Determinants of Referral Practices of Clients by Traditional Birth Attendants in Ilorin, Nigeria
), Akande T.M(2), Musa I.O(3), Aderibigbe S.A(4),
(1)
(2)
(3)
(4)
Corresponding Author
Abstract
A sizeable number of deliveries still take place with the assistance of Traditional Birth Attendants in Nigeria. This study aims to determine the factors that determine the referral practices of the TBAs in Ilorin of high risk and complicated pregnancies. This descriptive study was conducted among all the 162 registered TBAs in Ilorin that were traceable using pre-tested semi-structured interviewer-administered questionnaire. About 90%, whose source of skill acquisition was by inheritance did not refer their clients appropriately compared with 48% of those whose source of skill acquisition was through formal training (p<0.05). The more the numbers of trainings, the more appropriate the referral (p<0.05). Having supervisory visit by qualified personnel is associated with appropriate referral practices (p<0.05). Regular training and re-training of TBAs with routine monitoring and supportive supervision will promote prompt referral of high risk and complicated pregnancies and deliveries (Afr. J. Reprod. Health 2010; 14[2]:7784).
RĖSUMĖ
Déterminants des pratiques d’orientation des clientes chez les accoucheuses traditionnelles à Ilorin, Nigéria. Bon nombre d’accouchements ont toujours lieu avec l’assistance des accoucheuses traditionnelles au Nigéria. Cette étude a pour but de d’établir les facteurs qui déterminent les pratiques d’orientation des patientes chez les ATs à Ilorin des grossesse à haut risque et compliqués. Cette étude prescriptive a été menée au sein de toutes les 162 SFTs qui sont à Ilorin qui ont été trouvée grâce au questionnaire semi-structuré et pré-testé qui a été administrée par l’enquêteur. A peu près 90% dont la source de l’acquisition des compétences étaient à travers l’héritage n’ont pas orienté leurs patientes comme il faut envers les spécialistes par rapport à 48% de celles dont la source de l’acquisition des compétences a été a travers une formation formelle (p < 0,05). Plus les nombres de formations plus les orientations vers les spécialistes par le personnel qualifié est lié aux pratiques d’orientations appropriées (p < 0,05). La formation régulière et la re-formation des SFTs avec la surveillance de routine et le contrôle de soutien vont encourager l’orientation rapide des grossesses et des accouchements à haut risque et compliquées (Afr. J. Reprod. Health 2010; 14[2]:77-84).
KEYWORDS: TBAs, referral practice, high risk pregnancies
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