Perilaku Pemeriksaan Kesehatan Ibu Hamil Dan Pemilihan Penolong Persalinan Di Kabupaten Sukabumi

Maternal mortality and infant mortality are important indicators to state the social welfare andpublic health status of country. The both are correlated with health status of pregnant woment, knowledgeof women and family of antenatal care; delivery assistant and accessibility of health facility. The objectiveof this study is to identify the practice of ANC and utilization of delivery assisstant. The study usedqualitative methode with indepth interview and focus group discussion (FGD) to pregnant women,neonatus\u27s mother, key persons, traditional birth attendants (TBA) and midwife villages. The result of thisstudy showed that the community have the ANC awareness but some of them still prefer to ask TBA whendelivery. Factors influence TBA\u27s preference were 1) economics; 2) culture; 3) geography reason; 4)psycology; 5) pragmatis; 6) Service satifaction

Evaluating the benefits of incorporating traditional birth attendants in HIV Prevention of Mother to Child Transmission service delivery in Lilongwe, Malawi

The objective of our intervention was to examine the benefits of incorporating traditional birth attendants (TBA) in HIV Prevention of Mother to Child Transmission (PMTCT) service delivery. We developed a training curriculum for TBAs related to PMTCT and current TBA roles in Malawi. Fourteen TBAs and seven TBA assistants serving 4 urban health centre catchment areas were assessed, trained and supervised. Focus group discussions with the TBAs were conducted after implementation of the program. From March 2008 to August 2009, a total of 4017 pregnant women visited TBAs, out of which 2133 (53.1%) were directly referred to health facilities and 1,884 (46.9%) women delivered at TBAs and subsequently referred. 168 HIV positive women were identified by TBAs. Of these, 86/168 (51.2%) women received nevirapine and 46/168 (27.4%) HIV exposed infants received nevirapine. The challenges in providing PMTCT services included lack of transportation for referrals and absence of a reporting system to confirm the woman’s arrival at the health center. Non-disclosure of HIV status by patients to the TBAs resulted in inability to assist nevirapine uptake. TBAs, when trained and well-supervised, can supplement efforts to provide PMTCT services in communities. (Afr J Reprod Health 2014; 18[1]: 27-34).Keywords: Traditional Birth Attendants, PMTCT, Malaw

Social Capital and the Use of Traditional Birth Attendant: is IT Relevant?

Using the services of traditional birth attendants (TBA) in childbirth is considered as one of the maternal mortality determinants in Indonesia. Researchers reported that mothers preferred to have the help of TBAs in childbirth because TBAs have such powers as prayers and mantras that help the delivery process. However, very little is actually known about the factors shaping their preference. This research investigates the role of social capital as to maternal preference for having TBAs in childbirth. A cross sectional data of Indonesia Family Life Survey (IFLS) 2007 was used. Social capital was measured by social cohesion and community trust. Maternal demographic factors were measured by marital status, employment status, and education. Chi-Square test was used to analyze statistical association. Finally, logistic regression was used to gaugetheir effects on the use of TBAs. The result showed that the existence of social cohesion and trust made a significant impact on the preference for choosing TBAs. In demographic factors, a comparable finding was found only at the educational level. The factors of having childbirth with the help of a traditional birth attendant are complex. An understanding of social context should be taken into consideration in making a serious effort to reduce the maternal mortality rate

Partnership Program as a Midwife and Healer Good Governance Innovation Accelerator Achieving the Millennium Development Goals (Mdgs)

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia is still high, especially at Trenggalek District. There were 22 maternal and 164 infant deaths from 10.993 live births in 2001 and still 1.653 births attended by traditional birth attendants (TBA). The number of TBAs in Trenggalek District is still quite high, twice the number of midwives (449 TBAs and 186 midwives in 2001). The existence of TBAs at Trenggalek District is still very respected by the community. Meanwhile, in average midwives are still young and not yet wellknown by the public. This study was conducted using a case study design with references study,questionnaires,and interviews. This study aims to identify the Partnership Program between Midwives and TBAs at Trenggalek District. The Partnership Program between Midwives and TBAs in Trenggalek District is a collaboration between midwives and TBAs to improve access for mothers and their babies to quality maternity services. The program succeeded in reducing MMR and IMR at Trenggalek District from 200,13 in 2001 to 103 in 2010 for MMR and from 183 in 2001 to 111 in 2011 for IMR. In conclusion, the Partnership Program between Midwives and TBAs can accelerate the accomplishment of MDGs at Trenggalek District, East Java

