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传统接生员对分娩及其危险信号的认知:一对一访谈

Traditional birth attendants knowledge of delivery and its danger signs: a one-on-one interview.

作者信息

Aliyu F O, Olamilekan Kolawole Tijani, Bello S I, Abdulbaki Mariam

机构信息

Department of Clinical Pharmacy and Pharmacy Practice, University of Ilorin, Ilorin, Nigeria.

Department of Obstetrics and Gynecology, Kwara State University Teaching Hospital Ilorin, Ilorin, Nigeria.

出版信息

BMC Public Health. 2025 May 20;25(1):1855. doi: 10.1186/s12889-025-23068-6.

Abstract

INTRODUCTION

Traditional Birth Attendants (TBAs) remain widespread across the country, despite the availability of skilled birth attendants.

AIM

The aim of our study was to conduct a one-on-one interview with traditional birth attendants to assess their knowledge of delivery and its danger signs.

METHOD

This was a qualitative ethnographic study with purposive sampling using a semi-structured interview questionnaire and one-on-one interview to collect data from thirty (30) traditional birth attendants in Ilorin, Kwara State. Ethical approval was obtained from the Kwara State Ministry of Health Ethics Committee with ethical approval number- MOH/KS/EV/777/VOLII/081. Quantitative evaluations were limited to the compilation of descriptive statistics to characterize the study sample and the reporting of frequencies and percentages in-text for demographics. The transcriptions were analyzed thematically, both inductively and deductively, and then rated for consistency and divergence. The final themes arose from the data, which included what participants said in answer to interview guide questions, questions asked to probe responses, and questions asked to clarify what was said.

RESULTS

In total, 30 one-on-one interviews were conducted for the TBA who gave their consent to participate. Participants' ages ranged from 25 to 65 years, with a mean age of 42.83 ± 9.9. The majority were female (29, 96.7%) and within the age range of 40-49 years (10, 33.3%). Although TBAs were able to take delivery properly, they were not aware of the danger signs of labor and were involved in a number of unhealthy practices.

CONCLUSION

The findings underscore the urgent need for comprehensive training programs aimed at improving the knowledge and practices of TBAs regarding the recognition of danger signs and appropriate emergency responses. Training should focus on enhancing TBAs' ability to identify critical symptoms and emphasize the importance of timely referrals to healthcare facilities.

摘要

引言

尽管有熟练的助产人员,但传统接生员在该国仍广泛存在。

目的

我们研究的目的是与传统接生员进行一对一访谈,以评估他们对分娩及其危险信号的了解。

方法

这是一项定性的人种学研究,采用目的抽样法,使用半结构化访谈问卷并进行一对一访谈,以从夸拉州伊洛林的30名传统接生员那里收集数据。获得了夸拉州卫生部伦理委员会的伦理批准,伦理批准号为MOH/KS/EV/777/VOLII/081。定量评估仅限于编制描述性统计数据,以描述研究样本的特征,并在正文中报告人口统计学的频率和百分比。对转录内容进行了归纳和演绎的主题分析,然后对一致性和差异性进行评分。最终主题来自数据,其中包括参与者对访谈指南问题的回答、为探究回答而提出的问题以及为澄清所说内容而提出的问题。

结果

总共对30名同意参与的传统接生员进行了一对一访谈。参与者的年龄在25至65岁之间,平均年龄为42.83±9.9岁。大多数为女性(29名,96.7%),年龄在40至49岁之间(10名,33.3%)。尽管传统接生员能够正确接生,但他们不了解分娩的危险信号,并且参与了一些不健康的做法。

结论

研究结果强调迫切需要开展全面的培训计划,以提高传统接生员对危险信号的识别和适当应急反应的知识与做法。培训应着重提高传统接生员识别关键症状的能力,并强调及时转诊至医疗机构的重要性。

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