Uganda: Traditional Birth Attendants Linked to Preventable Maternal Deaths in Kabale

Health officials in Uganda's Kabale District are expressing alarm over the persistent reliance on traditional birth attendants (TBAs), with approximately 17 percent of expectant mothers still choosing this route over accredited health facilities. This trend is directly contributing to preventable maternal and newborn deaths in the Kigezi sub-region.

Paddy Patrick Mwesigye, Kabale District Assistant Health Officer, stated that deliveries conducted outside formal health settings often expose mothers and newborns to significant risks. The absence of readily available emergency obstetric care and skilled medical professionals means complications can quickly become life-threatening. "Many of the newborn deaths recorded in the Kigezi sub-region are linked to deliveries conducted outside formal health facilities, where emergency obstetric care is often unavailable," Mwesigye explained.

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Many of the newborn deaths recorded in the Kigezi sub-region are linked to deliveries conducted outside formal health facilities, where emergency obstetric care is often unavailable.

Mwesigye noted that TBAs frequently delay referring mothers to health facilities until complications become severe, drastically reducing the chances of survival for both mother and child. "By the time these mothers reach health facilities, they are often in critical condition, making it difficult for medical personnel to save either the mother or the baby," he said.

Despite government investments in improving maternal and child healthcare services, including equipping facilities with skilled workers and modern equipment, a portion of expectant mothers continue to opt for traditional attendants. Mwesigye urged communities throughout Kigezi to prioritize facility-based deliveries, emphasizing that increased utilization of health centers is crucial for reducing mortality and improving the overall well-being of mothers and children in the region.

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By the time these mothers reach health facilities, they are often in critical condition, making it difficult for medical personnel to save either the mother or the baby.