Title:
Why Women Use Traditional Birth Attendants Instead of Skilled Birth Attendants in West Darfur, Sudan
Authors:
Ahmedana, Khalid Elsheikh Mohamed ELamin
Year:
2015
PAGE:
ix, 48
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Maternal Mortality, Taditional Birth Attendants, TBAs, Skills Birth Attendants, SBAs, Conflict and Post-conflict, West Darfur, Sudan
Abstract:
Background: West Darfur has a high maternal mortality estimated at 322 per 100,000 people and it has the highest use of traditional birth attendants (TBAs). 62 percent of deliveries were conducted by TBAs. Ten years conflict resulted in two types of populations with different needs to access maternity. Objective: To identify evidence-based strategies to reduce maternal mortality by improving utilization of skilled birth attendants (SBAs) in West Darfur, Sudan in order to give recommendations to Sudan federal ministry of health, West Darfur State ministry of health and stakeholders. Method: The method used for this study is literature review using the Anderson model as a conceptual framework. Result: High use of TBAs by women in West Darfur is due to lack of decision-making, general lack of knowledge, tribal cultures and gender roles. The conflict situation makes it difficult to access maternities for women in the remote settlements as compared with the camp residences. Increased utilization can be achieved through different strategies, such as integrating TBAs in the health system for referral, accept the role of the TBAs, contracting non-governmental organizations (NGOs) to build maternities and create maternity waiting homes. Raising awareness of the community and community participation in maternal health are important to achieve success. Recommendations: Different comprehensive strategies at different level for long and short term with multisectoral collaborations between the government, NGOs and communities.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Sudan
Region:
Northeastern Africa
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2015 Ahmedana
Document type:
Thesis/dissertation
File:
92g6IJFqAA_20161025125533656.pdf