Abstract
Traditional Birth Attendants (TBAs) and traditional healers form an important link in the chain of health personnel providing primary health care in Malawi. In spite of the establishment of hospitals and health centres, it is to these traditional healers and TBAs that the majority of people turn in times of sickness and child-birth. Approximately 60 per cent of all deliveries in Malawi occur in the villages. It is therefore important that due regard be paid to the activities of these traditional practitioners in order to ensure the achievement of the goal--"Health for all by the year 2000". The training of TBAs is seen as part of the Maternal and Child Health Services in the country. The Ministry of Health is responsible for the training and control of Traditional Birth Attendants and in 1976 opened a register in order to list all those trained. In early 1978 a training course for selected TBAs was conducted at the Kamuzu Central Hospital, Lilongwe and from 1982 the training programme evolved into a national training programme for TBAs. By February 1987, a total of 841 Traditional birth Attendants had been trained and the programme is still continuing.
Highlights
Approxim ately 60 per cent o f all deliveries in Malawi occur in the villages, where the patient receives primary care either from a close relative or another village woman acts as village midwife
In the S ecretary for Health in M alawi authorized an investigation into hom e deliveries in the Zomba and M achinga districts, and in 1976 in the Lilongwe district. (Bullough 1978)
The training team of the MOH was pleased with the results and related that the personal relationships w ith the Traditional Birth Attendants (TBAs) s had been excellent, and that a considerable degree of mutual trust had developed
Summary
Approxim ately 60 per cent o f all deliveries in Malawi occur in the villages, where the patient receives primary care either from a close relative or another village woman acts as village midwife. These women are called Traditional Birth Attendants (TBAs). In the S ecretary for Health in M alawi authorized an investigation into hom e deliveries in the Zomba and M achinga districts, and in 1976 in the Lilongwe district. T1 IE T Y PIC A L M ALAW IAN TRADITIONAL BIRTH ATTENDANT. In the S ecretary for Health in M alawi authorized an investigation into hom e deliveries in the Zomba and M achinga districts, and in 1976 in the Lilongwe district. (Bullough 1978).
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