East African Journal of Public Health
East African Public Health Association
Vol. 5, No. 2, 2008, pp. 103-110
Bioline Code: lp08020
Full paper language: English
Document type: Research Article
Document available free of charge
East African Journal of Public Health, Vol. 5, No. 2, 2008, pp. 103-110
© Copyright 2008 - East African Journal of Public Heath
The Effectiveness Of The TBA Programme In Reducing Maternal Mortality And Morbidity In Malawi|
The main objective of this study was to assess the role of TBAs and the quality of their services in contributing to the reduction of
maternal deaths in Malawi.
This study used a qualitative research methodology involving key informant and in-depth interviews, observation and focus group
The study found that most of the people rely on traditional birth attendants although the quality of their services is poor due to
illiteracy, their ailing age, lack of supplies and equipment and general absence of supervision. The study further observed that although the
hospital sees many pregnant women during antenatal care, very few women actually come back to the hospital for delivery. The study also
found that there was high awareness among TBAs about what they were supposed to do but that their actual practices did not reflect compliance
with their roles as assigned by the formal health system.
The study concludes that TBAs are an important source of maternal care especially in rural areas and that they need to be
empowered to comply with the requirement of ensuring infection free deliveries. This entails adequate supervision and provision of supplies. The
study further observed that the utilization levels of TBAs is far much greater that presently acknowledged suggesting severe inadequacies within
the formal health system.