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Journal of Tropical Pediatrics 1987 33(1):29-34; doi:10.1093/tropej/33.1.29
© 1987 by Oxford University Press
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Perspectives in Primary Care: The Trained Traditional Birth Attendant: a Study of Her Role in two Cultures

L. I. Lartson, MD, MSc*, O. A. Sodipe, MB, BS, MSc*, G. J. Ebrahim, FRCP, DCH* and R. Abel, MD**

* Tropical Child Health Unit, Institute of Child Health London
** Rural Unit for Health and Social Affairs Vellore, India

The training of the traditional birth attendants in the national programme in Liberia and in the innovative health programme of RUHSA in south India has been evaluated. There has been an improvement in coverage with prenatal care and immunization with tetanus toxoid associated with a fall in the incidence of low birth weight and neonatal tetanus. The need for repeated refresher courses, for effective back-up in case of emergencies, and for close supervision to prevent risk-taking is stressed. Even though the performance of the trained traditional birth attendants (TTBA) improved with regard to the assessment of pregnancy and the identification of risk factors, the TTBA tended to handle complicated births, retained placenta, and prolonged labour by themselves. Whatever the reasons, it stresses the need for the supervisory back-up services to work closely with the TTBA.


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E.A. Abioye-Kuteyi, S.O. Elias, A.F. Familusi, A. Fakunle, and K. Akinfolayan
The role of traditional birth attendants in Atakumosa, Nigeria
The Journal of the Royal Society for the Promotion of Health, June 1, 2001; 121(2): 119 - 124.
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