Traditional Birth attendant in rural Haiti
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Traditional Birth attendant in rural Haiti Agathe Jn Baptiste, MD. Indicators. 8.5 million people; 65% in extreme poverty Life expectancy at birth: 52 25 doctors and 11 nurses/100,000 people Under-5 mortality rate, 2005 : 120

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Presentation Transcript

Indicators l.jpg
Indicators

  • 8.5 million people; 65% in extreme poverty

  • Life expectancy at birth: 52

  • 25 doctors and 11 nurses/100,000 people

  • Under-5 mortality rate, 2005 : 120

  • Infant mortality rate (under 1), 2005 : 84

  • Annual no. of births (thousands), 2005: 255

  • Skilled attendant at delivery (%), 1997-2005: 24

  • Maternal mortality ratio† , 1990-2005, 520

  • Maternal mortality ratio† , 2000, Lifetime risk of maternal death. 1 in: 29


Who and how l.jpg
Who and How

  • Assists the mother during childbirth

  • Have acquired skills by delivering babies herself, or through apprenticeship of other TBAs.

  • Self attendance of birth

  • Have cut the umbilical cord once


More than that l.jpg
More than that

  • Like in other developing countries they are primary pregnancy and childbirth care provider

  • Traditional healers

  • Herbalists


Characteristics l.jpg

Most traditional midwives live in rural and often isolated communities

Illiterate

Women / Men

Mostly Elders

Characteristics


Role of the tba and why home deliveries preferred l.jpg
Role of the TBA and why home deliveries preferred communities

  • Emotional support

  • Traditional delivery care

  • Post partum care

  • Health advice and education

  • Long distance from health facilities


Role cont l.jpg

Baby care communities

Umbilical cord

Bath (Taboo)

Lock (special beverage given to the baby facilitating the first feces or meconium)

Mother

Hip bath (Herbs)

Medicines

Corporal massage

Nutrition

Role (cont.)


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Lack of referral communities

TBA

  • Seen as incompetent

  • Not been paid

    Pregnant Women

  • Fear

  • Pregnant women usually praise TBA to do everything they can to avoid Hospital (expenses, travel, clothes, food)

  • Considered mistreated by Health professional

  • Episiotomy (considered not normal)

  • Would not be able to get the placenta


The major emphasis of training l.jpg
The major emphasis of training communities

  • Increased safety in the TBAs practice, such as cleanliness, especially washing of the hands and clean or sterile cord-cutting procedures

  • Non-interference during labor

  • Identification and referrals of mother at risk

  • Doing away with traditional harmful practices and leaving alone or supporting those that contribute to psychosocial support


Other topics l.jpg

Human anatomy focusing upon the reproductive system reproduction

And pregnancy from fecundation to delivery

Family planning

Nutrition

Breastfeeding

Other topics


Some problems to be addressed l.jpg
Some problems to be addressed reproduction

  • Lack of an organized system to supervise trained TBAs

  • Provide continued training for them

  • Availability of basic supplies, such as cord care kits

  • Bridge between the community and the formal health system