A report of a midwifery model for training traditional midwives in Guatemala.
نویسندگان
چکیده
OBJECTIVE to describe the specific characteristics of one model of training traditional birth attendants (TBAs) in Guatemala. DESIGN participant observation, unstructured and semi-structured interviews undertaken between 1997 and 2003 to gather the data to report on the characteristics of this training programme as it is evolving in the field. SETTING the birth centre site of Ixmucane in Antigua, Guatemala, as well as community sites in the Departments of Saquetepequez, Chimaltenango, and Quetzaltenango in the western highlands of Guatemala. PARTICIPANTS traditional midwives, certified nurse-midwives and certified professional midwives, as well as many allied health professionals and volunteers. INTERVENTION training philosophy, participant selection, curriculum content, intensity, and planned follow-up are the key components of the training programme described. MEASUREMENT AND FINDINGS 93 TBAs have received training through the development of a 150 hrs contact course for self-selected TBAs in the Midwives for Midwives Program. Formal evaluation of this training is underway but results are not yet available. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE the value of incorporating midwifery philosophy and praxis in TBA training has received scant attention in the TBA literature. This report suggests that TBA training programme characteristics are important considerations in any evaluation of training efficacy of TBAs to improve maternal-child health.
منابع مشابه
Focus Group with Guatemalan Traditional Midwives about Postpartum Hemorrhage
Guatemala, midwives, postpartum, hemorrhage, childbirth, obstetrics, focus group Traditional midwives attend the majority of births in Guatemala (Maupin, 2008; Walsh 2006; Walsh 2003), yet evidence from Lang and Elkin’s landmark article (1997) shows traditional midwives in Guatemala lack basic skills to prevent and treat postpartum hemorrhage (PPH). Most traditional midwives are indigenous and ...
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In an effort to reduce infant and maternal morbidity and mortality in developing countries, the World Health Organization has promoted the training of traditional birth attendants (midwives) and their incorporation into the formal health care system. In this paper, we examine several aspects of the integration of traditional and biomedical maternity care that are likely to reflect the quality o...
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The changing role of indigenous lay midwives in Guatemala: new frameworks for analysis.
OBJECTIVES to examine the present-day knowledge formation and practice of indigenous Kaqchikel-speaking midwives, with special attention to their interactions with the Guatemalan medical community, training models, and allopathic knowledge in general. DESIGN/PARTICIPANTS a qualitative study consisting of participant-observation in lay midwife training programs; in-depth interviews with 44 pra...
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ورودعنوان ژورنال:
- Midwifery
دوره 20 3 شماره
صفحات -
تاریخ انتشار 2004