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首页> 外文期刊>The Southeast Asian journal of tropical medicine and public health >Advantages of trained TBA and the perception of females and their experiences with reproductive health in two districts of the Luangprabang Province, Lao PDR.
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Advantages of trained TBA and the perception of females and their experiences with reproductive health in two districts of the Luangprabang Province, Lao PDR.

机译：老挝人民民主共和国琅勃拉邦省两个地区，受过训练的TBA的优势以及对女性的看法及其生殖健康经验。

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The study describes reproductive health in two districts of the Luangprabang Province in northern Lao PDR. The aim was to find out whether training traditional birth attendants (TBA) might have an impact on reproductive health. In June/July 2000, a total of 298 women of reproductive age, with children below two years of age, from 30 villages were interviewed by means of a closed questionnaire. In 1996/1997, a training course for TBA was conducted in one of the districts under survey. Information was obtained for demography, symptoms and risks during pregnancy and delivery, antenatal care (ANC), tetanus immunization, food taboos, place of delivery, birth attendant, practising of birth spacing and their attitude towards the services of TBA. The results obtained indirectly pointed towards a high fertility rate and a high rate of child death and abortion. An overwhelming majority of the women delivered at home, attended only by untrained individuals. During pregnancy and after delivery, the women claimed that they often suffered from edema of legs and feet, high fever and hemorrhages. Only 50% of the females in the district where TBA training were conducted, made use of the services of trained TBA. Nevertheless, females in the district with trained TBA, who made use of the TBA service in comparison with women in the same district not using the service of TBA, were 3.8 times more likely to also make use of the ANC service; 3.3 times more likely to seek immunization, and 8.6 times more likely to give colostrum to their new-borns. The educational level of the females proved to be an important factor. Literate women were more likely to practise birth spacing and have been vaccinated. Illiterate women were more likely to be at higher risk for losing a child. In the district without TBA service the loss of a child was less likely among literate than illiterate women. It is concluded that through adequately trained TBA and through their continuous support and supervision, ANC and health education can be improved. Inaddition to the improvement of the referral system for emergency cases and manpower development within the obstetric curative service, the training of TBA will have a positive impact on reproductive health. However, maternal health depends, to a large extent, on the educational level of the women.
机译：该研究描述了老挝北部琅勃拉邦省两个地区的生殖健康。目的是查明培训传统接生员（TBA）是否会对生殖健康产生影响。 2000年6月/ 2000年7月，通过封闭问卷调查了来自30个村庄的总共298名育龄妇女，其中两岁以下的儿童。在1996/1997年，在一个被调查的地区举办了TBA培训课程。获得了以下方面的信息：人口统计学，怀孕和分娩期间的症状和风险，产前护理（ANC），破伤风免疫接种，食物禁忌，分娩地点，接生员，实行分娩间隔及其对TBA服务的态度。间接获得的结果表明，高生育率和高儿童死亡与堕胎率。绝大多数妇女在家中分娩，只有未经训练的人参加。妇女声称，在怀孕期间和分娩后，她们经常患有腿和脚浮肿，高烧和出血。在进行了TBA培训的地区中，只有50％的女性利用了经过培训的TBA的服务。然而，与未使用TBA服务的同一地区的妇女相比，受过TBA培训的地区中使用TBA服务的女性使用ANC服务的可能性要高3.8倍;寻求免疫的可能性是婴儿的3.3倍，将初乳给予新生儿的可能性是8.6倍。事实证明，女性的教育水平是一个重要因素。识字的妇女更有可能实行生育间隔，并已接种疫苗。文盲妇女更容易失去孩子。在没有TBA服务的地区，识字妇女比文盲妇女少生孩子。结论是，通过受过充分培训的TBA并通过其不断的支持和监督，可以改善ANC和健康教育。除了改善产科治疗服务中的紧急情况转诊系统和人力开发外，TBA的培训还将对生殖健康产生积极影响。但是，孕产妇保健在很大程度上取决于妇女的教育程度。

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