The Role of Traditional Birth Attendants in the Reduction of Maternal Mortality

The "2013 Millennium Development Goals Report" shows that the progress to achieve two-thirds of the maternal mortality rate from 1990 to 2015 is far below the target, especially the index of developing countries in sub-Saharan Africa is It is still low. (UN, 2013). Through the views of the World Health Organization, the People's Health Campaign (PHM) is a multi-omission of traditional maternity officials (TBAs) within the revised traditional medical strategy of the World Health Organization (PHM WHO Watch, 2013) Clearly identified.

In Indonesia, the government seems to infringe on the core responsibility of providing safe maternity health services. The high maternal mortality rate is due to the birth of traditional birth attendance, accounting for nearly 64% of the total. The report explains that many women like family delivery "for convenience, low cost and flexible payment arrangements, after-care services and courier comfort." However, it is controversial that "customer preferences" do not diminish the government's obligation to respect, protect and realize the rights of women to live.

Maternal mortality rates are low in countries where contraceptives are used and countries with high birth rates are high. In sub-Saharan Africa, maternal mortality rate is the highest, contraceptive use rate is 25%, attendance rate of experts at birth is low. Girls' education is important to reduce maternal mortality. The pregnancy mortality rate of women who are not educated is 2.7 times higher, and the mortality rate of educated women of 1 to 6 years is twice the mortality rate of educated women of more than 12 years.

In the United States 99% of births are involved in some form of skilled medical workers, but 215 maternal mortality rates are 14 deaths per 100 000 births and maternal mortality rates are increasing . In addition, the United States is not efficient in preventing pregnancy related deaths from most other developed countries. The United States is participating in the Millennium Development Goals (MDG) proposed by the United Nations. The Millennium Development Goals ended in 2015, but follow-up in the form of sustainable development targets began in 2016. The Millennium Development Goals have several challenges, one of which is to raise maternal mortality worldwide. However, despite participation in the program and more expenditure on maternal health in hospitals than in any other country, the United States is still seeing rising maternal mortality rate