Musie Maurine Rofhiwa, Mulaudzi Mavis Fhumulani, Anokwuru Rafiat, Bhana-Pema Varshika
Department of Nursing Sciences, Faculty of Health Care Sciences, University of Pretoria, Pretoria 0001, South Africa.
Int J Reprod Med. 2022 Jul 13;2022:9216500. doi: 10.1155/2022/9216500. eCollection 2022.
Traditional birth attendants have since ancient time provided care to pregnant women. As such, the collaboration between midwives and traditional birth attendant (TBAs) can be an essential effort towards the reduction of the maternal and neonatal mortality and morbidity rate especially in low- and middle-income countries (LMICs). This paper argues that the collaboration between traditional and formal health systems expands the reach and improves outcomes of community health care. The study is aimed at exploring the traditional birth attendant's views on collaboration with midwives for maternal health care services at selected rural communities in South Africa (SA).
The study was conducted in two rural communities in Tshwane and Johannesburg metropolitan districts from 15 June to 31 October 2021. The study followed the qualitative explorative and descriptive research design. The sampling technique was nonprobability purposive, and snowballing technique was also used to sample the key informants who are the traditional birth attendants also known as traditional healers and who provide maternal health care services in the respective communities. The access to these participants was through the gatekeepers, the Traditional Health Organisation Council (THO) council. Data collection was through semistructured in-depth interviews. Data were analysed thematically through the eight steps of Tesch.
Five main themes were identified which included the recognition of traditional birth attendants as enablers of collaboration, the envisaged value of the collaboration, processes required to foster collaboration, repositioning for new roles, and barriers to collaboration.
The TBAs are ready to collaborate with the formal health care system, and all they require is for their services to maternal health care to be recognised and acknowledged.
自古以来，传统助产士就为孕妇提供护理。因此，助产士与传统助产士（TBAs）之间的合作对于降低孕产妇和新生儿死亡率及发病率至关重要，尤其是在低收入和中等收入国家（LMICs）。本文认为，传统卫生系统与正规卫生系统之间的合作可扩大社区卫生保健的覆盖范围并改善其成果。该研究旨在探讨南非（SA）选定农村社区中传统助产士对与助产士合作提供孕产妇保健服务的看法。
该研究于2021年6月15日至10月31日在茨瓦内和约翰内斯堡大都市区的两个农村社区进行。该研究采用定性探索性和描述性研究设计。抽样技术为非概率目的抽样，还采用了滚雪球技术对关键信息提供者进行抽样，这些关键信息提供者即传统助产士，也被称为传统治疗师，他们在各自社区提供孕产妇保健服务。通过守门人传统卫生组织理事会（THO）接触这些参与者。数据收集通过半结构化深度访谈进行。通过特施的八个步骤对数据进行主题分析。
确定了五个主要主题，包括将传统助产士视为合作推动者的认可、合作的预期价值、促进合作所需的过程、重新定位新角色以及合作的障碍。
传统助产士准备好与正规卫生保健系统合作，他们所需要的只是其孕产妇保健服务能得到认可和承认。
