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1. Miller PC, Rashida G, Tasneem Z, Haque Mu: The effect of traditional birth attendant training on maternal and neonatal care. Int J Gynaecol Obstet; 2012 May;117(2):148-52
MedlinePlus Health Information. consumer health - Children's Health.

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The effect of traditional birth attendant training on maternal and neonatal care.
  • OBJECTIVE: To determine whether traditional birth attendants (TBAs) trained via the "SMART Dai" method were superior to untrained TBAs in knowledge and practice regarding maternal and newborn care.
  • METHODS: In a cluster-randomized trial in the Dera Ghazi Khan District of Punjab, Pakistan, 120 rural communities each with a population of approximately 5000 were randomly assigned to a community-based intervention (CBI) or a health systems intervention (HSI).
  • In the CBI communities, 288 TBAs underwent an innovative 8-day training course on maternal and newborn care, initially evaluated by pre- and post-tests.
  • After an average of 19 months post-training, 277 TBAs, together with 257 comparably chosen untrained TBAs from the HSI communities, were tested and interviewed.
  • Patients from both referred and non-referred deliveries were also interviewed.
  • RESULTS: Characteristics of TBAs in the two groups were similar.
  • The TBAs were evaluated according to various measures of knowledge, skill, and practice (including referral), with patient reports on practice compared with TBA reports.
  • By most measures, trained TBAs outperformed untrained ones, often to significant degrees.
  • CONCLUSION: SMART Dai training seemed to be an important factor in the significant reduction in perinatal mortality in the CBI areas.
  • Properly trained TBAs can substantially contribute to improved delivery outcomes.
  • [MeSH-major] Child Health Services / standards. Health Knowledge, Attitudes, Practice. Maternal Health Services / standards. Midwifery / standards
  • [MeSH-minor] Clinical Competence / statistics & numerical data. Cluster Analysis. Female. Follow-Up Studies. Humans. Infant, Newborn. Pakistan. Pregnancy. Pregnancy Outcome. Quality of Health Care. Referral and Consultation / statistics & numerical data. Rural Health Services

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  • [Copyright] Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
  • (PMID = 22424659.001).
  • [ISSN] 1879-3479
  • [Journal-full-title] International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • [ISO-abbreviation] Int J Gynaecol Obstet
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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