Perception and Utilization of Traditional Birth Attendants by Pregnant Women Attending Primary Health Care Clinics in Bosso Local Government Area, Niger State, Nigeria

Abstract

Background: Traditional Birth Attendants (TBAs) play a significant role in maternal healthcare in Nigeria, particularly in rural areas. This study assessed the perception and utilisation of TBAs among pregnant women attending primary health care clinics in Bosso Local Government Area, Niger State, Nigeria.
 Methods: A cross-sectional study was conducted among 218 registered pregnant women attending antenatal clinics in selected primary health centres. A semi-structured intervieweradministered questionnaire was used to collect data, which were analysed using Epi Info software. Data was presented with frequency tables and charts and test for association between categorical variables was done using Chi square. P value was set at <0.05.
 Results: The study found that 40.1% of respondents utilised TBA services, while 59.9% did not. The services accessed from TBAs included routine antenatal care (61.2%), normal delivery (54.2%), special bath (13.5%), concoction for mothers (56.8%), and family planning (41.7%). The reasons for utilising TBAs were cheaper services (84.5%), cultural acceptability (24.7%), proximity to home (91.8%), belief in more compassionate care (74.2%), and limited knowledge of alternative services (3.1%). Most TBA users (85.6%) expressed satisfaction with the services. The study also revealed associations between TBA utilisation and socio- demographic characteristics such as age, religion, tribe, educational status, and occupation.
 Conclusion: The study highlights the continued utilisation of TBAs for maternal healthcare services in the study area, driven by various factors, including affordability, cultural acceptability, and proximity. Efforts should be directed towards improving knowledge and awareness about alternative healthcare options and promoting safe practices among TBAs. The findings underscore the need for culturally sensitive and inclusive maternal healthcare interventions that address different population groups' unique needs and preferences.