Medical Journal of Zambia

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Browsing Medical Journal of Zambia by Author "Baboo, S. K."

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    Community Social Support Roles of Trained Traditional Birth Attendants in Chongwe District, Zambia
    (African Journal of Midwifery and Women's Health., 2016-04) Chanda, D.O.; Siziya, S.; Baboo, S. K.; Mweemba, O.
    Although traditional birth attendants (TBAs) play key roles in providing maternal health care in many low-resource countries, there are few studies that describe the actual roles and practices of TBAs in their local communities. In addition, there remains controversy about the impact of TBAs on the reduction of maternal and infant morbidity and mortality. This paper presents the results of focus group discussions that were conducted in chongwe district in Lusaka Province of Zambia. It describes the role of trained (t) TBAs in the district. The researcher used an interview guide to conduct five focus group discussions on 28 , tTBAs, four mothers, two midwives, two nurses , and one village leader. The study participants were recruited using a convenience sampling approach, from four district health facilities. The focus group discussions were conducted in English, tape recorded and then transcribed. The data were analyzed using qualitative content analysis method. The main theme identified as describing the role of the t TBA was community social support. This theme was further divided into three categories: providing safe motherhood services, counselling, and health education. Each of these categories also included sub-categories. These findings do not present the view of the general population since it was conducted in only one out of the 73 districts in Zambia. The findings from this study recommended the continued training, monitoring, evaluation and documenting of impact of the TBAs’ practices using modified Ministry of Health TBA training curriculum and monitoring too during supervisions. The documentation of their impact will inform evidence based policy formulation. The influential leaders should sustain their practice by using rural folks’ wealth ranking approach. Generally, tTBAs are likened to spare wheels of cars’ which need to be ready for use in emergency situations when a tyre falls. Chongwe district should form an association to advocate for t TBA sustainability.
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    Improving Infection Prevention Practice in Traditional Birth Attendants in Chongwe District, Zambia
    (African Journal of Midwifery and Women's Health, 2016-04) Chanda, D.O.; Siziya, S.; Baboo, S. K.
    Traditional birth attendants’ (TBAs’) practice is a source of public health concern due to high rates of infection among women and babies. This Study was undertaken in chongwe district, prompted by an earlier study that revealed poor infection prevention practices among community based TBAs in Lusaka Province. The study aimed to assess the impact of modified Ministry of Health TBA training curriculum on the infection prevention. Knowledge, practice and attitude of TBAs in Chongwe district. A six-phased quasi-experimental study design using a structured interview schedule was administered to 238 participants aged between 22-81 years during the intervention stage. Infection prevention knowledge levels were generally during the needs assessment compared to the post course phase, which showed statistically significant impact resulting in lower infant and maternal morbidity rates (P= O.001). The study had three outputs: the training of 207 TBAs, the production of modified TBA training curriculum, and the creation of a monitoring and evaluation too with performance indicators to be used in documenting the impact of the varied role of TBAs. Further research is recommended in form of randomized control trial.
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    Neglected trauma in Zambia
    (Medical Journal of Zambia, 2007-01) Mulla, Y. F.; Baboo, S. K.
    Many of the countries of sub-Saharan Africa have to deal with neglected trauma cases both accidental, intentional and the evidence is that they are on the increase. Those injured are from the most active part of the population imposing enormous socio economic consequences on the country. Neglected trauma in the context of this paper is defined as the inability to attend to injury or to provide aid either immediately or at the earliest possible time to enable quick healing often resulting in Salvage Surgery. This inability to provide early treatment may be due to a variety of reasons. The etiology is multi-factorial and has now reached epidemic proportions. Poverty and lack of education has played a very significant role in the increase of neglected trauma in Zambia. Many patients are unable to travel to a referral hospital due to lack of money for transport or treatment. Most rural health centers and often district hospitals do not have persomel trained in the management of trauma. The biggest question is, what is its impact and what can be done about it?