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CONFERENCE PROCEEDING
Skilled birth practice and traditional birth attendant preference in pastoralist settings, Ethiopia
1
Samara University, Public Health, Samara, Ethiopia
2
Jimma University, Epidemiology, Jimma, Ethiopia
3
Samara University, abelgebre21@gmail.com, Samara, Ethiopia
4
Ambo University, Public Health, Ambo, Ethiopia
5
Amref Health Africa, USAID Transform Health in Developing Regions, Addis Ababa, Ethiopia
6
Addis Ababa University, Aklilu Lemma Institute of Pathobiology, Addis Ababa, Ethiopia
7
Wolaita Sodo University, Midwifery, Wolaita Sodo, Ethiopia
Eur J Midwifery 2026;10(Supplement 1):A910
ABSTRACT
BACKGROUND:
The widest urban-rural disparity in maternal health service utilization in Ethiopia is in health facility delivery.
OBJECTIVES:
This study aimed to assess the magnitude of skilled birth attendance practices and the role of Traditional Birth Attendants (TBAs) in pastoralist communities of the Afar Regional State, Ethiopia
METHODS:
A community-based cross-sectional study was conducted using a mixed-method data collection approach from February 4 to March 22, 2020. A random sample of 846 mothers was taken. Focused group discussions and key informant interviews were also held at the community and facility levels. Descriptive statistical methods were used to summarize the characteristics of study participants. logistics and regression analysis was employed to identify factors associated with skilled birth attendant utilization. The qualitative data were analyzed thematically and triangulated with the quantitative findings.
RESULTS:
Only one-third (32.8%) of women were assisted by trained, skilled birth attendants. Mothers living at least 30 minutes from the nearest health facility, having knowledge of obstetric danger signs, and a positive attitude to the health facility were more likely to be assisted by skilled birth attendants. Home delivery assisted by TBAs was widespread for reasons including community acceptance, trust for TBA experience, inaccessible health facilities, lack of transportation, ignoring of risks of home delivery, non-functionality of waiting rooms, and lack of traditionally accepted practices in the health facilities.
CONCLUSIONS:
Although there is a policy restriction on home births, Mothers in the pastoralist community continued to prefer home delivery by TBAs
KEY MESSAGE:
Currently, it's challenging to encourage mothers to utilize health facilities instead of Traditional Birth Attendants (TBAs). Recognizing the substantial impact of TBAs within the community, strategies should be developed to integrate them not into clinical care, but as facilitators for mothers accessing health facilities. Poster session 4 (Group B)
The widest urban-rural disparity in maternal health service utilization in Ethiopia is in health facility delivery.
OBJECTIVES:
This study aimed to assess the magnitude of skilled birth attendance practices and the role of Traditional Birth Attendants (TBAs) in pastoralist communities of the Afar Regional State, Ethiopia
METHODS:
A community-based cross-sectional study was conducted using a mixed-method data collection approach from February 4 to March 22, 2020. A random sample of 846 mothers was taken. Focused group discussions and key informant interviews were also held at the community and facility levels. Descriptive statistical methods were used to summarize the characteristics of study participants. logistics and regression analysis was employed to identify factors associated with skilled birth attendant utilization. The qualitative data were analyzed thematically and triangulated with the quantitative findings.
RESULTS:
Only one-third (32.8%) of women were assisted by trained, skilled birth attendants. Mothers living at least 30 minutes from the nearest health facility, having knowledge of obstetric danger signs, and a positive attitude to the health facility were more likely to be assisted by skilled birth attendants. Home delivery assisted by TBAs was widespread for reasons including community acceptance, trust for TBA experience, inaccessible health facilities, lack of transportation, ignoring of risks of home delivery, non-functionality of waiting rooms, and lack of traditionally accepted practices in the health facilities.
CONCLUSIONS:
Although there is a policy restriction on home births, Mothers in the pastoralist community continued to prefer home delivery by TBAs
KEY MESSAGE:
Currently, it's challenging to encourage mothers to utilize health facilities instead of Traditional Birth Attendants (TBAs). Recognizing the substantial impact of TBAs within the community, strategies should be developed to integrate them not into clinical care, but as facilitators for mothers accessing health facilities. Poster session 4 (Group B)
| eISSN: | 2585-2906 |
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