What in the world is being done about TBAs? An overview of international and national attitudes to traditional birth attendants.

Many of the half million women per year who die in childbirth are attended by traditional birth attendants (TBAs). Whether they fare better when such an attendant is trained remains uncertain; even the World Health Organization seems to have tempered its enthusiasm for TBA training recently. With some nations outlawing the practice of TBAs and others actively promoting it, there seems to be no consensus on what to do about this major and continuing workforce in maternity care. By themselves TBAs cannot reduce maternal mortality, whether they are trained or not. They need skilled, equipped and available support. As the professional group who must co-operate with TBAs and provide that support, midwives must, collectively and individually, assess, state and act on their attitude towards TBAs.