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<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Referral practices and perceived barriers to timely obstetric care among Ugandan traditional birth attendants (TBA)</title>
<author>
<name sortKey="Keri, L" sort="Keri, L" uniqKey="Keri L" first="L" last="Keri">L. Keri</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham [UAB], USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kaye, D" sort="Kaye, D" uniqKey="Kaye D" first="D" last="Kaye">D. Kaye</name>
<affiliation>
<nlm:aff id="A2">Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sibylle, K" sort="Sibylle, K" uniqKey="Sibylle K" first="K" last="Sibylle">K. Sibylle</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham [UAB], USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">20811529</idno>
<idno type="pmc">2895798</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2895798</idno>
<idno type="RBID">PMC:2895798</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">001552</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001552</idno>
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<analytic>
<title xml:lang="en" level="a" type="main">Referral practices and perceived barriers to timely obstetric care among Ugandan traditional birth attendants (TBA)</title>
<author>
<name sortKey="Keri, L" sort="Keri, L" uniqKey="Keri L" first="L" last="Keri">L. Keri</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham [UAB], USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kaye, D" sort="Kaye, D" uniqKey="Kaye D" first="D" last="Kaye">D. Kaye</name>
<affiliation>
<nlm:aff id="A2">Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sibylle, K" sort="Sibylle, K" uniqKey="Sibylle K" first="K" last="Sibylle">K. Sibylle</name>
<affiliation>
<nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham [UAB], USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">African Health Sciences</title>
<idno type="ISSN">1680-6905</idno>
<idno type="eISSN">1729-0503</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objectives</title>
<p>To assess current beliefs, knowledge and practices of Ugandan traditional birth attendants (TBAs) and their pregnant patients regarding referral of obstructed labors and fistula cases.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>Six focus groups were held in rural areas surrounding Kampala, the capital city of Uganda.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>While TBAs, particularly those with previous training, appear willing to refer problematic pregnancies and labors, more serious problems exist that could lessen any positive effects of training. These problems include reported abuse by doctors and nurses, and seeing fistula as a disease caused by hospitals.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusions</title>
<p>Training of TBAs can be helpful to standardize knowledge about and encourage timely emergency obstetric referrals, as well as increase knowledge about the causes and preventions of obstetric fistula. However, for full efficacy, training must be accompanied by greater collaboration between biomedical and traditional health personnel, and increased infrastructure to prevent mistreatment of pregnant patients by medical staff.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Afr Health Sci</journal-id>
<journal-title-group>
<journal-title>African Health Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">1680-6905</issn>
<issn pub-type="epub">1729-0503</issn>
<publisher>
<publisher-name>Makerere Medical School</publisher-name>
<publisher-loc>Kampala, Uganda</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">20811529</article-id>
<article-id pub-id-type="pmc">2895798</article-id>
<article-id pub-id-type="publisher-id">jAFHS.v10.i1.pg75</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Referral practices and perceived barriers to timely obstetric care among Ugandan traditional birth attendants (TBA)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Keri</surname>
<given-names>L</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kaye</surname>
<given-names>D</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sibylle</surname>
<given-names>K</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Epidemiology, University of Alabama at Birmingham [UAB], USA</aff>
<aff id="A2">
<label>2</label>
Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda</aff>
<author-notes>
<corresp>*
<bold>Corresponding author:</bold>
Keri Lawrence UAB, Department of Epidemiology RPHB, 1530, 3
<sup>rd</sup>
Ave South Birmingham AL 35294- 0022 Email:
<email>keri.deanna.lawrence@uab.edu</email>
Phone: 423-653-9967 Fax: 205-934-7154</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2010</year>
</pub-date>
<volume>10</volume>
<issue>1</issue>
<fpage>75</fpage>
<lpage>81</lpage>
<permissions>
<copyright-statement>Copyright © Makerere Medical School, Uganda 2010</copyright-statement>
</permissions>
<abstract abstract-type="executive-summary">
<sec>
<title>Objectives</title>
<p>To assess current beliefs, knowledge and practices of Ugandan traditional birth attendants (TBAs) and their pregnant patients regarding referral of obstructed labors and fistula cases.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>Six focus groups were held in rural areas surrounding Kampala, the capital city of Uganda.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>While TBAs, particularly those with previous training, appear willing to refer problematic pregnancies and labors, more serious problems exist that could lessen any positive effects of training. These problems include reported abuse by doctors and nurses, and seeing fistula as a disease caused by hospitals.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusions</title>
<p>Training of TBAs can be helpful to standardize knowledge about and encourage timely emergency obstetric referrals, as well as increase knowledge about the causes and preventions of obstetric fistula. However, for full efficacy, training must be accompanied by greater collaboration between biomedical and traditional health personnel, and increased infrastructure to prevent mistreatment of pregnant patients by medical staff.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Obstetric fistula</kwd>
<kwd>Uganda</kwd>
<kwd>TBA</kwd>
<kwd>qualitative methods</kwd>
<kwd>training</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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