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Traditional Birth Attendant (DAI)

Traditional Birth Attendant (DAI). Issues and Concern Presented by Dr. Ajay Khare. Who are They. Traditional- Family based Old Women / Family Member ( Tribes) Trained for 30 days Mostly Schedule Cast, Some Tribes or Muslims. Their work. Care During Pregnancy Identification of Danger Sign

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Traditional Birth Attendant (DAI)

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  1. Traditional Birth Attendant (DAI) Issues and Concern Presented by Dr. Ajay Khare

  2. Who are They • Traditional- Family based • Old Women / Family Member ( Tribes) • Trained for 30 days • Mostly Schedule Cast, Some Tribes or Muslims

  3. Their work • Care During Pregnancy • Identification of Danger Sign • Assisting Labour • Care of New Born • Post Natal Care/ Follow up • Disposing placenta • Massage Women / New Born

  4. Their Remuneration • From Govt.- started from Rs 2 to now Rs 50 • House Hold- Rs 50- 100 5- 10 Kg Cereals Sari Some times Rs 500- 1000 • JSY- Rs 600 - 350/ Delivery Birth Assistant – Rs 50

  5. Deficiencies / Difficulties • Mostly old, Illiterate, Poor Women, SC • Work is considered dirty / untouchable • Training was given very old time • Unable t access new information/ Knowledge • Mostly put pressure during delivery • Bath New Born even premature baby • Retraining required But deep rooted culturally and socially

  6. Some Facts • Available in most of the villages Villages 52049 Dais 52995 Villages without Dai 1026 • Dais Training started in 1973 • Training Component 1. Care of pregnant women 2. Normal labour 3.Asepsis 4.Breast feeding 5.Weighing new born 6.Vaccination 7.Referral

  7. Issues • Some Dais became ASHA • Some are Anganwadi assistant and competing with ASHA for JSY • After Institutional delivery child and mother unattended • Deliveries on the way • Villagers still have faith in Dais • Some times waited dais for two days for cutting umbilical cord

  8. Some Cases • Mangaliya Bai 55Yrs- Village Markadhana Illiterate, traditional dai, tribal village trained for 3 days, get only coconut or Sari, considered religious work, ASHA not available, Working as motivator for JSY • Bhuriaya Bai 70 Yrs - Village Harsdiwari Trained 6-7 years back, Selected as ASHA but JSY cases are taken by Anganwadi worker

  9. Some Cases • Ganiya Bai 70 Yrs - Village Bijori Familial work, received Rs 300, Cereals and Sari / Delivery She has conducted many difficult delivery After ASHA all income stopped • Katto Bai 50 Yrs- Chhindi Trained Dai, Very Popular, ASHA is not getting JSY cases

  10. Some Cases • Naziran Bee- Chhindi Taken Fatwa for Dai work, Trained, Earlier Govt. paid 50Rs / Delivery and from family Rs 400 – 500, ASHA is not getting JSY cases Some Dais are conducting deliveries in PHC and CHC also

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