Women Assisting Women in a Village in Ghana: The Role of Traditional Birth Attendants in Wurubegu-Anansu

Senior Lecturer, Department of History and Political Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

PhD Scholar, Department of Sociology and Social Policy, Lingnan University, Tuen Mun, Hong Kong

Independent Researcher, Department of History and Political Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana


This article examines the impact of traditional birth attendants (TBAs) in rural areas of Ghana and Wurubegu-Anansu community in particular. It examines the challenges that TBAs face as well as the reasons why pregnant women in the community find it difficult to attend antenatal check-ups at modern health centres or hospitals. The narratives bring to the fore the kind of advice that TBAs give to women who go to them for antenatal care as well as delivery care. The absence of a clinic within the Wurubegu-Anansu community was identified as one of the many reasons for pregnant women resorting to TBAs for assistance when their time is due for delivery. The findings suggest that TBAs in the study area do not practise on a full time basis because of the meagre income they receive after assisting women in delivery. TBAs therefore engage in different economic activities to support their families. Most of them engage in farming activities or in petty trading and only attend to women when the need arises. If the government of Ghana is unable to provide health facilities in all rural communities in the country, it should adopt the reformist approach through the auspices of the ministry of health. Thus, it should continuously equip and empower TBAs with medical training and delivery tools to enable them to carry out safe and efficient deliveries rather than encourage any policy or action that will hinder their activities.


  • Traditional birth attendants
  • Pregnant women
  • Ghana
  • Antenatal care

Full Text


Adu-Gyamfi, S. (2010). A Historical study of the impact of colonial rule on indigenous medical practices in Ashanti: A focus on colonial and indigenous disease combat and prevention strategies in Kumasi, 1902-1957 [PhD Thesis]. Kumasi, Ghana: Department of History and Political Studies, Kwame Nkrumah University of Science and Technology.

Akazili, J., Doctor, H. V., Abokyi, L., Hodgson, A., & Phillips, J. F. (2011). Is there any relationship between antenatal care and place of delivery? Findings from rural northern Ghana. Afr J Health Sci, 18(1-2), 62-73.

Adu-Gyamfi, S, & Bing, J. (2016). Traditional healing narratives from a community in Ghana: An empirical study. Journal of Basic and Applied Research International 17(2), 125-135.

Bailey, P., Paxton, A., Lobis, S., & Fry, D. (2006). The availability of life-saving obstetric services in developing countries: an in-depth look at the signal functions for emergency obstetric care. Int J Gynaecol.Obstet, 93(3), 285-291. doi:S0020-7292(06)00062-2 [pii];10.1016/j.ijgo.2006.01.028 [doi]. Retrieved from PM:16687145

Bajpai, S. (1996). Her healing heritage: Local beliefs and practices concerning the health of women and children: A multistate study in India. Maharashtra, India: Chetna Publication.

Banerjee, A., Deaton, A., & Duflo, E. (2004). Health care delivery in rural Rajasthan. Economic and Political Weekly, 39(9), 944-949.

Bang, A. T., Bang, R. A., Baitule, S. B., Reddy, H. M., & Deshmukh, M. D. (2005). Management of birth asphyxia in home deliveries in rural Gadchiroli: the effect of two types of birth attendants and of resuscitating with mouth-to-mouth, tube-mask or bag-mask. J Perinatol., 25(Suppl 1), S82-S91. doi:7211275 [pii];10.1038/sj.jp.7211275 [doi]. Retrieved from PM:15791282

Bannerman, R. H., Burton, J., & Wen-Chieh, C. (1983). Traditional medicine and health care coverage. A reader for health administrators and practitioners. Geneva, Switzerland: World Health Orgnization.

Borghi, J., Ensor, T., Neupane, B. D., & Tiwari, S. (2006). Financial implications of skilled attendance at delivery in Nepal. Trop. Med. Int. Health, 11(2), 228-237.

Bulterys, M., Fowler, M. G., Shaffer, N., Tih, P. M., Greenberg, A. E., Karita, E. et al. (2002). Role of traditional birth attendants in preventing perinatal transmission of HIV. BMJ, 324(7331), 222-224. Retrieved from PM:11809647

Chipfakacha, V. G. (1997). STD/HIV/AIDS knowledge, beliefs and practices of traditional healers in Botswana. AIDS.Care, 9(4), 417-425. doi:10.1080/713613174 [doi]. Retrieved from PM:9337886

Cosminsky, S. (1983) Traditional Midwifery and Contraception. In : R. H. Bannerman, John Burton and Che'n Wen -Chieh (EDs.) Traditional Medicine and Health Care coverage. Geneva, Switzerland: World Health Organization.

