MIMMS Community level qualitative data: Traditional birth attendants (TBA) 2014-15 - Seven provinces in South Africa

Description:
The data set consists of 15 transcripts of interviews with traditional birth attendants.

All nine provinces were included in the study sample, however, no data were collected for TBAs in Eastern Cape and KwaZulu Natal, urban or rural, Limpopo, urban, North West rural, or Western Cape urban, as TBAs’ practice is not encouraged in many communities and finding willing participants was thus a challenge.
Abstract:
This project was conceived to investigate the functionality of the South African civil registration and vital statistics system, and to identify those shortcomings that undermine its effectiveness and accuracy in the surveillance of birth and death statistics relative to expectant mother, infants and children. Through a Gap analysis the challenges, bottlenecks and short circuits (the 'gaps') within the surveillance system that serve to compromise the efficiency and effectiveness of the system were identified.

The project's aim was to strengthen the existing surveillance strategies for monitoring maternal and child morbidity and mortality in South Africa. The objectives of the project were the following: assess the current surveillance system and strategies for monitoring maternal and child morbidity and mortality in order to identify gaps and challenges within the system; and to describe the availability and performance of maternal, obstetric and infant health care services.

The gap analysis included gathering information related to the functioning, challenges and efficiency of the surveillance system at all levels including communities and assessment of the availability and performance of the Civil Registration and Vital Statistics system (CRVS) and maternal and child health (MCH) services.

All nine provinces of South Africa were included in the gap analysis. A total of eighteen (18) districts, one urban and one rural per province participated in the gap analysis. The target population included Department of Home Affairs and Department of Health officials working in different components of the CRVS system and MCH respectively at community, facility, district, provincial and national level. It also included all community leaders (these included traditional leaders, community leaders and farm owner/representative), Traditional Birth Attendants (TBAs), community health workers and pregnant women.

Description:
本数据集包含15份与传统助产士（Traditional Birth Attendants，TBAs）的访谈转录文本。
本研究样本覆盖南非全部九个省份，但未收集到东开普省、夸祖鲁-纳塔尔省（不分城乡）、林波波省城镇地区、西北省农村地区以及西开普省城镇地区的传统助产士相关数据——原因在于诸多社区并不鼓励传统助产士从业，因此招募愿意参与的受访者存在较大难度。
Abstract:
本项目旨在调研南非民事登记与生命统计系统的运行状况，并识别那些削弱其在监测孕产妇、婴儿及儿童出生与死亡统计数据有效性与准确性的缺陷。通过缺口分析（Gap analysis），本研究明确了监测系统内损害其运行效率与有效性的各类挑战、瓶颈与疏漏（即所谓"缺口"）。
本项目的核心目标是强化南非现有的孕产妇与儿童发病率及死亡率监测策略。本项目的具体目标分为两项：一是评估当前用于监测孕产妇与儿童发病率及死亡率的监测系统与策略，以识别系统内存在的缺口与挑战；二是描述孕产妇、产科及婴幼儿医疗保健服务的可及性与运行绩效。
本次缺口分析涵盖了各级层面（包括社区）监测系统的运行状况、挑战与效率相关信息，并对民事登记与生命统计（Civil Registration and Vital Statistics, CRVS）系统以及孕产妇与儿童健康（Maternal and Child Health, MCH）服务的可及性与运行绩效进行了评估。
本次缺口分析覆盖南非全部九个省份，共计18个行政区参与，每个省份各包含1个城镇行政区与1个农村行政区。目标人群包括在民事登记与生命统计系统及孕产妇与儿童健康服务不同环节任职的内政部与卫生部官员，覆盖社区、机构、行政区、省级及国家级层面；同时还涵盖所有社区领袖（包括传统领袖、社区代表及农场主/农场代表）、传统助产士（TBAs）、社区卫生工作者以及孕妇。