Knowledge & Practice on Reproductive Health Among TBAs and Their Clients in Sengerema District.
Magayane, Anold CUHAS/MD/2014
Knowledge & Practice on Reproductive Health Among TBAs and Their Clients in Sengerema District. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2014 - 54 Pages Includes References
Abstract:
Background: Reduction of maternal mortality is part of the global commitments delineated in the millennium development goals (MDF 5), and a national priority as reflected in Tanzania vision 2025. Sub Saharan Africa still have highest maternal mortality rate in the world, reports shows that SSA accounting for 56 percent of global maternal death which is an average of 500 death per 100,000 live birth (UNFPA 2012) whereby millennium development goal is set to be less than 300 death per 100,000 live birth on maternal mortality rate by 2015. In 2011 maternal mortality rate in Sengerema district was estimated to be 103 per 100,000 live births with a little difference of that of Mwanza region as a whole which was estimate to be 109 per 100,000 live births (Mwanza regional RCH report 2011). TBAs are highly respected in African communities they perform cultural ritual and provide essential social support to women during childbirth. Their clients trust them and share their secrets with them also are familiar to their clients and easily accessible at any time of the day or night do not insist on payment before delivery; and are prepared to accept payment in kind and time after the delivery.
Methods: This was a cross-sectional study conducted at Sengerema district one of the seven district in Mwanza region in Tanzania. This study was conducted to assess the knowledge on TBAs and their clients about reproductive and the data was collected by using structured questionnaire, 50 traditional birth attendant and 160 of their clients participated in this study. The question in this study was about socio demographic data of TBAs clients, how do TBAs protect themselves when they are performing deliveries and also how do they manage pregnant complications, other questions asked about TBAs clients was about their knowledge on danger signs during their pregnancies but also who influence them on where to give childbirth without forgetting factors make them go to TBAs rather going to health facility. Data were entered and analyzed by using SPSS version 20.
Results: 50 TBAs and 160 TBAs clients were interviewed in this study where by many of TBAs were between the age of 50 and 70 who were 38 (76%) and only 16 (32%) of all 50 TBAs have attended training on reproductive health during their time of practicing child birth a total of 6 pregnancy related complications and symptoms including threatened abortion, protracted labor, postpartum hemorrhage, anemia in pregnancy, pregnancy edema and retained placenta after birth were recorded. Out of 160 TBAs clients 76 (47.5%) were between age of 15 to 25. 81 (50.6%) were between the age of 26 and35.
Conclusion: The role of traditional birth attendants in provision of health care in resource poor countries is still important because of the current resource for health. The reduction of maternal mortality rate in Sengerema requires rigorous efforts that involve the government and non-governmental organization in identifying TBAs and training them.
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz
--Community Health
Knowledge & Practice on Reproductive Health Among TBAs and Their Clients in Sengerema District. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2014 - 54 Pages Includes References
Abstract:
Background: Reduction of maternal mortality is part of the global commitments delineated in the millennium development goals (MDF 5), and a national priority as reflected in Tanzania vision 2025. Sub Saharan Africa still have highest maternal mortality rate in the world, reports shows that SSA accounting for 56 percent of global maternal death which is an average of 500 death per 100,000 live birth (UNFPA 2012) whereby millennium development goal is set to be less than 300 death per 100,000 live birth on maternal mortality rate by 2015. In 2011 maternal mortality rate in Sengerema district was estimated to be 103 per 100,000 live births with a little difference of that of Mwanza region as a whole which was estimate to be 109 per 100,000 live births (Mwanza regional RCH report 2011). TBAs are highly respected in African communities they perform cultural ritual and provide essential social support to women during childbirth. Their clients trust them and share their secrets with them also are familiar to their clients and easily accessible at any time of the day or night do not insist on payment before delivery; and are prepared to accept payment in kind and time after the delivery.
Methods: This was a cross-sectional study conducted at Sengerema district one of the seven district in Mwanza region in Tanzania. This study was conducted to assess the knowledge on TBAs and their clients about reproductive and the data was collected by using structured questionnaire, 50 traditional birth attendant and 160 of their clients participated in this study. The question in this study was about socio demographic data of TBAs clients, how do TBAs protect themselves when they are performing deliveries and also how do they manage pregnant complications, other questions asked about TBAs clients was about their knowledge on danger signs during their pregnancies but also who influence them on where to give childbirth without forgetting factors make them go to TBAs rather going to health facility. Data were entered and analyzed by using SPSS version 20.
Results: 50 TBAs and 160 TBAs clients were interviewed in this study where by many of TBAs were between the age of 50 and 70 who were 38 (76%) and only 16 (32%) of all 50 TBAs have attended training on reproductive health during their time of practicing child birth a total of 6 pregnancy related complications and symptoms including threatened abortion, protracted labor, postpartum hemorrhage, anemia in pregnancy, pregnancy edema and retained placenta after birth were recorded. Out of 160 TBAs clients 76 (47.5%) were between age of 15 to 25. 81 (50.6%) were between the age of 26 and35.
Conclusion: The role of traditional birth attendants in provision of health care in resource poor countries is still important because of the current resource for health. The reduction of maternal mortality rate in Sengerema requires rigorous efforts that involve the government and non-governmental organization in identifying TBAs and training them.
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz
--Community Health