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Journal of Health Innovation and Environmental Education

an Open Access Journal

Knowledge of Traditional Birth Attendants in the Provision of Safe Delivery Care According to Health Standards Evidence from Longsheng Village, Rural China

Jianfu Xia
Wenzhou Medical University ROR
China
jianfu.xia@gmail.com
Junjie Wu
Hangzhou Medical College ROR
China
Victor Ei-Wen Lo
China Medical University ROR
China Medical University ROR
Taiwan, Province of China
Erkhembayar Tseveen
Ikh Zasag International University ROR
Mongolia
Zhumagaliyeva Ardak Nazilovna
Semey State Medical University
Kazakhstan
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  • 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.

  • How to cite

    Knowledge of Traditional Birth Attendants in the Provision of Safe Delivery Care According to Health Standards Evidence from Longsheng Village, Rural China . (2025). Journal of Health Innovation and Environmental Education, 2(2), 151-160. https://doi.org/10.37251/jhiee.v2i2.2534

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