'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria

While 79% of Nigerian mothers who deliver in facilities receive postnatal care within 48 h of delivery, this is only true for 16% of mothers who deliver outside facilities. Most maternal deaths can be prevented with access to timely and competent health care. Thus, the World Health Organization, Int...

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Main Authors:	Chukwuma, Adanna, Mbachu, Chinyere, Cohen, Jessica, Bossert, Thomas, McConnell, Margaret
Format:	Journal Article
Published:	Springer Nature 2021
Subjects:	POSTNATAL CARE TRADITIONAL BIRTH ATTENDANT CHILD HEALTH MATERNAL HEALTH
Online Access:	http://hdl.handle.net/10986/35578

id	okr-10986-35578
recordtype	oai_dc
spelling	okr-10986-355782021-07-19T16:34:34Z 'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria Chukwuma, Adanna Mbachu, Chinyere Cohen, Jessica Bossert, Thomas McConnell, Margaret POSTNATAL CARE TRADITIONAL BIRTH ATTENDANT CHILD HEALTH MATERNAL HEALTH While 79% of Nigerian mothers who deliver in facilities receive postnatal care within 48 h of delivery, this is only true for 16% of mothers who deliver outside facilities. Most maternal deaths can be prevented with access to timely and competent health care. Thus, the World Health Organization, International Confederation of Midwives, and International Federation of Gynecology and Obstetrics recommend that unskilled birth attendants be involved in advocacy for skilled care use among mothers. This study explores postnatal care referral behavior by TBAs in Nigeria, including the perceived factors that may deter or promote referrals to skilled health workers. Differences in TBA referral before, during, and after delivery appear to reflect the TBAs understanding of the added value of skilled care for the client and the TBA, as well as the TBA’s perception of the implications of referral for her credibility as a maternal care provider among her clients. We also found that there are opportunities to engage TBAs in routine postnatal care referrals to facilities in Nigeria by using incentives and promoting a cordial relationship between TBAs and skilled health workers. Thus, despite the potential negative consequences TBAs may face with postnatal care referrals, there are opportunities to promote these referrals using incentives and promoting a cordial relationship between TBAs and skilled health workers. Further research is needed on the interactions between postnatal maternal complications, TBA referral behavior, and maternal perception of TBA competence. 2021-05-14T15:59:50Z 2021-05-14T15:59:50Z 2017-12-19 Journal Article BMC Pregnancy and Childbirth 1471-2393 http://hdl.handle.net/10986/35578 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Springer Nature Publications & Research :: Journal Article Publications & Research Africa Africa Western and Central (AFW) Nigeria
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	POSTNATAL CARE TRADITIONAL BIRTH ATTENDANT CHILD HEALTH MATERNAL HEALTH
spellingShingle	POSTNATAL CARE TRADITIONAL BIRTH ATTENDANT CHILD HEALTH MATERNAL HEALTH Chukwuma, Adanna Mbachu, Chinyere Cohen, Jessica Bossert, Thomas McConnell, Margaret 'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria
geographic_facet	Africa Africa Western and Central (AFW) Nigeria
description	While 79% of Nigerian mothers who deliver in facilities receive postnatal care within 48 h of delivery, this is only true for 16% of mothers who deliver outside facilities. Most maternal deaths can be prevented with access to timely and competent health care. Thus, the World Health Organization, International Confederation of Midwives, and International Federation of Gynecology and Obstetrics recommend that unskilled birth attendants be involved in advocacy for skilled care use among mothers. This study explores postnatal care referral behavior by TBAs in Nigeria, including the perceived factors that may deter or promote referrals to skilled health workers. Differences in TBA referral before, during, and after delivery appear to reflect the TBAs understanding of the added value of skilled care for the client and the TBA, as well as the TBA’s perception of the implications of referral for her credibility as a maternal care provider among her clients. We also found that there are opportunities to engage TBAs in routine postnatal care referrals to facilities in Nigeria by using incentives and promoting a cordial relationship between TBAs and skilled health workers. Thus, despite the potential negative consequences TBAs may face with postnatal care referrals, there are opportunities to promote these referrals using incentives and promoting a cordial relationship between TBAs and skilled health workers. Further research is needed on the interactions between postnatal maternal complications, TBA referral behavior, and maternal perception of TBA competence.
format	Journal Article
author	Chukwuma, Adanna Mbachu, Chinyere Cohen, Jessica Bossert, Thomas McConnell, Margaret
author_facet	Chukwuma, Adanna Mbachu, Chinyere Cohen, Jessica Bossert, Thomas McConnell, Margaret
author_sort	Chukwuma, Adanna
title	'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria
title_short	'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria
title_full	'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria
title_fullStr	'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria
title_full_unstemmed	'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria
title_sort	'once the delivery is done, they have finished' : a qualitative study of perspectives on postnatal care referrals by traditional birth attendants in ebonyi state, nigeria
publisher	Springer Nature
publishDate	2021
url	http://hdl.handle.net/10986/35578
_version_	1764483367310458880

'Once the delivery is done, they have finished' : A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria

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