van den Boogaard Jossy, Arntzen Bart, Chilwana Junist, Liyungu Martin, Mantingh Albert, Stekelenburg Jelle
APRIORI (African Poverty Related Infection Oriented Research Initiative), Radboud University Nijmegen Medical Center, the Netherlands.
World Health Popul. 2008 Mar;10(1):34-43. doi: 10.12927/whp.2008.19736.
To analyse factors that contribute to the choice of either traditional birth attendants (TBAs) or skilled birth attendants (SBAs) by inhabitants of Zambia's Lukulu District.
Cross-sectional descriptive survey.
Lukulu District, Western Province, Zambia.
1413 participants: parous women, their husbands, village headmen and elderly women.
Preferred and actual place of birth.
Questionnaires, structured interviews and focus group discussions.
42% of women gave birth in a health facility, assisted by SBAs; 75: prefer to give birth in a health facility; many barriers are to be passed for women to reach a skilled attendant in time.
Skilled birth attendants are preferred to assist at childbirth in Lukulu District. Transportation problems, sociocultural reasons and unpreparedness still cause the majority of women to turn to traditional birth attendants. Traditional birth attendants should not yet be excluded from safe motherhood programs.
分析赞比亚卢库卢区居民选择传统助产士或专业助产士的相关因素。
横断面描述性调查。
赞比亚西部省卢库卢区。
1413名参与者，包括经产妇、她们的丈夫、村长和老年女性。
首选和实际分娩地点。
问卷调查、结构化访谈和焦点小组讨论。
42%的女性在医疗机构分娩，由专业助产士协助；75%的人更愿意在医疗机构分娩；女性要及时获得专业助产士的帮助还需克服许多障碍。
在卢库卢区，人们更倾向于由专业助产士协助分娩。交通问题、社会文化原因和准备不足仍然导致大多数女性求助于传统助产士。传统助产士不应被排除在安全孕产项目之外。
