Victor Ei-Wen Lo
China Medical University

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Knowledge of Traditional Birth Attendants in the Provision of Safe Delivery Care According to Health Standards Evidence from Longsheng Village, Rural China Jianfu Xia; Junjie Wu; Victor Ei-Wen Lo; Erkhembayar Tseveen; Zhumagaliyeva Ardak Nazilovna
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2534

Abstract

Purpose of the study: This study aimed to assess the level of knowledge of traditional birth attendants as community-based health providers in delivering safe childbirth care according to health standards in Longsheng Village, a rural ethnic minority area in China. Methodology: A community-based cross-sectional analytical study was conducted involving all active traditional birth attendants in Longsheng Village (n = 32). Data were collected using a structured and validated knowledge questionnaire developed based on WHO safe motherhood and essential obstetric care guidelines. The instrument assessed four competency domains: recognition of pregnancy danger signs, safe delivery procedures, infection prevention, and referral systems. Descriptive statistics were used to summarize knowledge levels, and a one-sample t-test was applied to compare the mean knowledge score with a predefined competency benchmark of 80%. Instrument reliability was confirmed with a Cronbach’s alpha coefficient of 0.87. Main Findings: The findings showed that only 7 respondents (21.8%) demonstrated adequate knowledge of safe delivery care, while the majority (78.2%) had low to moderate knowledge levels. The overall mean knowledge score was significantly lower than the competency benchmark (p < 0.001). The lowest scores were observed in the domains of referral procedures and infection prevention, indicating critical gaps in emergency response readiness and clinical safety awareness. Novelty/Originality of this study: These findings highlight an urgent need for competency-based training, strengthened referral systems, and closer integration between TBAs and formal health services to improve maternal and neonatal safety in rural ethnic minority settings.
Knowledge of Traditional Birth Attendants in the Provision of Safe Delivery Care According to Health Standards Evidence from Longsheng Village, Rural China Jianfu Xia; Junjie Wu; Victor Ei-Wen Lo; Erkhembayar Tseveen; Zhumagaliyeva Ardak Nazilovna
Journal of Health Innovation and Environmental Education Vol. 2 No. 2 (2025): December
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i2.2534

Abstract

Purpose of the study: This study aimed to assess the level of knowledge of traditional birth attendants as community-based health providers in delivering safe childbirth care according to health standards in Longsheng Village, a rural ethnic minority area in China. Methodology: A community-based cross-sectional analytical study was conducted involving all active traditional birth attendants in Longsheng Village (n = 32). Data were collected using a structured and validated knowledge questionnaire developed based on WHO safe motherhood and essential obstetric care guidelines. The instrument assessed four competency domains: recognition of pregnancy danger signs, safe delivery procedures, infection prevention, and referral systems. Descriptive statistics were used to summarize knowledge levels, and a one-sample t-test was applied to compare the mean knowledge score with a predefined competency benchmark of 80%. Instrument reliability was confirmed with a Cronbach’s alpha coefficient of 0.87. Main Findings: The findings showed that only 7 respondents (21.8%) demonstrated adequate knowledge of safe delivery care, while the majority (78.2%) had low to moderate knowledge levels. The overall mean knowledge score was significantly lower than the competency benchmark (p < 0.001). The lowest scores were observed in the domains of referral procedures and infection prevention, indicating critical gaps in emergency response readiness and clinical safety awareness. Novelty/Originality of this study: These findings highlight an urgent need for competency-based training, strengthened referral systems, and closer integration between TBAs and formal health services to improve maternal and neonatal safety in rural ethnic minority settings.