The Effect of Training on Traditional Birth Attendants’ PMTCT related Knowledge and Care practice in Nigeria.
Authors:
Ogechukwu Taiwo
Publication Type: Journal article
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Abstract
Introduction: As much as 60% of children born in Nigeria are delivered by unskilled traditional birth attendants.
It imperative for traditional birth attendants and similar cadre of health care providers in resource-limited settings
to be knowledgeable and have the ability to deploy evidence based practices in the prevention of mother to child
transmission of HIV if the goal of an AIDS free generation will be achieved. The successful linkage of evidence with
practice in sub-Saharan Africa and other resource limited settings will translate into the reduction of MTCT of HIV as
has been achieved in other parts of the world.
Methods: A cross-sectional survey of 142 traditional birth attendants. The research was based on diffusion of
innovation theory. Practices related to prevention of mother to child transmission of HIV were evaluated relative to
national guidelines. Linear mixed modelling was used to evaluate the association between PMTCT practices and
training on prevention of mother to child transmission of HIV.
Results: Most traditional birth attendants were knowledgeable and had good practices relating to prevention of
mother to child transmission of HIV. However, significant gaps in HIV exposed infant care; infant feeding practices and
harmful traditional practices exist.
Conclusions: Traditional birth attendants have a role in the prevention of mother to child transmission of HIV.
Evidence-based practices that are related to maternal HIV transmission are being taken from research and policy
into patient care domains; though there are some gaps in vital practices. Innovative strategic interventions are very
essential to enhance participation of TBAs in the PMTCT of HIV.
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