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Dissatisfaction with traditional birth attendants in rural Tanzania |
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| Authors: | Godfrey Mbaruku Beverly Msambichaka Peter C. Rockers |
| Affiliation: | a Ifakara Health Institute, Mikocheni, Dar Es Salaam, Tanzania b University of Michigan School of Public Health, Department of Epidemiology, Ann Arbor, Michigan, USA c University of Michigan Survey Research Center, Institute for Social Research, Ann Arbor, Michigan, USA d University of Michigan, Center for Global Health, Ann Arbor, Michigan, USA e University of Michigan School of Public Health, Department of Health Management and Policy, Ann Arbor, Michigan, USA f Averting Maternal Death and Disability Program, Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, New York, USA |
| Abstract: | ObjectiveTo assess women's satisfaction with traditional birth attendants (TBAs) in rural Tanzania.MethodA population-representative sample of households in Kasulu district was used to collect data on demographics, childbirth history, and perception of TBAs and doctors/nurses from women who had recently had a child and from their partners.ResultsTwo-thirds of women who gave birth in a health facility reported being very satisfied with the experience, compared with 21.2% of women who delivered at home with TBAs. A sizeable proportion of women felt that TBAs had poor medical skills (23.1%), while only 0.3% of women felt the same about doctors' and nurses' skills. Of women who delivered with a TBA, 16.0% reported that TBAs had poor medical skills whereas 0.5% stated the same for doctors and nurses.ConclusionAlthough many women delivered at home in this rural study district, women and their partners reported higher confidence in doctors and nurses than in TBAs. Policymakers and program managers should not assume that women prefer TBAs to trained professionals for delivery but should consider system barriers to facility delivery in interventions aimed at reducing maternal mortality. |
| Keywords: | Home delivery Maternal health Patient satisfaction Skilled birth attendance Tanzania Traditional birth attendants |
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