JOURNAL OF LIAONING TECHNICAL UNIVERSITY

NURSE-LED TRAINING ON KNOWLEDGE OF POSTPARTUM HEMORRHAGE AMONG TRADITIONAL BIRTH ATTENDANTS IN LAGOS STATE, NIGERIA

OGUNLADE, Deborah Yemisi, SAMSON-AKPAN, Patience Edoho

Abstract

Inadequate knowledge of postpartum haemorrhage (PPH) among Traditional Birth Attendants (TBAs) is a significant contributor to maternal mortality and morbidity globally. This study assessed the impact of nurse-led training on TBAs' knowledge of PPH in Lagos State, Nigeria, using a quasi-experimental design with pretest and posttest. Conducted in five Primary Health Care Centres across five divisions of Lagos State, a sample of 305 respondents was validated using multistage sampling. Data collection utilised a questionnaire with a reliability coefficient of 0.76–0.78. Statistical analysis, including descriptive statistics and paired t-tests, was performed using SPSS version 24.0. Findings revealed that most respondents were aged 45–49 years (59.3%), predominantly female (75.1%), and Yoruba (100%). Nearly half (49.0%) had secondary education, while none attended tertiary education. Most respondents (49.8%) had over 15 years of experience. Post-intervention, knowledge of PPH significantly improved, with mean scores increasing (Mean diff. = 0.43, t(304) = 89.01, p < .05). Similarly, knowledge of symptoms such as dizziness rose from 57.9% to 97.4% post-intervention. The study concluded that nurse-led training substantially enhanced TBAs' knowledge of PPH and recommended ongoing, structured educational programs for TBAs by the Ministry of Health and other stakeholders. Further research should evaluate similar interventions in diverse regions to identify adaptable best practices.

Keywords: Knowledge, Nurse-led training, Postpartum Hemorrhage, Traditional Birth Attendants