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Effect of shifting policies on traditional birth attendant training

Kruske, Sue and Barclay, Lesley M. (2004). Effect of shifting policies on traditional birth attendant training. Journal of Midwifery and Women's Health,49(4):306-311.

Document type: Journal Article
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Title Effect of shifting policies on traditional birth attendant training
Author Kruske, Sue
Barclay, Lesley M.
Journal Name Journal of Midwifery and Women's Health
Publication Date 2004
Volume Number 49
Issue Number 4
ISSN 1542-2011   (check CDU catalogue  open catalogue search in new window)
Start Page 306
End Page 311
Total Pages 6
Place of Publication United States of America
Publisher Wiley-Blackwell Publishing, Inc.
Field of Research 1110 - Nursing
1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
Abstract Traditional birth attendant (TBA) training commenced in many places in the non-Western world in the 1970s, supported by the World Health Organization and other funding bodies. By 1997, senior policy makers decided to refocus priorities on the provision of skilled attendants to assist birthing women. The definition of skilled attendants excluded TBAs and resulted in the subsequent withdrawal of funding for TBA training globally. A review of the health and sociological literature and international policy documents that address TBA training revealed how international policy and professional orientation are reflected in education programs designed for the TBA. Policy makers risk ignoring the important cultural and social roles TBAs fulfill in their local communities and fail to recognize the barriers to the provision of skilled care. The provision of skilled attendants for all birthing women cannot occur in isolation from TBAs who in themselves are also highly skilled. This article argues a legitimacy of alternative worldviews and acknowledges the contribution TBAs make to childbearing women across the world.
Keywords traditional birth attendants
skilled attendants
maternal mortality
midwives
maternal mortality
DOI http://dx.doi.org/10.1016/j.jmwh.2004.01.005   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes Preprint pages 1-16


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