An assessment of the role of traditional birth attendants in maternal healthcare in Epe Local Government Area, Lagos State
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Background of the Study
Traditional birth attendants (TBAs) have long played an integral role in maternal healthcare in many communities, particularly in regions where modern medical facilities are scarce. In Epe Local Government Area, Lagos State, TBAs provide essential services to pregnant women, often serving as the primary caregivers during childbirth (Amadi, 2023). Historically, TBAs have been embedded within the cultural fabric of the community, offering not only medical assistance but also emotional and social support. Their practices are deeply rooted in traditional knowledge and indigenous healthcare systems, which are passed down through generations. Despite advancements in modern healthcare, many women in Epe continue to rely on TBAs due to factors such as accessibility, affordability, and trust in traditional practices. However, concerns about the safety and efficacy of TBA-assisted deliveries have prompted debates about their role in contemporary maternal healthcare. This study critically examines the role of TBAs in maternal healthcare, evaluating their contributions to reducing maternal and infant mortality rates, as well as the challenges they face in integrating with formal health systems (Ighodaro, 2024). The research draws on both qualitative interviews with TBAs and beneficiaries, and quantitative data on maternal health outcomes. It aims to provide a balanced assessment of the benefits and limitations of TBA services, and to explore strategies for collaboration between traditional and modern healthcare providers. Ultimately, the study seeks to inform policies that enhance maternal health services while respecting cultural practices and improving health outcomes in Epe (Amadi, 2023).
Statement of the Problem
In Epe, the reliance on traditional birth attendants for maternal healthcare presents both opportunities and challenges. While TBAs are accessible and culturally acceptable, concerns remain regarding their ability to manage complications during childbirth and ensure safe delivery outcomes (Amadi, 2023). The lack of formal training and limited integration with modern health systems have resulted in inconsistencies in the quality of care provided. Moreover, inadequate supervision and support from health authorities exacerbate risks associated with TBA practices. These issues have led to debates over the effectiveness and safety of relying on TBAs for maternal healthcare, particularly in reducing maternal and infant mortality. This study seeks to identify the specific challenges associated with TBA-led maternal care and to evaluate their overall impact on maternal health outcomes. The research aims to provide evidence-based recommendations for enhancing collaboration between TBAs and formal healthcare providers, thereby improving service delivery and ensuring better health outcomes for mothers and infants (Ighodaro, 2024).
Objectives of the Study:
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To evaluate the role of traditional birth attendants in maternal healthcare.
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To identify challenges in the practices of TBAs.
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To propose strategies for better integration of TBAs with modern healthcare systems.
Research Questions:
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What is the role of TBAs in providing maternal healthcare in Epe?
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What challenges hinder the effectiveness of TBA services?
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How can TBAs be better integrated with formal health services to improve maternal outcomes?
Research Hypotheses:
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TBAs play a significant role in maternal healthcare delivery.
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Lack of formal training among TBAs negatively affects maternal health outcomes.
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Collaborative models between TBAs and formal healthcare providers improve maternal care quality.
Significance of the Study
This study is significant as it assesses the crucial role of traditional birth attendants in maternal healthcare in Epe. The findings will inform health policymakers and practitioners about the benefits and risks associated with TBA-led care. By identifying challenges and proposing collaborative strategies, the research aims to enhance maternal health outcomes and ensure safer childbirth practices while preserving valuable cultural traditions (Amadi, 2023; Ighodaro, 2024).
Scope and Limitations of the Study:
This study is limited to examining the role of traditional birth attendants in maternal healthcare in Epe. It focuses on TBA practices and maternal health outcomes within the local context, excluding broader national comparisons.
Definitions of Terms:
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Traditional Birth Attendants (TBAs): Community-based caregivers who assist with childbirth using indigenous knowledge.
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Maternal Healthcare: Services provided to women during pregnancy, childbirth, and the postpartum period.
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Integration: The process of incorporating traditional practices into formal healthcare systems.
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