Adanna Chukwuma

Adanna Chukwuma

Health Policy Research Group, University of Nigeria, Nigeria
Adanna Chukwuma

In partnership with the Health Policy Research Group at the University of Nigeria, Adanna conducted a mixed methods study on the engagement of Traditional Birth Attendants for postnatal care demand-generation among mothers with non-facility births in Nigeria. Informed by a recently completed qualitative pilot study, she identified the causal impact of performance-based incentives in increasing postnatal care referrals of non-facility births by TBAs through a randomized controlled trial.

Nearly 70 percent of Nigerian mothers deliver outside a facility, usually assisted by an unskilled Traditional Birth Attendant (TBA), with a high risk of fatal complications. Programs that encourage referrals by TBAs to facilities for skilled antenatal and delivery care to reduce perinatal mortality risk have however been unsuccessful. Perhaps these programs are incompatible with the TBA’s desire to earn money from the supply of pregnancy and childbirth care and go against the desire by TBAs to be recognized as pregnancy-related health experts in their communities. In contrast to antenatal and delivery care, only 4 percent of Nigerian mothers receive postnatal care (PNC) from a TBA, indicating that there is less competition with skilled health workers after delivery. Therefore, partnerships with TBAs may be effective in increasing uptake of PNC among Nigerian mothers. Over the summer, Adanna conducted a mixed methods study on the engagement of TBAs for postnatal care demand-generation among mothers with non-facility births in Nigeria, in partnership with the Health Policy Research Group. The qualitative study involved focus group discussions with mothers, TBAs, and skilled health workers, to clarify perceptions about, barriers to, and enablers of TBA engagement in postnatal care referrals for non-facility births. Informed by a recently completed qualitative pilot study, Adanna also identified the causal impact of performance-based incentives in increasing postnatal care referrals of non-facility births by TBAs, via a randomized controlled trial.

 

Intern type