Abstract:
OBJECTIVES:How traditional birth attendants (TBAs) in post-war Sierra Leone explain, handle and prevent postpartum haemorrhage (PPH) and their potential role in a better management of PPH to reduce maternal mortality in this low resource setting. METHODS:Semi-quantitative interviews about knowledge and measures in PPH and participant observation with 140 Sierra Leonean birth attendants, divided in three groups: (A) TBAs who never attended any official training course (n = 82); (B) TBAs who attended at least one official training course (n = 48); and (C) officially trained birth attendants (n = 10). RESULTS:There are several observable gaps in the knowledge of TBAs about PPH compared to modern obstetrics, however similar procedures exist. Herbal medicine is applied; metaphysical convictions about PPH remain present. Training courses show an impact. Officially trained birth attendants demonstrate knowledge deficiencies and lack resources and infrastructure to manage PPH adequately. CONCLUSIONS:Morbidity and mortality of PPH in Sierra Leone is related to several factors and not solely to the ignorance of TBAs. TBAs still play an important role for many women there. Hence improvement of the formal health sector should be combined with life-saving programmes integrating TBAs in the care for the pregnant, delivering and breastfeeding mothers.
journal_name
Trop Doctjournal_title
Tropical doctorauthors
Bräuer MD,Antón J,George PM,Kuntner L,Wacker Jdoi
10.1177/0049475514557579subject
Has Abstractpub_date
2015-04-01 00:00:00pages
105-13issue
2eissn
0049-4755issn
1758-1133pii
0049475514557579journal_volume
45pub_type
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