Traditional Birth Attendant Training for Improving Health …

Short Description
OBJECTIVES: To assess effects of TBA training on health. behaviors and pregnancy outcomes. SEARCH STRATEGY: We searched the Trials Registers of …

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Content
Cochrane Update
Abstracts from Cochrane Reviews that relate to the practice of obstetrics and gynecology
Traditional Birth Attendant Training for
Improving Health Behaviours and Pregnancy
Outcomes
COCHRANE ABSTRACT
BACKGROUND: Between the 1970s and 1990s, the
World Health Organization promoted traditional birth
attendant (TBA) training as one strategy to reduce maternal
and neonatal mortality. To date, evidence in support
of TBA training remains limited and conflicting.
OBJECTIVES: To assess effects of TBA training on health
behaviors and pregnancy outcomes.
SEARCH STRATEGY: We searched the Trials Registers of
the Cochrane Pregnancy and Childbirth Group and Cochrane
Effective Practice and Organisation of Care Group
(EPOC) (June 2006); electronic databases representing
fields of education, social, and health sciences (inception
to June 2006); the internet; and contacted experts.
SELECTION CRITERIA: Published and unpublished randomized
controlled trials (RCT), controlled before/after and
interrupted time series studies comparing trained and untrained
TBAs or women cared for/living in areas served by
TBAs.
DATA COLLECTION AND ANALYSIS: Three authors independently
assessed study quality and extracted data.
MAIN RESULTS: Four studies, involving over 2,000 TBAs
and nearly 27,000 women, are included. One cluster-randomized
trial found significantly lower rates in the intervention
group regarding…