Traditional Birth Attendants and HIV Prevention in Zimbabwe
Author Information
Author(s): Freddy Perez, Khin Devi Aung, Theresa Ndoro, Barbara Engelsmann, François Dabis
Primary Institution: Institut de Santé Publique, d'Epidémiologie et de Développement (ISPED), Université Victor Segalen Bordeaux 2, France
Hypothesis
Can traditional birth attendants effectively participate in prevention of mother-to-child transmission (PMTCT) programs in rural Zimbabwe?
Conclusion
Traditional birth attendants are willing to expand their roles in PMTCT programs, but require further training and integration into the health system.
Supporting Evidence
- 45% of traditional birth attendants knew PMTCT principles.
- 75% of TBAs agreed to participate in PMTCT activities.
- Women who delivered at home had less access to antenatal care compared to those who delivered at health centers.
Takeaway
This study shows that traditional birth attendants can help pregnant women avoid passing HIV to their babies, but they need more training to do it well.
Methodology
A community-based cross-sectional survey using multistage cluster sampling, interviews, and focus group discussions.
Potential Biases
Potential recall bias and misunderstanding of questions due to language differences.
Limitations
The study was limited to two rural districts and may not represent the entire country.
Participant Demographics
Women aged 20-29, mostly married, with varying education levels; TBAs aged 25-70, mostly female.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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