Community experience with CMWs and TBAs |
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Linkage of TBAs with a formal health system |
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TBAs have a pivotal role in health promotion activities such as health messages on breast feeding, mother and child immunisation. -
TBAs must assist the CMW who is naïve to reproductive health matters. -
TBAs can be involved in linking high-risk cases to the CMW and health facility
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Role of TBAs in supporting obstetric care |
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TBAs assist the CMW in delivery, identify expectant mothers with high risks, refer such cases to the formal health system, and support postnatal care
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Linkages and co-ordination among TBAs and CMWs |
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Mixed responses in terms of relationship between CMWs and TBAs -
VHC is an active forum for co-ordination -
Co-ordination is better at places where TBA gets some share of CMW income
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Livelihood of TBAs |
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CMWs could offer some incentives to TBAs to strengthen referrals and assistance in skilled delivery -
VHCs decide TBA incentive share of CMW income -
The community pays in-kind contribution to recognise the services of TBAs
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