The larger part of the training given to doctors, midwives and CHEWs emphasizes safety and limitations. This ensures that they realize their scope and stay in it. This cannot be said of the TBAs. They tend to practice out of their scope because they don’t know much about the idea of division of labour and limitation of practice. This situation has led to fatalities and major complications.
Our aim is to ensure that the TBAs stay within their scope and utilize the services of the other members of the health team. We plan to achieve this by putting in place a referral system. It is hoped that this system will save lives and help to prevent and minimize complications.
Referral protocols identify potential complications promptly and effectively prevent or minimize them. We will train TBAs on how to effectively use this system to ensure that women with potential complications are promptly referred to the PHC who will in turn refer same to the hospital (if unable to handle them) where they can receive adequate care.
We hope to make better use of the TBA structure already in place while further supplying them with a strong support network of professionals
