Training birth attendants in the Sahel.
A small-scale training programme for birth attendants in a remote area of Burkina Faso was evaluated two years after it had been started. The evaluation methods included interviews with trained birth attendants and the analysis of health service statistics and survey data. The findings showed that the programme had been moderately successful in imparting knowledge and overcoming cultural inhibitions about assisted deliveries. However, the effectiveness of the programme was severely curtailed by structural deficits in the health system, especially lack of skilled staff, supervision and transport. In deprived areas such as the Sahel, it is probably the health centre, the hospital and the referral system that should be the first priority for improvement, rather than grass-roots practices.
Save the Children Fund (UK), Burkina Faso.
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KL
Dehne
J
J
Wacker
J
J
Cowley
D000328:Adult; D000368:Aged; D002050:Burkina Faso; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data; D003906:Developing Countries; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D008880:Midwifery / Q000193:education*; D011247:Pregnancy; D015397:Program Evaluation; D012423:Rural Health