Background: In developing countries, most childbirth occurs at home and is not assisted by
skilled attendants. This situation increases the risk of death for both mother and child and has
severe maternal and neonatal health complications. The purpose of this study was to explore
pregnant women’s perceptions and utilization of traditional birth attendant (TBA) services in a
rural Local Government Area (LGA) in Ogun State, southwest Nigeria.
Methods: A quantitative design was used to obtain information using a structured questionnaire
from 250 pregnant women attending four randomly selected primary health care clinics in the
LGA. Data were analyzed using Epi Info (v 3.5.1) statistical software.
Results: Almost half (48.8%) of the respondents were in the age group 26–35 years, with a
mean age of 29.4 ± 7.33 years. About two-thirds (65.6%) of the respondents had been pregnant
2–4 times before. TBA functions, as identified by respondents, were: “taking normal delivery”
(56.7%), “providing antenatal services” (16.5%), “performing caesarean section” (13.0%),
“providing family planning services” (8.2%), and “performing gynaecological surgeries”
(5.6%). About 6/10 (61.0%) respondents believed that TBAs have adequate knowledge and
skills to care for them, however, approximately 7/10 (69.7%) respondents acknowledged that
complications could arise from TBA care. Services obtained from TBAs were: routine antenatal
care (81.1%), normal delivery (36.1%), “special maternal bath to ward off evil spirits”
(1.9%), “concoctions for mothers to drink to make baby strong” (15.1%), and family planning
services (1.9%). Reasons for using TBA services were: “TBA services are cheaper” (50.9%),
“TBA services are more culturally acceptable in my environment” (34.0%), “TBA services are
closer to my house than hospital services” (13.2%), “TBAs provide more compassionate care
than orthodox health workers” (43.4%), and “TBA service is the only maternity service that
I know” (1.9%). Approximately 8/10 (79.2%) of the users (past or current) opined that TBA
services are effective but could be improved with some form of training (78.3%). More than
three-quarters (77.1%) opposed the banning of TBA services. Almost 7/10 (74.8%) users were
satisfied with TBA services.
Conclusion: Study findings revealed a positive perception and use of TBA services by the
respondents. This underlines the necessity for TBAs’ knowledge and skills to be improved
within permissible standards through sustained partnership between TBAs and health systems. It
is hoped that such partnership will foster a healthy collaboration between providers of orthodox
and traditional maternity services that will translate into improved maternal and neonatal health
outcomes in relevant settings.