Role of Traditional Birth Attendants in Neonatal Healthcare in Nepal
Author Information
Author(s): Tina Y. Falle, Luke C. Mullany, Nandita Thatte, Subarna K. Khatry, Steven C. LeClerq, Gary L. Darmstadt, Joanne Katz, James M. Tielsch
Primary Institution: Johns Hopkins Bloomberg School of Public Health
Hypothesis
Can traditional birth attendants improve neonatal health outcomes in rural southern Nepal?
Conclusion
Traditional birth attendants have the potential to improve neonatal health outcomes through better practices and community engagement.
Supporting Evidence
- 89% of TBAs reported using a clean cord-cutting instrument.
- 74% of TBAs washed their hands before delivery.
- 52% of TBAs were willing to consider alternative oils for newborn massage.
- 85% of TBAs provided postnatal care and advice.
- Trained TBAs were more likely to wash hands with soap before delivery.
Takeaway
Traditional birth attendants help deliver babies in Nepal, and they can learn better ways to care for newborns to keep them healthy.
Methodology
Interviews were conducted with 93 traditional birth attendants to assess their knowledge, attitudes, and practices regarding maternal and newborn care.
Potential Biases
Potential bias due to self-reporting and the non-specific nature of training status among TBAs.
Limitations
The study relied on self-reported data, which may not accurately reflect actual practices.
Participant Demographics
Participants included 93 female traditional birth attendants aged 25-73 years, with a majority being illiterate and working in agriculture.
Statistical Information
Statistical Significance
p<0.05
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