Traditional birth attendants, HIV/AIDS and safe delivery in the Eastern Cape, South Africa - evaluation of a training programme
SOURCE: The South African Journal of Obstetrics and Gynaecology
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2006
TITLE AUTHOR(S): K.Peltzer, N.Henda
KEYWORDS: EASTERN CAPE PROVINCE, HIV/AIDS, TRADITIONAL BIRTH ATTENDANTS
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 4384
HANDLE: 20.500.11910/6267
URI: http://hdl.handle.net/20.500.11910/6267
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2006
TITLE AUTHOR(S): K.Peltzer, N.Henda
KEYWORDS: EASTERN CAPE PROVINCE, HIV/AIDS, TRADITIONAL BIRTH ATTENDANTS
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 4384
HANDLE: 20.500.11910/6267
URI: http://hdl.handle.net/20.500.11910/6267
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Traditional birth attendants (TBAs) are still frequently utilised in rural areas in South Africa, even when mothers have access to formal health care facilities. Studies reveal that utilisation of TBAs can be beneficial in some contexts, with support and supervision from the Western health sector. Aim. To evaluate a training programme for TBAs on HIV/AIDS and safe delivery. The study used a pre-post training evaluation design of 50 TBAs in two primary health care clinic areas in rural South Africa. Most TBAs had some knowledge of risk signs during pregnancy. At follow-up assessment HIV/AIDS knowledge had significantly increased and HIV risk practices when assisting during a delivery had significantly decreased. Most TBAs were involved in HIV/sexually transmitted infection (STI) management such as risk assessment, risk reduction counselling, distribution of condoms, community education and home-based care. After the training significantly more TBAs conducted prenatal check-ups, assessed the baby's position in the uterus and took the mother's and baby's pulse, and fewer TBAs conducted abnormal or complicated deliveries. Training of TBAs can increase their knowledge, improve their attitudes and reduce risk practices. TBAs need skilled and equipped available support to carry out basic preventive measures in the obstetric patient, anticipate and identify obstetric complications, administer nevirapine prophylaxis, and make appropriate and timely referrals backed up with efficient referral mechanisms to reduce maternal morbidity and mortality.-
Related Research Outputs:
- Traditional birth attendance, HIV/AIDS and safe delivery in the Eastern Cape, South Africa: evaluation of a training
- The costing of a rural PMTCT pilot site in the Eastern Cape
- HIV knowledge, risk perception, and risk behaviours among technikon staff in the Eastern Cape, South Africa
- Perceived HIV/AIDS impact among staff in tertiary institutions in the Eastern Cape, South Africa
- The practicalities of using Nevirapine for PMTCT in under-resourced settings: the case of Qaukeni district in the eastern Cape province, South Africa
- Perceived HIV/AIDS impact among higher education institutions in the Eastern Cape
- Traditional birth attendants in the Eastern Cape, South Africa: characteristics, role and HIV/AIDS
- HIV/AIDS situational analysis among tertiary institutions in the Eastern Cape
- Management of HIV/AIDS among small to medium hospitality businesses in Buffalo City, Eastern Cape, South Africa
- Traditional birth attendants and HIV/AIDS in South Africa: a trainer's manual
- Prevention of HIV from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa: baseline survey of pregnant women
- Follow-up survey of women who have undergone PMTCT in a resource poor setting
- HIV/AIDS knowledge, risk perception, stigma and support among staff in tertiary institutions in the Eastern Cape, South Africa
- HIV/AIDS workplace policies in Eastern Cape tertiary institutions
- Impact of disability grant on people living with HIV/AIDS in the Eastern Cape of South Africa
- Barriers to prevention of HIV transmission from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa
- Traditional birth attendants and HIV/AIDS in South Africa: a participant's manual
- Traditional male circumcision intervention report
- PMTCT services in a rural district municipality of the Eastern Cape, South Africa
- Experiences of PMTCT services by HIV+ mothers in the Eastern Cape of South Africa