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Examining the unresolved conundrum of Traditional Birth Attendants’ involvement in maternal and child health care delivery in Ghana
Abstract
Traditional Birth Attendants (TBAs) have been a critical human resource in maternal health care delivery in Ghana. However, following the World Health Organization's directive for countries to discontinue using TBAs, the government of Ghana has since emphasized the use of skilled birth attendants. This policy shift created tensions between TBAs and Community Health Nurses. We examine this conundrum in this paper. We find that despite the ban, TBAs still attend a significant number of births - a situation which has produced intense contestations and continuous jostling for "functioning space" and clients between TBAs and nurses. We recommend a consensus-based partnership approach that promotes cultural competence and is sensitive to contextual cultural practices that underpin pregnancy and childbirth.
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“Besides the problem of incompetence, unacceptable attitudes of SBAs are also widely reported barriers to skilled delivery.”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [33]
In the citing paper
“Some of which are: unofficial demands from pregnant women, for example soap and other disinfectants after delivery [7,15,16,19,20,22,23,31–36] and abusive behaviors [7,23,37].”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [33]
In the citing paper
“Geographical accessibility such as distance, poor road networks and lack of transport to health facilities, have been widely reported as factors associated with home deliveries in some parts of the country [17,33,36,47–50].”
From A scoping review of the residual barriers to skilled birth attendance in Ghana: A conceptual framework and a fish bone analysis (2024) · cites this paper as [33]
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Metadata
- Authors
- Haruna, U., Kansanga, M. M., & Galaa, S.
- Affiliations
- University for Development Studies (GH)
- Western University (CA)
- Corresponding author
- Kansanga, Moses Mosonsieyiri
- Venue
- Health Care for Women International
- Publisher
- Informa UK Limited
- Published
- 2018-11-27
- Volume
- 40
- Issue
- 12
- Pages
- 1336-1354
- ISSN
- 0739-9332 (ISSN-L)
- 1096-4665
- OpenAlex
- W2903356878
- Cited by
- 16
- References
- 44
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 3
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Care For Women International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
- Keywords
- traditional birth attendants, skilled birth attendants, community nurses, cultural competence, childbirth practices, Ghana
- MeSH terms
- Maternal-Child Health Services, Community Health Services, Delivery of Health Care, Female, Ghana, Health Services Accessibility, Humans, Maternal Health Services, Midwifery, Pregnancy, Rural Health Services, Parturition, Delivery, Obstetric
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- Haruna, U., Kansanga, M. M., & Galaa, S. (2019). Examining the unresolved conundrum of Traditional Birth Attendants’ involvement in maternal and child health care delivery in Ghana. Health Care for Women International. https://doi.org/10.1080/07399332.2018.1540006
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