From home deliveries to health care facilities: establishing a traditional birth attendant referral program in Kenya

To assess the effectiveness of a traditional birth attendant (TBA) referral program on increasing the number of deliveries overseen by skilled birth attendants (SBA) in rural Kenyan health facilities before and after the implementation of a free maternity care policy. In a rural region of Kenya, TBA...

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Veröffentlicht in:Journal of health, population and nutrition population and nutrition, 2015-07, Vol.33 (1), p.6-6, Article 6
Hauptverfasser: Tomedi, Angelo, Stroud, Sophia R, Maya, Tania Ruiz, Plaman, Christopher R, Mwanthi, Mutuku A
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Sprache:eng
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Zusammenfassung:To assess the effectiveness of a traditional birth attendant (TBA) referral program on increasing the number of deliveries overseen by skilled birth attendants (SBA) in rural Kenyan health facilities before and after the implementation of a free maternity care policy. In a rural region of Kenya, TBAs were recruited to educate pregnant women about the importance of delivering in healthcare facilities and were offered a stipend for every pregnant woman whom they brought to the healthcare facility. We evaluated the percentage of prenatal care (PNC) patients who delivered at the intervention site compared with the percentage of PNC patients who delivered at rural control facilities, before and after the referral program was implemented, and before and after the Kenya government implemented a policy of free maternity care. The window period of the study was from July of 2011 through September 2013, with a TBA referral intervention conducted from March to September 2013. The absolute increases from the pre-intervention period to the TBA referral intervention period in SBA deliveries were 5.7 and 24.0% in the control and intervention groups, respectively (p 
ISSN:2072-1315
1606-0997
2072-1315
DOI:10.1186/s41043-015-0023-z