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However, it is not yet clear which elements of birth preparedness may be most critical for increasing skilled attendance.
Moreover, the prospective role of TBAs is discussed in a special context, whereby a community midwife was trained and deployed in the area for increasing skilled birth attendance.
While it is unclear whether CSBA coverage will be a stopgap measure as birth is increasingly moved from the home into facilities or a long term solution, our findings suggest that meeting the need for CSBAs should be a priority as it has the greatest potential for increasing skilled attendance at birth in remote villages in the near-term.
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Ghana's maternal mortality ratio (MMR) of 300 549 per 100 000 live births [ 10] is comparably high despite efforts being made to meet the MDG 5. A major challenge has been to increase skilled assistants for home deliveries assisted by unskilled traditional birth personnel, a practice that is still the preferred mode of delivery for majority of pregnant women, especially in rural areas.
Wage subsidies also seem to be effective tools for increasing the employment of skilled youth in contexts of high taxation of formal labor.
Evidence as to the benefit of birth preparedness and complication readiness as an effective intervention for increasing the utilization of skilled care and in improving MNH is now fairly well established [ 13- 15], and, as such is included as an accepted intervention within antenatal care [ 16].
Examining and comparing these perspectives is an essential first step to identifying appropriate strategies for increasing women's utilization of skilled delivery and immediate postnatal care in the study setting.
Throughout the world populations are aging and there is a concomitant global need for increasing numbers of nurses who are skilled in working with older people.
Indeed, the identification of effective strategies for increasing demand for and use of skilled attendants is at the forefront of the humanitarian neonatal research agenda [ 38].
A healthy European economy is increasing demand for skilled workers, and the emerging European Economic Union makes it easier for temporary help to move from one nation to another.
Some economists, such as Claudia Goldin and Lawrence Katz, trace the growing pay gap to increasing demand for skilled workers.
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CEO of Professional Science Editing for Scientists @ prosciediting.com