Sue Kruske, CNM, B Hlth (Hons), is a nurse-midwife, currently undertaking her PhD at the University of Technology, Sydney. Her area of interest is improving health services for marginalized groups through improving the health professionals' acknowledgment and respect of different worldviews.
Effect of Shifting Policies on Traditional Birth Attendant Training
Version of Record online: 24 DEC 2010
2004 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 49, Issue 4, pages 306–311, July-August 2004
How to Cite
Kruske, S. and Barclay, L. (2004), Effect of Shifting Policies on Traditional Birth Attendant Training. Journal of Midwifery & Womens Health, 49: 306–311. doi: 10.1016/j.jmwh.2004.01.005
- Issue online: 24 DEC 2010
- Version of Record online: 24 DEC 2010
- traditional birth attendants;
- skilled attendants;
- maternal mortality;
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.