Pelatihan Peduli Dukun Bayi Sebagai Agen Promotor Air Susu Ibu Eksklusif pada Ibu Hamil

Background: Promotions of exclusive breastfeeding during the first six months of a child’s life have been made throughout the world, including Indonesia. Exclusive breastfeeding movement in Indonesia specifically supported through Government Regulation Number 33 of 2012. Unfortunately, the report shows that the proportion of exclusive breastfeeding EBF) is low. Government regulation is not the only way to reach successful EBF practice, while other people supports are also needed. Traditional Birth Attendants (TBA) are the people closest to the mothers especially in rural areas. The role and potency of traditional birth attendants can be used to promote exclusive breastfeeding on the mother. Method: Therefore training program was held involving 55 TBAs as participants at Ciampea District, Bogor Regency to support and improve exclusive breastfeeding practices in this area. Furthermore, to determine the effectiveness of the provision of material for the training is done using the method of cross-sectional studies. Training activities and the measurement were conducted in May and October 2013. Result: The result showed that the training was able to provide new knowledge about exclusive breastfeeding at TBAs. Conclusion: Furthermore, after all the training, there was increase in knowledge, attitude and practice of Exclusive breastfeeding promotion by TBAs. Knowledge increased two times, attitude 1.5 times, and practice two times

Traditional birth attendants lack basic information on HIV and safe delivery practices in rural Mysore, India

<p>Abstract</p> <p>Background</p> <p>There is little research on HIV awareness and practices of traditional birth attendants (TBA) in India. This study investigated knowledge and attitudes among rural TBA in Karnataka as part of a project examining how traditional birth attendants could be integrated into prevention-of-mother-to-child transmission of HIV (PMTCT) programs in India.</p> <p>Methods</p> <p>A cross-sectional survey was conducted between March 2008 and January 2009 among TBA in 144 villages in Mysore <it>Taluk</it>, Karnataka. Following informed consent, TBA underwent an interviewer-administered questionnaire in the local language of <it>Kannada </it>on practices and knowledge around birthing and HIV/PMTCT.</p> <p>Results</p> <p>Of the 417 TBA surveyed, the median age was 52 years and 96% were Hindus. A majority (324, 77.7%) had no formal schooling, 88 (21.1%) had up to 7 years and 5 (1%) had more than 7 yrs of education. Only 51 of the 417 TBA (12%) reported hearing about HIV/AIDS. Of those who had heard about HIV/AIDS, only 36 (72%) correctly reported that the virus could be spread from mother to child; 37 (74%) identified unprotected sex as a mode of transmission; and 26 (51%) correctly said healthy looking people could spread HIV. Just 22 (44%) knew that infected mothers could lower the risk of transmitting the virus to their infants. An overwhelming majority of TBA (401, 96.2%) did not provide antenatal care to their clients. Over half (254, 61%) said they would refer the woman to a hospital if she bled before delivery, and only 53 (13%) felt referral was necessary if excessive bleeding occurred after birth.</p> <p>Conclusions</p> <p>Traditional birth attendants will continue to play an important role in maternal child health in India for the foreseeable future. This study demonstrates that a majority of TBA lack basic information about HIV/AIDS and safe delivery practices. Given the ongoing shortage of skilled birth attendance in rural areas, more studies are needed to examine whether TBA should be trained and integrated into PMTCT and maternal child health programs in India.</p

Medicinal Plants used during Antenatal Care by Pregnant Women in Eastern Uganda

Plants are commonly used during the antenatal stage in pregnancy to manage different ailments in Africa. In Uganda, both medicinal and food plants are used to handle common pregnancy related conditions. An ethnobotanical survey was conducted in Iganga district, eastern Uganda. Seven traditional birth attendants (TBA) and 46 mothers were interviewed. Data was collected using structured questionnaires and household interviews. The TBAs were identified using snowball sampling. A total of 33 plant species, belonging to 23 families were documented. Out of these, the pregnant mothers used 45.5 % as both food and medicine. The most frequently used plant life form was herbs (58.8%). The leaves are the most commonly used plant parts (59%). Most of the plants (58.8%) were semi cultivated and were being domesticated in crop fields and home gardens. Most of the plants were used to manage anaemia and for child development and good health among the pregnant women. The pregnant women and TBAs in Namungalwe sub County have diverse knowledge on medicinal and nutri-medicinal plants in the management of common pregnancy related diseases, which can be used to supplement modern antenatal services, inspite of the ban of the activities of TBA. Further research on the bioavailability of nutrients, efficacy and safety of the medicinal plants used by pregnant women should be done. Keywords: Medicinal Plants, Antenatal, Traditional Birth Attendants, Ugand

