Evaluating traditional midwife training programs: lessons learned from Tanzania
Jahn, A.; Carvalho, I.; Kalinga, M.J.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 73(3): 277-278
2001
ISSN/ISBN: 0020-7292 PMID: 11376680 DOI: 10.1016/s0020-7292(01)00361-7Document Number: 313743
This study evaluated a training programme for traditional midwives (TM) in Lindi Region in the Southern part of Tanzania by assessing knowledge and practices in trained and untrained TMs. A total of 139 TMs were identified (trained TMs=81, untrained=58). These TMs were visited and interviewed between April and May 1998. Furthermore, semi-structured questionnaires were applied to 87 women, having given birth with a TM during the last 6 months. The training improved the knowledge of trained TMs about risk factors and signs of danger in pregnancy and childbirth. However, there was not much improvement in the actual quality of care provided by trained TMs. There was no difference between trained and untrained TMs in the management of the umbilical cord in terms of means for cutting and cleanliness. It is concluded that the training programme had improved the knowledge of TMs, but failed to bring about a marked improvement in practices.
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