Knowledge, Attitudes, and Practices of Traditional Birth Attendants in Bangladesh: A Qualitative Study on Maternal and Newborn Healthcare in Local Community.

Background: Traditional birth attendants (TBAs) play a significant role in providing care to mothers and newborns in Bangladesh. Understanding their knowledge, attitudes, and practices regarding maternal and newborn health is crucial for improving maternal and child health outcomes. This qualitative study aimed to explore the knowledge, attitudes, and practices of TBAs regarding maternal and newborn healthcare in Bangladesh. Methods: In-depth interviews were conducted with 11 TBAs in local communities using a predeveloped and pretested interview guide, focusing on their understanding of safe maternal and newborn healthcare practices. Knowledge and practice of the TBAs related to maternal and newborn health were explored under several broad themes. Results: The study revealed a mix of beneficial and potentially harmful behaviors among TBAs in maternal and newborn health practices. While they recommend beneficial practices like exercise and hygiene during delivery, they also utilize practices lacking evidence or potentially harmful, such as traditional medicine use. TBAs demonstrated awareness of clean delivery importance but had varied adherence to hygienic practices. Knowledge and attitudes varied among TBAs, with some receiving formal training. Conclusion: This study highlights the imperative for educational interventions, training programs, and collaboration between TBAs and healthcare providers to enhance TBAs' knowledge and awareness. These efforts are crucial for improving maternal and child health outcomes in local communities across Bangladesh.