Perceptions of healthcare professionals on collaborating with traditional birth attendants in reproductive health promotion in Northern Namibia

Hertha K. Haikera, Roswitha Mahalie

Abstract

Traditional birth attendants (TBAs) render diverse culturally acceptable reproductive health services to women and the new-born babies. However, there is no collaboration between TBAs and healthcare professionals (HCPs) in Namibia. This study explored the perceptions of HCPs regarding the collaborative roles of TBAs. An exploratory, descriptive qualitative research design was utilized to purposively select and interview twenty-two (22) multidisciplinary HCPs. Latent content analysis was used to evaluate and synthesize the data thematically. HCPs agreed that TBAs are relevant in their communities and could complement the formal health system within the scope of health promotion. Collaboration can enable TBAs to encourage pregnant women to attend antenatal care and, where the need arises, may assist with emergency births in remote places in a safe manner. This study recommends developing a framework of collaboration that outlines the scope of practice for TBAs to inform regulation and recognition thereof.

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References

Ogechukwu EO, Rhenua BA, Ezeokoli RN and Adegbite OS. Perception on Traditional Birth Attendants Integration in the Primary Health Care system in Ikene local government Area, Ogun State, Nigeria. Researchgate. 2019.

Aziato L and Omenyo CN. Initiation of traditional birth attendants and their traditional and spiritual practices during pregnancy and childbirth in Ghana. BMC Pregnancy Childbirth. 2018. Vol 18 (64). https://doi.org/10.1186/s12884-018-1691-7

Haikera HK, Aboua YG and Aku-Akai L. Scope of Medicinal Plants for Uterotonic, Tocolytic and wellness effect in Pregnant women: A cultural perspective. Book Chapter in Curative and Preventive Properties of Medicinal plants: Research on Disease Management and Animal Model Studies. 1st Ed. Editors: Goyal MR, Malik JA, and Ayeleso AO. Apple 5 Academic Press. New York. 2023. https://doi.org/10.1201/9781003328544

World Health Organization. WHO Traditional Medicine Strategy 2014-2023. Hong Kong, China. 2013. www.who.int

Rutledge, J. D., Kiyanda, A., Jean-Louis, C., Raskin, E., Gaillard, J., Morgan Maxwell, M., Smith, T., Kershaw, T. & Abrams, J. Recommendations for Integrating Traditional Birth Attendants to Improve Maternal Health Outcomes in Low- and Middle-Income Countries. International Journal of Maternal and Child Health and AIDS. 2024; 13 (e019). https://doi.org/10.25259/IJMA_16_2024

Constitution of the Republic of Namibia. Namibian Constitution 3rd Amendment Act 8 of 2014 (GG5589). Published 13 October 2014. Legal Assistance Centre, Windhoek.

Namibia Statistics Agency. 2023 Population and Housing Census: Preliminary Report. Namibia Statistics Agency, Windhoek. 2024

Ministry of Health and Social Services. Health care Workforce Status Report 2022. Republic of Namibia. 2022.

Lathen L and Laestadius L. ‘Reflections on Online Focus Group Research with Low Socio-Economic Status African American Adults During COVID-19’, International Journal of Qualitative Methods 2021; 20: 1–10. Available at: https://doi.org/10.1177/16094069211021713

Miller T and Smith H. Establishing Partnership with Traditional Birth Attendants for improved maternal and new-born health: A review of factors influencing implementation. BMC Pregnancy & Childbirth. 2017; 17 (365). https://doi.org/10.1186/s12884-017-1534-y

Sarmiento I, Paredes-Solis S, Garcia AJ, Paulino NM, de los Santos FR, Legorreta J, Zuluaga G, Cockcroft A and Anderson N. Safe Birth in Cultural Safety in Southern Mexico: A pragmatic non-inferiority cluster randomised controlled trial. BMC Pregnancy and Childbirth. 2022; Vol. 22 (43). https://doi.org/10.1186/s12884-021-04344-w

Chi PC and Urdal H. The evolving role of Traditional Birth attendants in Maternal Health in post-conflict Africa. A qualitative Study of Burundi and Northern Uganda. Sage Open Medicine. 2018; Vol 6 (1-9). https://doi.org/10.1177/2050312117753631

Ngunyulu RN, Mulaudzi FM and Peu MD. Traditional Birth Attendants’ experiences during the provision of postnatal care in Mopani District, Limpopo province of South Africa. Health South Africa Gesondheid. 2020.

Gurara M, Muyldermans K, Jacquemyn Y, Van Geertruyden JP and Draulans V. Traditional birth attendants’ roles and homebirth choices in Ethiopia:

A qualitative study. Women and birth. 2020; e464-e472. http://dx.doi.org/10.1016/j.wombi.2019.09.004

Jiang H, Tang S, Li J, Chen L, Escobar E and Qian X. Task shifting of traditional birth attendants in rural China: a qualitative study of the implementation of institution-based delivery policy. 2015; Poster Abstract. www.thelancet.com

Kassie A, Wale A, Girma D, Amsalu H and Yechale M. The role of traditional birth attendants and problem of integration with health facilities in remote rural community of West Omo Zone 2021: exploratory qualitative study. BMC Pregnancy and Childbirth 2022; 22:425. https://doi.org/10.1186/s12884-022-04753-5

Hobday K, Hulme J, Homer C, Wate PZ, Belton S and Prata N. “My job is to get pregnant women to the hospital”: a qualitative study of the role of traditional birth attendants in the distribution of misoprostol to prevent postpartum haemorrhage in two provinces in Mozambique. Reproductive Health 2018; 15:174 https://doi.org/10.1186/s12978-018-0622-4

Pyone T, Adaji S, Madaj B, Woldetsadik T and van den Broek N. Changing the role of the traditional birth attendant in Somaliland. International Journal of Gynaecology and Obstetrics. 2014; vol.127 41-46 http://dx.doi.org/10.1016/j.ijgo.2014.04.009

Lawn JE, Manandhar A, Haws RA and Darmstadt GL. Reducing one million child deaths from birth asphyxia – a survey of health systems gaps and priorities. Health Research Policy and Systems 2007, 5:4. https://doi:10.1186/1478-4505-5-4

Titaley CR, Chaerani S, Maelissa M, de Lima F, Saija A, Mainase Y, Kailola N and Que BJ. Antenatal care attendance and parental education are associated with utilization of non-trained delivery attendants in negeri lima health center catchment areas, Maluku province. Molucca Medica. 2019; Volume 12 (1) ISSN 25970246X (online)

Musie MR and Mulaudzi FM. Knowledge and attitudes of midwives towards collaboration with traditional birth attendants for maternal and neonatal healthcare services in rural communities in South Africa. Midwifery.2024;130 103925 https://doi.org/10.1016/j.midw.2024.103925

Musie RM, Mulaudzi MF, Rafiat-Anokwuru R and Bhana-Pema V. Recognise and Acknowledge Us: Views of Traditional Birth Attendants on Collaboration with Midwives for Maternal Health Care Services. International Journal of Reproductive Medicine. 2022; Volume 2022, Article ID 9216500, 10 pages. https://doi.org/10.1155/2022/9216500

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