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Chelsea Takamine Thanks!

Hi Monalisa Padhee I sent you a message to your email address to connect you with an Epic employee who is interested in helping out. I got your email address from one of the OpenIDEO scheduling emails. Let me know if you didn't receive it. Good luck!

Bettina Fliegel  I found out a partial answer to one of your question about local perceptions of traditional birth attendants by talking to a staff member who is from the communities where we work and has been doing outreach work for many years. Her answer is illuminating.

# What is the role of traditional birth attendants in the villages you are working with?

Many women in Uganda use traditional birth attendants for the following reasons:
1) They are recommended by other mothers. Many of the reasons below are cited, but I get the impression that other mothers have a

2) Health workers at the health facilities can be condescending or uncooperative. Some women have reported problems of working with health workers at the facilities. They can often speak down to them, and patients have bad experiences.
3) Visiting the facility can be too expensive. Services in government health facilities are free, but there are charges for medicine that needs to be bough from a pharmacy, as well as staying overnight in a hotel.

4) Traditional birth attendants are trusted more than health workers. They give herbs to people when they are sick. They have better relationships with people in their communities.

I think we'll have to consider these issues when moving forward with perinatal care interventions. I know other organizations have had successes integrating traditional healers into their activities through trainings. I think we'll incorporate questions about perceptions of traditional birth attendants into our survey of mothers next year. Thank you Bettina Fliegel for the insightful question!

Chelsea Takamine Lauren Ito Kate Rushton