Immunisation and Infant Mortality in Pakistan

Our children are our future and if we want them to grow up healthy and strong, we have to protect them from the six dreadful diseases through immunisation which attack them in early childhood. This can be achieved by giving the children one dose of BCG vaccine against tuberculosis and zero dose of Polio at birth [Government of Pakistan (1989»), three doses of DPT vaccine for prevention of diphtheria, whooping cough and tetanus. Three doses of polio vaccine and one dose of measles vaccine should be given before their first birthday. Since the mother is the agent through which a child can receive the vaccinations, it is important that mothers are made aware of the different kinds of immunisation for the children and the times in the child's age at which it should be given. This can only be done successfully, if the ministry of health launches a fullscale publicity programme. For this purpose, the services of local influential persons, for example the Imams of mosques and school teachers should be sought. Social workers and volunteers should also be included in the publicity programme. An extensive advertising campaign through display of posters about the six preventable diseases shown at all prominent public places, at the hospitals and the health centres should be done. Pamphlets should be handed out in the public, and even supplied on every door step. Public awareness can be increased through radio and television

Birthing practices of traditional birth attendants in South Asia in the context of training programmes

Traditional Birth Attendants (TBA) training has been an important component of public health policy interventions to improve maternal and child health in developing countries since the 1970s. More recently, since the 1990s, the TBA training strategy has been increasingly seen as irrelevant, ineffective or, on the whole, a failure due to evidence that the maternal mortality rate (MMR) in developing countries had not reduced. Although, worldwide data show that, by choice or out of necessity, 47 percent of births in the developing world are assisted by TBAs and/or family members, funding for TBA training has been reduced and moved to providing skilled birth attendants for all births. Any shift in policy needs to be supported by appropriate evidence on TBA roles in providing maternal and infant health care service and effectiveness of the training programmes. This article reviews literature on the characteristics and role of TBAs in South Asia with an emphasis on India. The aim was to assess the contribution of TBAs in providing maternal and infant health care service at different stages of pregnancy and after-delivery and birthing practices adopted in home births. The review of role revealed that apart from TBAs, there are various other people in the community also involved in making decisions about the welfare and health of the birthing mother and new born baby. However, TBAs have changing, localised but nonetheless significant roles in delivery, postnatal and infant care in India. Certain traditional birthing practices such as bathing babies immediately after birth, not weighing babies after birth and not feeding with colostrum are adopted in home births as well as health institutions in India. There is therefore a thin precarious balance between the application of biomedical and traditional knowledge. Customary rituals and perceptions essentially affect practices in home and institutional births and hence training of TBAs need to be implemented in conjunction with community awareness programmes

ラオス ニオケル デントウテキ サンバ ト コウカテキ ナ ボシ ホケン タイサク ニツイテノ ブンケンテキ コウサツ

Abstract : 　Background : Laos is one of the least developed countries (LDC). In LDC, many women give birth to their babies at home and the levels of maternal and child health indicators are low. Therefore, countermeasures for maternal and child health including utilization of human resources such as traditional birth attendants (TBA) may be needed to support delivery at home.　Methods : We reviewed research articles on maternal health, maternity and delivery in Asian area.　Results : It was shown that women increased the time of receiving maternal health check and gave more colostrums and vaccinations to their babies after the intervention by well-trained TBA, and that women\u27s knowledge deficiency and superstitious habits made the levels of maternal and child health indicators low.　Conclusion : In LDC including Laos where the levels of reproductive health indicators are low, it is important to let common women take better healthy behavior and, therefore, the existence of TBA is important.　　Key words : Traditional Birth Attendants, Laos, Least Developed Countries, Maternal and Child Healt