PubMed · 12335758
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R M Galang. 1976. Decision making in managing a social program.. https://pubmed.ncbi.nlm.nih.gov/12335758/
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In an effort to reduce infant and maternal morbidity and mortality in developing countries, the World Health Organization has promoted the training of traditional birth attendants (midwives) and their incorporation into the formal health care system. In this paper, we examine several aspects of the integration of traditional and biomedical maternity care that are likely to reflect the quality of care received by Guatemalan women. Specifically, we examine the extent to which women combine traditional and biomedical pregnancy care, the frequency with which midwives refer women to biomedical providers, the content and quality of care offered by midwives, and the effects of midwife training programs on referral practices and quality of care. The analysis is based on data from the 1995 Guatemalan Survey of Family Health. The results offer a mixed assessment of the efficacy of midwife training programs. For example, although trained midwives are much more likely than other midwives to refer their clients to biomedical providers, most pregnant women do not see a biomedical provider, and the quality of midwife care, as defined and measured in this study, is similar between trained and untrained midwives.
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The aim of this pilot study was to determine the differences in family-planning knowledge and compliance with programme guidelines among male and female community-based distributors (CBDs) of contraceptives in Kabarole district, Uganda. A semi-structured questionnaire was used for interviewing 70 CBDs. Results of interviews showed that the knowledge and compliance scores were not significantly associated with gender and age. The female clients of male CBDs were more likely to discuss family planning with their partners, and the female CBDs included other health topics more in their family-planning counselling. Both male and female CBDs had equal knowledge about family planning and equally complied with the established programme protocols. The male CBDs enhanced communication about family planning between spouses. If this could be confirmed, gender should be considered in the recruitment of new CBDs. The results suggest that male CBDs may have a unique role in promoting family planning effectively and in enhancing communication between spouses about family planning.