Cotter, K., Hawken, M., & Temmerman, M. (2006). Low use of skilled attendants' delivery services in rural Kenya. J Health Popul.Nutr., 24(4), 467-471. Retrieved from PM:17591343

Dogba, M., & Fournier, P. (2009). Human resources and the quality of emergency obstetric care in developing countries: a systematic review of the literature. Hum.Resour.Health, 7, 7. doi:1478-4491-7-7 [pii];10.1186/1478-4491-7-7 [doi]. Retrieved from PM:19200353

Eresund, P. & Tesha, N. (1979). The situation of children in Tanzania. Stockholm, Sweden: SIDA Information Division.

Fatmi, Z., Gulzar, A. Z., & Kazi, A. (2005). Maternal and newborn care: practices and beliefs of traditional birth attendants in Sindh, Pakistan. East.Mediterr.Health.J, 11(1-2), 226-234. Retrieved from PM:16532692

Figa-Talamanca I. (1996). Maternity waiting homes: A review of experiences. Geneva, Switzerland: Mathernal and Newborn Health, safe Matherhood Unit, Division of Reproductve Health, World Health Organization.

Ghana Statistical Service (GSS), Noguchi Memorial Institute for Medical Research (NMIMR), and ORC Macro. (2004). Ghana Demographic and Health Survey 2003. Calverton, Maryland: GSS, NMIMR, and ORC Macro.

Ghana Districts. Atwima Mponua District. Available from: URL: http://www.ghanadistricts.com/ Home/LinkDataDistrict/5174. Access 16 October 2014.

Goodburn, E. A., Chowdhury, M., Gazi, R., Marshall, T., & Graham, W. (2000). Training traditional birth attendants in clean delivery does not prevent postpartum infection. Health policy and planning, 15(4), 394-399.

Gyekye, K. (1996). African cultural values: An introduction. Lansing, MI: Sankofa Publishing Company.

Harvey, S. A., Ayabaca, P., Bucagu, M., Djibrina, S., Edson, W. N., Gbangbade, S. et al. (2004). Skilled birth attendant competence: an initial assessment in four countries, and implications for the Safe Motherhood movement. Int J Gynaecol.Obstet, 87(2), 203-210. doi:S0020-7292(04)00247-4 [pii];10.1016/j.ijgo.2004.06.017 [doi]. Retrieved from PM:15491581

Hitesh, J. (1996). Perceptions and constraints of pregnancy related referrals in rural Rajasthan. Journal of Family Welfare, 42(1), 24-29.

Hussein, J. Hussein, J., & Jentsch, B. E. (2004). Maternal mortality update 2004: Delivering into good hands. New York, NY: United Nations Fund for Population Activities.

International Institute for Population Sciences, & Macro, O. R. C. (2000). India National Family Health Survey (NFHS-2), 1998-99. Mumbai, India: National Family Health Survey (NFHS-2), India, 1998-99 International Institute for Population Sciences.

Izugbara, C. O., & Ukwayi, J. K. (2003). The clientele of traditional birth homes in rural southeastern Nigeria. Health Care Women.Int, 24(3), 177-192. doi:MWMCD43GJ6DFX6QH [pii];10.1080/07399330390178468 [doi]. Retrieved from PM:12746010

Jeffery, R., Jeffery, P., & Lyon, A. (1984). Only cord-cutters? Midwifery and childbirth in rural north India. Soc Action., 34(3), 229-250. Retrieved from PM:12339801

Jeffery, R., Jeffery, P., & Lyon, A. (1984). Only cord-cutters? Midwifery and childbirth in rural north India. Soc Action., 34(3), 229-250. Retrieved from PM:12339801

Jordan, B. (1989). Cosmopolitical obstetrics: some insights from the training of traditional midwives. Soc Sci Med, 28(9), 925-937. Retrieved from PM:2711228

Kayombo, E. J. (2013). Impact of training traditional birth attendants on maternal mortality and morbidity in Sub-Saharan Africa. Tanzan.J Health Res, 15(2), 134-142. Retrieved from PM:26591718

Kennedy, E. (1999). Traditional birth attendants in modern Ghana a discussion of maternal Health Care. African Diaspora ISPs.

