fail to recognize the barriers to the provision of skilled care. The provision of skilled attendants for all birthing women cannot occur in isolation from TBAs who in themselves are also highly skilled. This article argues a legitimacy of alternative worldviews and acknowledges the contribution TBAs make to childbearing women across the world.

References

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Citations

Sep 29, 2010·Journal of Health Communication·UNKNOWN United Nations Economic and Social Council (ECOSOC)
Jan 30, 2016·Journal of Midwifery & Women's Health·Barbara O'Malley Floyd, Nadene Brunk
Jan 12, 2007·Journal of Advanced Nursing·Soo DowneKatriona Trafford
Aug 2, 2005·Midwifery·Lisa Kane LowEmma Sacks
Apr 6, 2006·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Linda V Walsh
Sep 20, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Abbey Byrne, Alison Morgan
Nov 3, 2017·PloS One·Calistus WilundaAna Pilar Betrán
Jul 16, 2010·Journal of Midwifery & Women's Health·Jody R LoriKristy K Martyn
Jun 24, 2017·Anthropology & Medicine·Birgit Kvernflaten
Jun 19, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Thidar PyoneNynke van den Broek
Sep 9, 2016·Journal of Global Health·Karen Lane, Jayne Garrod
Jul 21, 2011·Asian Pacific Journal of Tropical Medicine·Renae FernandezNiyi Awofeso

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