need for traditional birth attendants [dayas] in Saudi Arabia

Preferences of women living in remote areas regarding delivery place and attendant were surveyed, opinions of primary health care [PHC] doctors about traditional birth attendants' [TBA] maternal care were assessed and training needs for TBAs were identified using questionnaires and a focus group discussion. Home deliveries and TBAs were preferred by approximately 24% and 38% of the women respectively. The fact that they were women and psychological comfort were the main reasons for preferring TBAs. TBAs disclosed many harmful practices. No PHC centre help was sought by 75% of TBAs. Lack of cooperation between PHC centres and TBAs was a concern of most of the doctors. Training and links to PHC services for TBAs are needed