title: Challenges for traditional birth attendants in northern rural Honduras.
abstract: OBJECTIVE
  to explore the relationship between community-based parteras, the staff at the Centro Materno Infantil (Mother-Child Centre), and other public health facilities within the district of Morazán in northern rural Honduras during the transition to new models of maternity care.
  
  
  METHODS
  focus-group discussions with two groups composed of a convenience sample of community parteras. After verbatim translation of the interviews, the transcripts were analysed for content.
  
  
  METHODS
  the Centro de Salud of Morazán, Yoro Honduras.
  
  
  METHODS
  28 community-based parteras and one partero (male community midwife).
  
  
  RESULTS
  five themes emerged from the focus group data: the shared view that attending birth is connected to a religious calling; the desire for additional training; the desire for support from, and connection to, existing public-health services and infrastructure; the role of parteras in providing services to women who otherwise would not receive care; and the lack of new parteras to carry on this work in the future.
  
  
  CONCLUSIONS
  traditional birth attendants are still relied upon to serve more than half of the childbearing women in Honduras. The findings from the focus groups provide a foundation upon which to strengthen the relationship between community-based parteras and the government-funded systems of health care during this time of transition to new models of maternity care.
authors.affiliation: School of Nursing, University of Michigan, Ann Arbor, 48109, USA. kanelow@umich.edu
authors.forename: Lisa Kane
authors.initials: LK
authors.lastname: Low
authors.forename: Holly
authors.initials: H
authors.lastname: Scheib
authors.forename: Joanne Motino
authors.initials: JM
authors.lastname: Bailey
authors.forename: Emma
authors.initials: E
authors.lastname: Sacks
mesh_terms: D000328:Adult; D003153:Community Health Services / Q000379:methods; D003466:Cultural Characteristics; D005260:Female; D017144:Focus Groups; D006721:Honduras; D006801:Humans; D008297:Male; D008880:Midwifery / Q000379:methods*; D033262:Narration; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D011247:Pregnancy; D012424:Rural Population; D011795:Surveys and Questionnaires