Imogie A O, Agwubike E O, Aluko K
Institute of Education, University of Benin, Benin City, Nigeria.
Afr J Reprod Health. 2002 Aug;6(2):94-100.
This study was conducted to assess the role of traditional birth attendants (TBAs) in modern health care delivery in Edo State, Nigeria. A total of 391 respondents comprising 48 TBAs, 309 childbearing mothers and 34 medical and para-medical professionals constituted the study sample. In-depth interviews and focus group discussions as well as validated questionnaires were the tools used for data collection. The results reveal that respondents believe that TBAs can play meaningful roles in family planning, screening of high-risk pregnant mothers, fertility/infertility treatment and maternal and child care services. Rural dwellers prefer to use the services of TBAs, as compared to their urban counterparts. Reasons for the preference included TBAs, availability, accessibility, cheap services and rural dwellers' faith in the efficacy of their services. There is, therefore, the need to restructure the training of TBAs as well as to fully integrate their services into the Nigerian orthodox healthcare delivery system especially as they affect rural settings.
本研究旨在评估传统接生员在尼日利亚江户州现代医疗服务中的作用。共有391名受访者组成了研究样本,其中包括48名传统接生员、309名育龄母亲以及34名医学和准医学专业人员。深入访谈、焦点小组讨论以及经过验证的问卷是用于数据收集的工具。结果显示,受访者认为传统接生员在计划生育、高危孕妇筛查、生育/不孕治疗以及母婴护理服务中可以发挥重要作用。与城市居民相比,农村居民更倾向于使用传统接生员的服务。偏好的原因包括传统接生员的可获得性、可及性、服务价格低廉以及农村居民对其服务效果的信任。因此,有必要调整传统接生员的培训方式,并将其服务全面纳入尼日利亚正统医疗服务体系,尤其是在影响农村地区的方面。