Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana
Background: Skilled delivery reduces maternal and neonatal mortality. Ghana has put in place measures to reduce geographical and financial access to skilled delivery. Despite this, about 30% of deliveries still occur either at home or are conducted by traditional birth attendants. We, therefore, con...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-03-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455065211002483 |
| _version_ | 1818914958493089792 |
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| author | Philip Teg-Nefaah Tabong Joseph Maaminu Kyilleh William Wilberforce Amoah |
| author_facet | Philip Teg-Nefaah Tabong Joseph Maaminu Kyilleh William Wilberforce Amoah |
| author_sort | Philip Teg-Nefaah Tabong |
| collection | DOAJ |
| description | Background: Skilled delivery reduces maternal and neonatal mortality. Ghana has put in place measures to reduce geographical and financial access to skilled delivery. Despite this, about 30% of deliveries still occur either at home or are conducted by traditional birth attendants. We, therefore, conducted this study to explore the reasons for the utilization of the services of traditional birth attendants despite the availability of health facilities. Method: Using a phenomenology study design, we selected 31 women who delivered at facilities of four traditional birth attendants in the Northern region of Ghana. Purposive sampling was used to recruit only women who were resident at a place with a health facility for an in-depth interview. The interviews were recorded and transcribed into Microsoft word document. The transcripts were imported into NVivo 12 for thematic analyses. Results: The study found that quality of care was the main driver for traditional birth attendant delivery services. Poor attitude of midwives, maltreatment, and fear of caesarean section were barriers to skilled delivery. Community norms dictate that womanhood is linked to vaginal delivery and women who deliver through caesarean section do not receive the same level of respect. Traditional birth attendants were believed to be more experienced and understand the psychosocial needs of women during childbirth, unlike younger midwives. Furthermore, the inability of women to procure all items required for delivery at biomedical facilities emerged as push factors for traditional birth attendant delivery services. Preference for squatting position during childbirth and social support provided to mothers by traditional birth attendants are also an essential consideration for the use of their services. Conclusion: The study concludes that health managers should go beyond reducing financial and geographical access to improving quality of care and the birth experience of women. These are necessary to complement the efforts at increasing the availability of health facilities and free delivery services. |
| first_indexed | 2024-12-19T23:54:39Z |
| format | Article |
| id | doaj.art-ae138ad2140f43ac9a0cee8fb9d15a4b |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-12-19T23:54:39Z |
| publishDate | 2021-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-ae138ad2140f43ac9a0cee8fb9d15a4b2022-12-21T20:01:03ZengSAGE PublishingWomen's Health1745-50652021-03-011710.1177/17455065211002483Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern GhanaPhilip Teg-Nefaah Tabong0Joseph Maaminu Kyilleh1William Wilberforce Amoah2Department of Social and Behavioural Sciences, School of Public Health, College of Health Sciences, University of Ghana, Legon, GhanaNursing and Midwifery Training College, Tamale, GhanaDepartment of Nursing and Midwifery, Faculty of Health and Allied Sciences, Catholic University College of Ghana, Sunyani, GhanaBackground: Skilled delivery reduces maternal and neonatal mortality. Ghana has put in place measures to reduce geographical and financial access to skilled delivery. Despite this, about 30% of deliveries still occur either at home or are conducted by traditional birth attendants. We, therefore, conducted this study to explore the reasons for the utilization of the services of traditional birth attendants despite the availability of health facilities. Method: Using a phenomenology study design, we selected 31 women who delivered at facilities of four traditional birth attendants in the Northern region of Ghana. Purposive sampling was used to recruit only women who were resident at a place with a health facility for an in-depth interview. The interviews were recorded and transcribed into Microsoft word document. The transcripts were imported into NVivo 12 for thematic analyses. Results: The study found that quality of care was the main driver for traditional birth attendant delivery services. Poor attitude of midwives, maltreatment, and fear of caesarean section were barriers to skilled delivery. Community norms dictate that womanhood is linked to vaginal delivery and women who deliver through caesarean section do not receive the same level of respect. Traditional birth attendants were believed to be more experienced and understand the psychosocial needs of women during childbirth, unlike younger midwives. Furthermore, the inability of women to procure all items required for delivery at biomedical facilities emerged as push factors for traditional birth attendant delivery services. Preference for squatting position during childbirth and social support provided to mothers by traditional birth attendants are also an essential consideration for the use of their services. Conclusion: The study concludes that health managers should go beyond reducing financial and geographical access to improving quality of care and the birth experience of women. These are necessary to complement the efforts at increasing the availability of health facilities and free delivery services.https://doi.org/10.1177/17455065211002483 |
| spellingShingle | Philip Teg-Nefaah Tabong Joseph Maaminu Kyilleh William Wilberforce Amoah Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana Women's Health |
| title | Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana |
| title_full | Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana |
| title_fullStr | Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana |
| title_full_unstemmed | Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana |
| title_short | Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana |
| title_sort | reasons for the utilization of the services of traditional birth attendants during childbirth a qualitative study in northern ghana |
| url | https://doi.org/10.1177/17455065211002483 |
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