The Continuation of Traditional Birth Attendances in the Remote Rural Communities without any Training and the Problem of Integration with Health Facilities in West Omo Zone 2021: Exploratory Qualitative Study

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Abstract Introduction: Mothers in the rural community of Ethiopia prefer to give birth at home because most TBAs do not charge anything for deliveries and are willing to make house visits, which allow the mother privacy that many prefer. The shift toward training TBAs in developing countries, specifically those in Sub-Saharan Africa, is an important intervention that health care workers can utilize to increase the health of both mothers and children, so Assessing the role of traditional birth attendance in Feto-maternal care during pregnancy, childbirth, postnatal period and integration with health professionals in West Omo Zone will a great role for bringing out the endogenous experience to the scientific standards. Objective: To explore the role of traditional birth attendance in Feto-maternal care during pregnancy, childbirth, postnatal period, and integration with health professionals in West Omo Zone. Methods: A qualitative study will be employed by using individual in-depth interviews, focus group discussion, and key informant interviews. The individual in-depth interview and focus group discussion will be tape-recorded after verbal consent will be granted and finally translated and transcribed by the data collectors. Thematic analysis will be used to analyze the qualitative data based on emerging themes and sub-themes in line with the study objectives. Result: A total of 34 individuals such as 2 FGD (9 each group),6 in-depth interviews,10 key informants were used. The role of TBAs in remote areas of Ethiopia is very vital to save the life of women and the Childs. TBAs take care of the women during pregnancy labor and delivery as well in the post-partum period but with no formal integration with health facility and training.Conclusion: Locally demotion and punishment of the TBA, lack of formal relationship between TBAs and the health facility resulted in increasing Fetomaternal morbidity and mortality especially in remote areas of the country. Even if the traditional birth attendants always on the side of the women in the previous year currently they forced to stop their activity because of prohibited by the local judge and no motivation and training to improve the performance of TBA to trained traditional birth attendance.

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