000			02756cam a2200289 4500
020			_a9241561505
035			_a(Sirsi) 9241561505
060			_aWQ 160
242	1	0	_aAccoucheuses traditionnelles : _bdčlaration conjointe OMS/FNUAP/UNICEF
245	0	0	_aTraditional birth attendants : _ba joint WHO/UNFPA/UNICEF statement.
260			_aGeneva : _bWorld Health Organization, _c1992.
300			_a18 p.
520	3		_aRe-examines the role that traditional birth attendants can be expected to play in efforts to reduce maternal morbidity and mortality. Addressed to policy-makers and planners, the booklet aims to encourage realistic decisions based on a firm understanding of what TBAs can and cannot do and the extent to which their strengths and limitations might be affected by training programmes. Throughout, the use of traditional birth attendants is regarded as an interim solution in pursuit of the greater goal of giving all women and children access to acceptable, professional, modern health care. The opening sections clarify the actual and potential role of TBAs in maternal and child health and family planning. Against this background, other sections offer practical advice that can help decision-makers select the best options for implementing or strengthening TBA programmes. An explanation of the goals and objectives of TBA programmes is followed by an outline of 12 steps which can be initiated in order to implement a programme with the greatest chance of achieving its objectives. Of particular practical value is a section explaining nine issues - whether concerning licensing and certification or the risk of HIV transmission - that invariably emerge when decisions about a particular programme are made. The remaining sections alert readers to the limitations of TBA training programmes, including their inability, when used as a single approach, to improve maternal and child health care, and discuss the future role of trained and supervised TBAs within the context of the drive to give women access to modern health care and the services of a professional midwife or physician. Despite the importance of this ultimate goal, the booklet concludes that there will always be a need to keep what is best in TBA care: the sense of caring, the human approach, and the response to cultural and spiritual needs.
546			_aeng fre spa.
546			_ahin swa.
550			_aWHODOC
561			_aWHO monograph
596			_a4
650	0	2	_aMidwifery.
690			_aNursing and Midwifery.
710	2		_aWorld Health Organization.
710	2		_aUNICEF.
710	2		_aUnited Nations Population Fund.
856			_uhttps://apps.who.int/iris/
008			920724s1992 1 0 eng
942			_2NLM _cMONOGRAPH
999			_c11828 _d11828