Does traditional birth attendant training increase use of antenatal care? A review of the evidence

Lynn M. Sibley, Theresa Ann Sipe, Marge Koblinsky

Research output: Contribution to journalArticlepeer-review

55 Scopus citations


A combined narrative review and metanalytic review was conducted to summarize published and unpublished studies completed between 1970 and 2002 on the relationship between traditional birth attendant (TBA) training and increased use of professional antenatal care (ANC). Fifteen studies (n = 15) from 8 countries and 2 world regions were analyzed. There are, to varying degrees, positive associations between TBA training and TBA knowledge of the value and timing of ANC services, TBA behavior in offering advice or assistance to obtain ANC, and compliance and use of ANC services by women cared for by TBAs or living in areas served by TBAs. There is a serious lack of information about TBA training program characteristics. Although the findings cannot be causally attributed to TBA training, the results suggest that training may increase ANC attendance rates by about 38%. This magnitude of improvement could contribute to a reduction in maternal and perinatal mortality in areas where women have access to quality antenatal and emergency obstetric care. There is an urgent need to improve capacity for evaluation and research of the effect of TBA training programs and other factors that influence women's use of ANC services.

Original languageEnglish (US)
Pages (from-to)298-305
Number of pages8
JournalJournal of Midwifery and Women's Health
Issue number4
StatePublished - 2004
Externally publishedYes


  • Antenatal care
  • Health promotion
  • Traditional birth attendant

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery


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