Lynn M. Sibley, CNM, PhD, is an Associate Clinical Professor and Academic Coordinator of the Lillian Carter Center for International Nursing, Nell Hodgson Woodruff School of Nursing. She holds a joint appointment in the Department of International Health, Rollins School of Public Health, Emory University, Atlanta, Georgia. At the time this research was conducted, she was Senior Technical Advisor for the Department of Global Outreach of the American College of Nurse-Midwives.
Does Traditional Birth Attendant Training Increase Use of Antenatal Care? A Review of the Evidence
Article first published online: 24 DEC 2010
2004 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 49, Issue 4, pages 298–305, July-August 2004
How to Cite
Sibley, L. M., Sipe, T. A. and Koblinsky, M. (2004), Does Traditional Birth Attendant Training Increase Use of Antenatal Care? A Review of the Evidence. Journal of Midwifery & Womens Health, 49: 298–305. doi: 10.1016/j.jmwh.2004.03.009
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- traditional birth attendant;
- antenatal care;
- health promotion
A combined narrative review and metanalytic review was conducted to summarize published and unpublished studies completed between 1970 and 2002 on the relationship between traditional birth attendant (TBA) training and increased use of professional antenatal care (ANC). Fifteen studies (n = 15) from 8 countries and 2 world regions were analyzed. There are, to varying degrees, positive associations between TBA training and TBA knowledge of the value and timing of ANC services, TBA behavior in offering advice or assistance to obtain ANC, and compliance and use of ANC services by women cared for by TBAs or living in areas served by TBAs. There is a serious lack of information about TBA training program characteristics. Although the findings cannot be causally attributed to TBA training, the results suggest that training may increase ANC attendance rates by about 38%. This magnitude of improvement could contribute to a reduction in maternal and perinatal mortality in areas where women have access to quality antenatal and emergency obstetric care. There is an urgent need to improve capacity for evaluation and research of the effect of TBA training programs and other factors that influence women's use of ANC services.