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'Once the delivery is done, they have finished': A Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeria

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dc.contributor.authorMbachu, Chinyere
dc.contributor.authorChukwuma, Adanna
dc.contributor.authorCohen, Jessica
dc.contributor.authorBossert, Thomas
dc.contributor.authorMcConnell, Margaret
dc.date.accessioned2021-05-14T15:59:50Z
dc.date.available2021-05-14T15:59:50Z
dc.date.issued2017-12-19
dc.description.abstractWhile 79% of Nigerian mothers who deliver in facilities receive postnatal care within 48 h of delivery, this is only true for 16% of mothers who deliver outside facilities. Most maternal deaths can be prevented with access to timely and competent health care. Thus, the World Health Organization, International Confederation of Midwives, and International Federation of Gynecology and Obstetrics recommend that unskilled birth attendants be involved in advocacy for skilled care use among mothers. This study explores postnatal care referral behavior by TBAs in Nigeria, including the perceived factors that may deter or promote referrals to skilled health workers. Differences in TBA referral before, during, and after delivery appear to reflect the TBAs understanding of the added value of skilled care for the client and the TBA, as well as the TBA’s perception of the implications of referral for her credibility as a maternal care provider among her clients. We also found that there are opportunities to engage TBAs in routine postnatal care referrals to facilities in Nigeria by using incentives and promoting a cordial relationship between TBAs and skilled health workers. Thus, despite the potential negative consequences TBAs may face with postnatal care referrals, there are opportunities to promote these referrals using incentives and promoting a cordial relationship between TBAs and skilled health workers. Further research is needed on the interactions between postnatal maternal complications, TBA referral behavior, and maternal perception of TBA competence.en
dc.identifier.citationBMC Pregnancy and Childbirth
dc.identifier.doi10.1596/35578
dc.identifier.issn1471-2393
dc.identifier.urihttps://hdl.handle.net/10986/35578
dc.publisherSpringer Nature
dc.rightsCC BY 4.0
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/4.0
dc.subjectPOSTNATAL CARE
dc.subjectTRADITIONAL BIRTH ATTENDANT
dc.subjectCHILD HEALTH
dc.subjectMATERNAL HEALTH
dc.title'Once the delivery is done, they have finished'en
dc.title.subtitleA Qualitative Study of Perspectives on Postnatal Care Referrals by Traditional Birth Attendants in Ebonyi State, Nigeriaen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.associatedcontenthttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1616-x Journal website (version of record)en
okr.date.disclosure2021-05-14
okr.date.doiregistration2025-05-06T11:07:07.147979Z
okr.doctypePublications & Research::Journal Article
okr.doctypePublications & Research
okr.externalcontentExternal Content
okr.guid826711626074191155
okr.identifier.doi10.1186/s12884-017-1616-x
okr.identifier.report161483
okr.journal.nbpages429
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.administrativeAfrica
okr.region.administrativeAfrica Western and Central (AFW)
okr.region.countryNigeria
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.unitHealth, Nutrition and Population Global Practice
okr.volume17
relation.isAuthorOfPublication41aa479e-8677-5046-8dc0-ceca0dc1aa7f
relation.isAuthorOfPublication.latestForDiscovery41aa479e-8677-5046-8dc0-ceca0dc1aa7f
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