Kruske, S., & Barclay, L. (2004). Effect of shifting policies on traditional birth attendant training. J Midwifery.Womens.Health., 49(4), 306-311. doi:10.1016/j.jmwh.2004.01.005 [doi];S1526952304000066 [pii]. Retrieved from PM:15236710

Kumar, A. (2007). The examination of traditional birth attendant practices and their role in maternal health services in Mwandama Village Cluster [MSc Thesis]. Zomba, Malawi: University of Malawi.

Kumar, R., Thakur, J. S., & Aggarwal, A. K. (2000). Effect of continuing training on knowledge and practices of traditional birth attendants about maternal and newborn care. Indian.J Public.Health., 44(4), 118-123. Retrieved from PM:11439875

Lefeber, Y., & Voorhoever, H. (1997). Practices and beliefs of traditional birth attendants: lessons for obstetrics in the north? Trop.Med Int Health., 2(12), 1175-1179. Retrieved from PM:9438474

MacDorman, M. F., & Singh, G. K. (1998). Midwifery care, social and medical risk factors, and birth outcomes in the USA. J Epidemiol Community Health, 52(5), 310-317. Retrieved from PM:9764282

Maimbolwa, M. C., Yamba, B., Diwan, V., & Ransjo-Arvidson, A. B. (2003). Cultural childbirth practices and beliefs in Zambia. J Adv Nurs, 43(3), 263-274. doi:2709 [pii]. Retrieved from PM:12859785

Mathole, T., Lindmark, G., & Ahlberg, B. M. (2005). Competing knowledge claims in the provision of antenatal care: a qualitative study of traditional birth attendants in rural Zimbabwe. Health Care Women.Int, 26(10), 937-956. doi:PJ50123002100354 [pii];10.1080/07399330500301796 [doi]. Retrieved from PM:16263664

Maya, U. (1999). Households, Kinship and Access to Reproductive Health Care among Rural Muslim Women in Jaipur. Retrieved from http://www.epw.in/journal/1999/10-11/special-articles/households-kinship-and-access-reproductive-health-care-among

Paul, V. K. (1999). Newborn care in India: a promising beginning, but a long way to go. Seminars in Neonatology, 4(3), 141-149. Retrieved from http://www.sciencedirect.com/science/article/pii/S1084275699900209

Pinto, S. (2006). Grief and the Politics of Depressing Speech. Social Text, 24(1), 82-102.

Rai, S. (2005). Using Technology Towards Credentialisation: The Dais of Gujarat, Indian. Proceedings of the 2nd International Conference on Technology, Knowledge and Society; 2005 Dec 12-15. Hyderabad, India.

Rajani, R., Bangser, M., Lund-Sorensen, U., & Leach, V. (2001). Situation analysis of children in Tanzania. Accsessed: URL: http://agris.fao.org/agris-search/search.do?recordID=GB2013201282.

Rashid, M., Tayakkanonta, K., Chongsuvivatwong, V., Geater, A., & Bechtel, G. A. (1999). Traditional birth attendants' advice toward breast-feeding, immunization and oral rehydration among mothers in rural Bangladesh. Women.Health., 28(3), 33-44. doi:10.1300/J013v28n03_03 [doi]. Retrieved from PM:10374806

Rogers, E. M., & Solomon, D. S. (1975). Traditional midwives and family planning in Asia. Stud Fam.Plann., 6(5), 126-133. Retrieved from PM:1145693

Rozario, S. (1998). The dai and the doctor: discourses on women's reproductive health in rural Bangladesh. In K. Ram & M. Jolly (Eds.), Maternities and Modernities: Colonial and Postcolonial Experiences in Asia and the Pacific (pp. 144-176). Cambridge: Cambridge University Press.

Santos, C., Diante, D., Jr., Baptista, A., Matediane, E., Bique, C., & Bailey, P. (2006). Improving emergency obstetric care in Mozambique: the story of Sofala. Int J Gynaecol.Obstet, 94(2), 190-201. doi:S0020-7292(06)00257-8 [pii];10.1016/j.ijgo.2006.05.024 [doi]. Retrieved from PM:16857202

Sethi, V., Kashyap, S., & Agarwal, S. (2005). Contextual Factors Influencing Newborn Care Amongst Rural Poor in Western Uttar Pradesh. Pakistan Journal of Nutrition, 4(4), 273-275.

