Home birth attendants in low income countries: who are they and what do they do? Public Deposited

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Creator
  • Liechty, Edward A
    • Other Affiliation: Department of Pediatrics, Indiana University, Indianapolis, IN, USA
  • Chomba, Elwyn
    • Other Affiliation: Department of Pediatrics, University Teaching Hospital, Lusaka, Zambia
  • Goldenberg, Robert L
    • Other Affiliation: Department Obstetrics and Gynecology, Columbia University, NY, USA
  • Bose, Carl
    • Affiliation: School of Medicine, Department of Pediatrics
  • Whitworth, Ryan
    • Other Affiliation: Research Triangle Institute, Durham, NC, USA
  • Carlo, Waldemar A
    • Other Affiliation: University of Alabama at Birmingham, Birmingham, AL, USA
  • Lokangaka, Adrien
    • Other Affiliation: Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo
  • Wright, Linda L
    • Other Affiliation: Center for Research for Mothers and Children, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA
  • Koso-Thomas, Marion
    • Other Affiliation: Center for Research for Mothers and Children, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA
  • Garces, Ana
    • Other Affiliation: IMSALUD, Guatemala City, Guatemala
  • Goudar, Shivaprasad
    • Other Affiliation: Department of Medical Education, Jawaharlal Nehru Medical College, Belgaum, India
  • McClure, Elizabeth M
    • Other Affiliation: Research Triangle Institute, Durham, NC, USA
  • Tshefu, Antoinette
    • Other Affiliation: Kinshasa School of Public Health, Kinshasa, Democratic Republic of Congo
  • Hambidge, K
    • Other Affiliation: Department of Pediatric Nutrition, Denver University School of Public Health, Denver, CO, USA
  • Pasha, Omrana
    • Other Affiliation: Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
  • Esamai, Fabian
    • Other Affiliation: Department of Pediatrics, Moi University, Eldoret, Kenya
  • Patel, Archana
    • Other Affiliation: Indira Ghandi College of Medicine, Nagpur, India
  • Bucher, Sherri
    • Other Affiliation: Department of Pediatrics, Indiana University, Indianapolis, IN, USA
  • Hibberd, Patricia L
    • Other Affiliation: Massachusetts General Hospital, Boston, MA, USA
Abstract
  • Abstract Background Nearly half the world’s babies are born at home. We sought to evaluate the training, knowledge, skills, and access to medical equipment and testing for home birth attendants across 7 international sites. Methods Face-to-face interviews were done by trained interviewers to assess level of training, knowledge and practices regarding care during the antenatal, intrapartum and postpartum periods. The survey was administered to a sample of birth attendants conducting home or out-of-facility deliveries in 7 sites in 6 countries (India, Pakistan, Guatemala, Democratic Republic of the Congo, Kenya and Zambia). Results A total of 1226 home birth attendants were surveyed. Less than half the birth attendants were literate. Eighty percent had one month or less of formal training. Most home birth attendants did not have basic equipment (e.g., blood pressure apparatus, stethoscope, infant bag and mask manual resuscitator). Reporting of births and maternal and neonatal deaths to government agencies was low. Indian auxilliary nurse midwives, who perform some home but mainly clinic births, were far better trained and differed in many characteristics from the birth attendants who only performed deliveries at home. Conclusions Home birth attendants in low-income countries were often illiterate, could not read numbers and had little formal training. Most had few of the skills or access to tests, medications and equipment that are necessary to reduce maternal, fetal or neonatal mortality.
Date of publication
Identifier
  • 22583622
  • doi:10.1186/1471-2393-12-34
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Ana Garces et al.; licensee BioMed Central Ltd.
License
Journal title
  • BMC Pregnancy and Childbirth
Journal volume
  • 12
Journal issue
  • 1
Page start
  • 34
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1471-2393
Bibliographic citation
  • BMC Pregnancy and Childbirth. 2012 May 14;12(1):34
Access
  • Open Access
Publisher
  • BioMed Central Ltd
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