Solomon M M, Rogo K O
Department of Obstetrics and Gynecology, College of Health Sciences, University of Nairobi, Kenya.
Int J Gynaecol Obstet. 1989 Dec;30(4):329-34. doi: 10.1016/0020-7292(89)90819-9.
For several reasons traditional birth attendants (TBAs) still deliver the majority of women in many developing areas of the world. A needs assessment study of TBAs serving one area of Kenya was conducted for the purpose of designing an appropriate intervention program. Thirty-six TBAs were interviewed. Together, they had attended to a total of 116 deliveries within 1 month. The local hospital was conducting an average of 37 deliveries per month. Although most TBAs were good at abdominal palpation, they did not conduct routine prenatal checks and rarely referred their clients to hospital. Several risky practices were identified from which a training program has been designed. The findings and their implications are discussed within the context of improved MCH/FP services.
由于多种原因，在世界许多发展中地区，传统接生员（TBA）仍然接生大多数产妇。为了设计一个合适的干预项目，对肯尼亚一个地区的传统接生员进行了一项需求评估研究。采访了36名传统接生员。他们在1个月内总共接生了116例分娩。当地医院平均每月接生37例。虽然大多数传统接生员擅长腹部触诊，但他们不进行常规产前检查，很少将客户转诊到医院。已从若干危险做法中设计出一个培训项目。在改善妇幼保健/计划生育服务的背景下讨论了这些发现及其影响。