Shamsu-Deen Z. (2013). Assessment of the Contribution of Traditional Birth Attendants in Maternal and Child Health Care Delivery in the Yendi District of Ghana. Developing Country Studies, 3(4), 37-43.

Shariff, A., & Singh, G. (2002). Determinants of Maternal Health Care Utilisation in India: Evidence from a Recent Household Survey [Working Paper Series No. 85]. New Delhi, India: National Council of Applied Economic Research.

Sibley, L. M., Sipe, T. A., & Barry, D. (2012). Traditional birth attendant training for improving health behaviours and pregnancy outcomes. Cochrane.Database.Syst.Rev.,(8), CD005460. doi:10.1002/14651858.CD005460.pub3 [doi]. Retrieved from PM:22895949

Silver, D. (2001). Songs and storytelling: bringing health messages to life in Uganda. Educ Health (Abingdon.), 14(1), 51-60. doi:10.1080/13576280010015362 [doi];GC6KDA5VATE1H0P6 [pii]. Retrieved from PM:14742044

Singh, A. (1994). Profile of traditional birth attendants in a rural area of north India. J Nurse.Midwifery., 39(2), 119-123. Retrieved from PM:8027848

Smith, D. (2002). Birth in India: one chosen perspective. Midwifery today with international midwife, (61), 55.

Smith, D. (2006). Birthing with dignity: a tool for working with traditional Indian Dais. An interview with Diane Smith. Interview by Lesley Branagan. Midwifery.Today.Int Midwife.,(78), 62-63. Retrieved from PM:16841853

Swantz, M. L. (1996). Religious and Magical Rites of Bantu Women in Tanzania. Helsinki, Finland: Academic Thesis.

Syamala, T. S. (2004). Do Health Worker Female and Traditional Birth Attendant Equipped to Provide Primary Health Care in Tribal Areas? Evidences from Tribal Andhra Pradesh. Studies of Tribes and Tribals, 2(2), 119-124. doi:doi: 10.1080/0972639X.2004.11886511. Retrieved from https://doi.org/10.1080/0972639X.2004.11886511. Retrieved from Routledge.

Twum-Baah, K. A., Nyarko, P. E., Quashie, S. E., Caiquo, I. B., & Amuah, E. (1994). Infant, child and maternal mortality study in Ghana. Accra, Ghana: Ghana Statistical Service.

Twumasi, P. A. (1998). Social foundations of the interplay between traditional and modern medical systems. Accra, Ghana: Ghana Universities Press.

van den Broek, N. R., White, S. A., Ntonya, C., Ngwale, M., Cullinan, T. R., Molyneux, M. E. et al. (2003). Reproductive health in rural Malawi: a population-based survey. BJOG, 110(10), 902-908. doi:S1470032803029021 [pii]. Retrieved from PM:14550359

Vanneste, A. M., Ronsmans, C., Chakraborty, J., & De, F. A. (2000). Prenatal screening in rural Bangladesh: from prediction to care. Health Policy Plan., 15(1), 1-10. Retrieved from PM:10731229

Walraven, G., & Weeks, A. (1999). The role of (traditional) birth attendants with midwifery skills in the reduction of maternal mortality. Trop.Med Int Health, 4(8), 527-529. Retrieved from PM:10499075

World Health Organization. (1992). Traditional birth attendants: A joint WHO/UNFPA/UNICEF statement. Geneva, Switzerland: WHO.

World Health Organization, & UNICEF. (2003). Global Strategy for Infant and Young Child Feeding. Geneva, Switzerland: WHO.

World Health Organization. (2007). Proportion of births attended by a skilled attendant. Geneva, Switzerland: WHo.

World Health Organization. (2010). Classifying health workers. Geneva, Switzerland: WHO.

World Health Organization. (2015). Millennium Development Goals (MDGs). Accsessed: http://www.who.int/mediacentre/factsheets/fs290/en/.

Wyatt, J. C. (2001). Management of explicit and tacit knowledge. J R.Soc Med, 94(1), 6-9. doi:10.1177/014107680109400102 [doi]. Retrieved from PM:11220080

Abou-Zahr, C. A., Wardlaw, T. M. (2003). Antenatal Care in Developing Countries: Promises, Achievements and Missed Opportunities : an Analysis of Trends, Levels and Differentials, 1990-2001. Geneva, Switzerland: World Health Organization .

DOI: http://dx.doi.org/10.22122/ijbmc.v5i1.91