At a time all hand are
on deck to help reduce and minimize maternal and infant mortality rates in the
country, Mr. Emmanuel Akatoh, an experienced Traditional Birth Attendant (TBA)
in a predominantly female career, urges government andall stakeholder
particularly males to support efforts to end maternal and child mortality in
the country.
With over 150
deliveries to his credit over the past 44years as a TBA, Mr. Akatoh who is also
known as Nana Dogo Moro, Chief of the Ewe settlers at Aportoyowoa, a village
about 6km from the Goaso Cocoa Station, off the Hwidiem-Goaso Highway, says
with collective efforts and support from all maternal mortality should be a
thing of the past.
He recalls how he
learned the act of delivering babies from his late grandmother as a young boy
at Sogakope in the Volta Region but never practiced it until he relocated to
Aportoyowoa in 1970, where he saw pregnant women struggling and suffering to
give birth.
“I started to help in
deliveries and was frequently called upon sometimes to help when the afterbirth
delayed in coming,” he added.
Apart from her first
child, Nana Dogo delivered his wife of all their six children as well as a
number of his grandchildren with ease.
Although he has not
performed deliveries that resulted in any complications or death over the
years, he expresses worry about why women in the process of giving birth should
lose their very lives.
Papa Dogo, as he is
affectionately called by the midwives at St. Elizabeth Hospital at Hwidiem in
the Asutifi South District of the Brong Ahafo Region, narrated how he used
herbs and other rehearsed traditional practices over the years to help in
performing deliveries before receiving the training alongside other 27 TBAs in
2009, organised by the National Catholic Health Service in collaboration with
the Catholic Diocese of Goaso and funded by Cordaid-The Netherlands.
He attested to the
great enlightenment the 14-day training opportunity offered him and other TBAs,
adding that it helped him to examine pregnant women, look out for possible
danger signs and refer them to health facilities.
“The training for
instance helped me in visiting and sensitizing pregnant women on the need to
attend antenatal clinic as well as encourage lactating mothers to attend
postnatal care,” he added.
Papa Dogo shared the
experience of being woken at odd hours of the night to go for deliveries at
very distant cottages, sometimes walking for hours and having to cross rivers
before getting to where the pregnant women in labour were.
In his haste to go and
perform one of the emergency deliveries in one of the hamlets recently, he
described how he slipped and fell from a rickety-wooden access bridge to the
hamlet. Though he sustained some injuries and bruises, he rose and went to the
village to help deliver the pregnant woman of her baby.
Asked why he had to go
after sustaining the injuries, he said the life of the woman in labour and the
child were of concern to him, adding that was why he had to still go in spite
of the pain he was going through after falling from the bridge.
Indeed, the TBAs work,
as voluntary as it is, is not an easy task at all, as very often their time,
efforts, sacrifices and risk to respond to the calls at odd hours is not
compensated.
Answering how
challenging the work is, Papa Dogo confirms that “the work is not easy at all”,
noting that they are yet to receive any form of motivation for the work they
were doing.
Madam Princila Asor
Frimpong, Public Health Midwife, in-charge of the Reproductive Child Health
(RCH) Unit at the St. Elizabeth Hospital described as impeccable the roles Papa
Dogo and other TBAs who received training from surrounding towns and villages
were contributing with regards to skilled deliveries.
She together with some
midwives at the RCH Unit confirmed increased referrals of pregnant women to the
Hospitals by the TBAs, who also accompany the pregnant women in labour to the
hospital. The midwives also acknowledged the TBAs efforts in educating the
pregnant women about the need to attend antenatal clinics, which according to
reports has soared.
“Papa Dogo and the
other TBAs are doing well as they have taken more active interest in the
welfare of the expectant mothers and their infants, with their (TBAs) regular
visitations, sensitization on appropriate diet and care expectant mothers and
lactating mothers ought to take” Madam Frimpong added.
Touching on the eye
opening experience the 14-day training offered him in areas of infection
prevention during emergency deliveries, Papa Dogo suggested the replication of
the training throughout the country to educate, sensitize and make TBAs help in
enhancing skilled and safe deliveries in the country.
He called on the
government and stakeholders to consider ways of supporting the TBAs to
collaborate more effectively with health facilities to ensure more safe
deliveries and reduce maternal mortality.
In a similar
development, 80-year old Nayina Komoa, another male TBA at Kulgona a village of
about 13 kilometers from Nalerigu in the East Mamprusi District of the Northern
Region also recounted his experience as a TBA for the past 50years, and having
delivered hundreds of babies, including 17 of his 20 children.
Hitherto the recent
training he received together with 35 TBAs in the catchment area of the Baptist
Medical Centre at Nalerigu in March 2014, he faced challenges in performing
deliveries, with breech birth presentations and other complications.
Speaking through an
interpreter, Nayina stated how beneficial the training has been to him and even
demonstrated how to perform emergency deliveries, and also ensure infection
prevention as well as refer pregnant women to the hospital.
Mr. Nelson Manduaya,
in-charge of the Public Health Unit of the Baptist Medical Centre commended
Nayina and other TBAs were doing and even confirmed an increase in referral
from Nayina to the Hospital.
Like Papa Dogo, Nayina
who is also a Traditional Medical Practitioner (TMP) said he learned the act of
performing deliveries from his late grandfather and his mother who were
conducting deliveries then.
Describing the 14-day
training programme for the TBAs as an eye opener, Nayina commended the
organizers seeing the need to educate them for them to collaborate to enhance
skilled deliveries, and called for the training to be expanded and replicated
to train more TBAs.
Nayina who is also a
farmer said as part his work as a TBA he organizes regular meetings among TBAs
from 13 surrounding communities to share ideas on their work at their level and
discuss pertinent issues relating to their work.
He also expressed the
concern that the women who were delivered do not pay anything, and urged the
husbands to support the TBAs for the efforts they make.
There is no doubt age
is telling on Papa Dogo and Nayina who are appealing for the training of more
TBAs to support and gradually take over from them, when they are no longer
there.