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Furthermore, when considering calling for the services of the TBAs, women decide when the TBAs should be called home.
They also felt that TBAs should be encouraged to refer any cases that were beyond their capacity.
Decisions related to the extent to which trained TBAs should be involved in healthcare delivery need to be context-specific.
Moreover, participatory monitoring is always less threatening, and hence TBAs should be meaningfully engaged in such type of monitoring.
According to them, TBAs should be more engaged in advocacy and dissemination of health-related information since they are close to the community.
(Medical doctor, Nigeria) The degree to which trained TBAs should be allowed to assist at deliveries was the most disputed issue among the forum contributors.
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Activities of TBA should be strengthened and they should be given recognition by staff in the referral hospitals, who often keep them waiting when they take their clients with obstetric complications, thereby delaying intervention as well as demoralizing the TBA and the patients.
However, with training, the TBA should be able to handle the essential care – warming, early feeding of colostrums, clean care of the cord – of the newborn in the first 24 hours of life or recognize complications with the birth and urge any mother in distress to move quickly to a health care facility where a skilled attendant can provide the more adequate care.
We suggest that health services should increase their availability and quality of care, the TBAs' role should be re-examined, and training programmes strengthened.
The current study analyses contributions made to the HIFA2015 and CHILD2015 email discussion forums regarding task shifting in the context of trained TBAs, and the degree to which the TBA cadre should be incorporated in formal health systems.
He stated that TBAs shouldn't be abandoned but instead be trained and supported as a way of dealing with Malawi's high maternal mortality ratio.
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