Mothers’ Experiences of Delivery Services by Traditional Birth Attendants at Egbe Community, Yagba West Lga Kogi State, Nigeria (Published)
A lot of women gave birth in their homes historically, and are often attended by a family member or assisted by a woman residing in the communities who are known as Traditional Birth Attendants (TBAs).The mothers’ experiences before labor, after delivery and care of the new born was a mixed one. This study was aimed to explore mothers’ that have delivered with TBAs in the past at Egbe Community, Yagba West Local Government Area, Kogi State, Nigeria. The study employed a qualitative research design with in-depth interview supported with two Focus Group Discussions as method of data collection, to explore the experiences of mothers’ during with TBAs. Sixteen participants were used for FGD, eight in each group and thirteen participants for one-on-one in-depth interview using a snowball sampling technique. Both the FGD and IDI sessions were audio taped and transcribed verbatim. The research was analysed using a manual method of qualitative data. The findings revealed that majority of the participants used the services of traditional birth attendants because of the affordable cost. Majority were delivered at their homes and they had good experience. Relatives were allowed to stay with them during labor. They were not given food during labor and their babies were taken good care of. However, few of them would like to deliver at a regular hospital in next delivery due to some complications they experienced. In conclusion, many of the women patronized TBAs because of the cost and services provided were just basic. Therefore, it’s recommended that the cost of delivery at the hospitals should be subsidised and the TBAs should be trained and supervised on a regular basis by the Primary health care centres at the Local Government Areas nearest to them.
The aim of the study was to undertake a critical assessment of the effect of social marketing as a tool for discouraging the patronage of “quack” traditional birth attendants (TBAs) by women in developing countries, exemplified by Cross River State, Nigeria. It was targeted at determining the extent the application of social marketing traditional marketing-mix variables of product, price, promotion and place, can go in demarketing the patronage of quack TBAs by the women. Survey research design was employed for the study. The sample for the study was 367 which was derived using the Taro Yamane’s formula from a total population of 3,798 people encompassing health personnel, traditional birth attendants, pregnant and nursing mothers, including women within child bearing ages in three Local Government Areas of Cross River State in Nigeria (Akpabuyo, Calabar Municipal, and Calabar-South). The stratified and systematic sampling was then used to segment, select and distribute questionnaire copies to women living within the chosen areas. Hypothesis was formulated and tested using Multiple Linear Regression analytical tools of SPSS (version 21). The results showed that a combined use of the social marketing traditional marketing-mix variables of product, price, promotion and place will significantly discourage the patronage of “quack” TBAs. However, promotion was found to have a more far-reaching effect.