PERSPECTIVE
Repositioning traditional birth attendants to
provide improved maternal healthcare services in
rural Ghana
Umar Haruna
1
|
Moses M. Kansanga
2
|
Daniel A. Bagah
1
1
Department of Social, Political and Historical
Studies, Faculty of Integrated Development
Studies, University for Development Studies,
Wa, Ghana
2
Department of Geography, University of
Western Ontario, London, Canada
Correspondence
Umar Haruna, Department of Social, Political
and Historical Studies, University for
Development Studies, Wa Campus. P.O. Box,
520, Wa, Upper West Region, Ghana.
Email: humar@uds.edu.gh
Summary
Following the World Health Organization's recommenda-
tion for developing countries to discontinue the use of Tra-
ditional Birth Attendants (TBAs) in rural areas, the
government of Ghana banned TBAs from offering maternal
health care services. Since this ban, community‐level con-
flicts have intensified between TBAs, (who still see them-
selves as legitimate culturally mandated traditional
midwives) and nurses. In this articles, we propose a partner-
ship model for a sustainable resolution of these conflicts.
This article emanates from the apparent ideological discon-
tent between people from mainstream medical practice
who advocate for the complete elimination of TBAs in the
maternal health service space and individuals who argue
for the inclusion of TBAs in the health sector given the
shortage of skilled birth attendants and continued patron-
age of their services by rural women even in context where
nurses are available. In the context of the longstanding
manpower deficit in the health sector in Ghana, improving
maternal healthcare in rural communities will require
harnessing all locally available human resources. This cannot
be achieved by “throwing out” a critical group of actors who
have been involved in health‐care provision for many
decades. We propose a win‐win approach that involve
retraining of TBAs, partnership with health practitioners,
and task shifting.
Received: 28 February 2019 Accepted: 4 March 2019
DOI: 10.1002/hpm.2779
Int J Health Plann Mgmt. 2019;1–8. © 2019 John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/hpm 1