Angelo Tomedi1, Katherine Tucker, Mutuku A Mwanthi. 1. Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM87131, USA. atomedi@salud.unm.edu
Abstract
OBJECTIVE: To increase the number of deliveries with skilled birth attendants (SBAs) in Kenyan health facilities, with assistance from traditional birth attendants (TBAs). METHODS: In the Yatta district of Kenya, TBAs were recruited to attend meetings in which they were encouraged to educate pregnant women about the importance of delivering in health facilities; they were offered a small stipend for each pregnant woman they brought to a facility for SBA delivery. The primary outcome was the percentage of prenatal care patients who delivered at intervention health facilities compared with control facilities. RESULTS: During the year preceding the intervention, 102/524 (19.5%) and 413/2068 (20.0%) prenatal care patients had SBA deliveries at intervention and control facilities, respectively. During the 1-year study period, 217/440 (49.3%) prenatal care patients delivered at intervention health facilities and 415/1995 (20.8%) delivered at control facilities (P<0.001). Deliveries at intervention facilities increased 113% in the study year compared with the preceding year. CONCLUSION: The rate of SBA births in health facilities increased when TBAs were recruited and compensated for bringing women to local health facilities to deliver.
OBJECTIVE: To increase the number of deliveries with skilled birth attendants (SBAs) in Kenyan health facilities, with assistance from traditional birth attendants (TBAs). METHODS: In the Yatta district of Kenya, TBAs were recruited to attend meetings in which they were encouraged to educate pregnant women about the importance of delivering in health facilities; they were offered a small stipend for each pregnant woman they brought to a facility for SBA delivery. The primary outcome was the percentage of prenatal care patients who delivered at intervention health facilities compared with control facilities. RESULTS: During the year preceding the intervention, 102/524 (19.5%) and 413/2068 (20.0%) prenatal care patients had SBA deliveries at intervention and control facilities, respectively. During the 1-year study period, 217/440 (49.3%) prenatal care patients delivered at intervention health facilities and 415/1995 (20.8%) delivered at control facilities (P<0.001). Deliveries at intervention facilities increased 113% in the study year compared with the preceding year. CONCLUSION: The rate of SBA births in health facilities increased when TBAs were recruited and compensated for bringing women to local health facilities to deliver.
Authors: Akash Bang; Roopa Bellad; Peter Gisore; Patricia Hibberd; Archana Patel; Shivaprasad Goudar; Fabian Esamai; Norman Goco; Sreelatha Meleth; Richard J Derman; Edward A Liechty; Elizabeth McClure; Waldemar A Carlo; Linda L Wright Journal: BMC Pregnancy Childbirth Date: 2014-03-26 Impact factor: 3.007
Authors: Angelo Tomedi; Sophia R Stroud; Tania Ruiz Maya; Christopher R Plaman; Mutuku A Mwanthi Journal: J Health Popul Nutr Date: 2015-07-16 Impact factor: 2.000