Research Article
Recognise and Acknowledge Us: Views of Traditional Birth
Attendants on Collaboration with Midwives for Maternal Health
Care Services
Maurine Rofhiwa Musie , Mavis Fhumulani Mulaudzi , Rafiat Anokwuru ,
and Varshika Bhana-Pema
Department of Nursing Sciences, Faculty of Health Care Sciences, University of Pretoria, Pretoria 0001, South Africa
Correspondence should be addressed to Maurine Rofhiwa Musie; maurine.musie@up.ac.za
Received 14 December 2021; Accepted 14 June 2022; Published 13 July 2022
Academic Editor: Shoulong Deng
Copyright © 2022 Maurine Rofhiwa Musie et al. This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work
is properly cited.
Background. Traditional birth attendants have since ancient time provided care to pregnant women. As such, the collaboration
between midwives and traditional birth attendant (TBAs) can be an essential effort towards the reduction of the maternal and
neonatal mortality and morbidity rate especially in low- and middle-income countries (LMICs). This paper argues that the
collaboration between traditional and formal health systems expands the reach and improves outcomes of community health
care. The study is aimed at exploring the traditional birth attendant’s views on collaboration with midwives for maternal health
care services at selected rural communities in South Africa (SA). Methods. The study was conducted in two rural communities
in Tshwane and Johannesburg metropolitan districts from 15 June to 31 October 2021. The study followed the qualitative
explorative and descriptive research design. The sampling technique was nonprobability purposive, and snowballing technique
was also used to sample the key informants who are the traditional birth attendants also known as traditional healers and who
provide maternal health care services in the respective communities. The access to these participants was through the
gatekeepers, the Traditional Health Organisation Council (THO) council. Data collection was through semistructured in-depth
interviews. Data were analysed thematically through the eight steps of Tesch. Results. Five main themes were identified which
included the recognition of traditional birth attendants as enablers of collaboration, the envisaged value of the collaboration,
processes required to foster collaboration, repositioning for new roles, and barriers to collaboration. Conclusion. The TBAs are
ready to collaborate with the formal health care system, and all they require is for their services to maternal health care to be
recognised and acknowledged.
1. Background
The existence of humankind is attributed to the services of
traditional birth attendants (TBAs). With that said, TBAs
have a long history as childbirth attendants globally and in
many communities in developing countries including South
Africa [1]. Traditional birth attendants have played a pivotal
role in maternal health care, long before the formalisation
and the recognition of midwifery as a distinct area of prac-
tice [2]. A TBA is a person who assists the mother through-
out the stages of pregnancy and facilitates the childbirth
processes. Furthermore, the “TBAs initially acquire their
skills by delivering babies themselves or through apprentice-
ship or from other traditional birth attendants, and they are
also referred to as traditional midwives, lay midwives, or
comadrona in Southeast Asia” (WHO 1992) [3]. With that
said, globally and in African countries, in particular, the World
Health Organization [4] has recommended collaborations
between health care professionals and traditional TBAs to
improve women’s access to maternal health care. However,
that is not the reality in South Africa; currently, the TBAs
are not recognised in the formal health care system.
Hindawi
International Journal of Reproductive Medicine
Volume 2022, Article ID 9216500, 10 pages
https://doi.org/10.1155/2022/9216500