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Introduction

The use of traditional birth attendants (TBAs) in rural areas has been a common practice for centuries, especially in developing countries. Despite the efforts to promote skilled birth attendance by healthcare professionals, many pregnant women in rural areas continue to rely on TBAs for childbirth. This study aims to investigate the factors associated with the use of TBAs among pregnant women in rural areas, with a focus on understanding the reasons behind this preference and the potential implications for maternal and child health.

Chapter 1: Introduction
1.1 Introduction
1.2 Background of study
1.3 Problem Statement
1.4 Objective of study
1.5 Limitation of study
1.6 Scope of study
1.7 Significance of study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 History and role of traditional birth attendants
2.2 Factors influencing the use of traditional birth attendants
2.3 Maternal and child health outcomes associated with traditional birth attendance
2.4 Policies and interventions targeting traditional birth attendants
2.5 Cultural and social perspectives on traditional birth attendance
2.6 Challenges and controversies surrounding the use of traditional birth attendants
2.7 Empowerment and training initiatives for traditional birth attendants
2.8 Global perspectives on traditional birth attendance
2.9 Gaps in current research on traditional birth attendants
2.10 Theoretical framework for understanding the use of traditional birth attendants

Chapter 3: Research Methodology
3.1 Research design
3.2 Sampling and data collection
3.3 Data analysis
3.4 Ethical considerations
3.5 Research limitations
3.6 Research validity and reliability
3.7 Data interpretation and validity
3.8 Research findings and implications
3.9 Recommendations for future research

Chapter 4: Discussion of Findings
4.1 Sociodemographic characteristics of pregnant women using traditional birth attendants
4.2 Reasons for choosing traditional birth attendants over skilled birth attendants
4.3 Perceptions and experiences of pregnant women with traditional birth attendants
4.4 Impact of traditional birth attendance on maternal and child health outcomes
4.5 Policy recommendations for improving access to skilled birth attendance in rural areas
4.6 Cultural and social factors influencing the use of traditional birth attendants
4.7 Knowledge and awareness of pregnant women regarding the risks associated with traditional birth attendance
4.8 Comparison of outcomes between traditional birth attendance and skilled birth attendance
4.9 Implications for maternal and child health programming in rural areas

Chapter 5: Conclusion and Summary
5.1 Summary of findings
5.2 Conclusions drawn from the research
5.3 Recommendations for policy and practice
5.4 Implications for future research
5.5 Personal reflections on the research process

Thesis Overview:

The use of traditional birth attendants (TBAs) in rural areas has long been a contentious issue in maternal and child health. While efforts have been made to promote skilled birth attendance by healthcare professionals, many pregnant women in rural areas still prefer to seek assistance from TBAs during childbirth. This thesis aims to investigate the factors associated with the use of TBAs among pregnant women in rural areas, with a focus on understanding the reasons behind this preference and the potential implications for maternal and child health outcomes.

Chapter 1 provides an introduction to the research topic, setting the stage for the study by outlining the background, problem statement, objectives, limitations, scope, significance, and structure of the thesis. Chapter 2 reviews the existing literature on TBAs, exploring their history, role, influencing factors, health outcomes, policies, cultural perspectives, challenges, empowerment initiatives, gaps in research, and theoretical frameworks.

In Chapter 3, the research methodology is detailed, including the research design, sampling, data collection, analysis, ethical considerations, limitations, validity, reliability, interpretation, findings, and recommendations for future research. Chapter 4 discusses the findings of the study, focusing on sociodemographic characteristics, reasons for choosing TBAs, perceptions and experiences, health outcomes, policy recommendations, cultural factors, knowledge and awareness, outcomes comparison, and programming implications.

Finally, Chapter 5 presents the conclusion and summary of the thesis, summarizing the findings, drawing conclusions, providing recommendations for policy and practice, suggesting directions for future research, and reflecting on the research process. This thesis aims to contribute to the ongoing discussion on traditional birth attendance in rural areas and provide insights that can inform interventions to improve maternal and child health outcomes in these settings.

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