ASSESSMENT OF THE KNOWLEDGE, ATTITUDES AND PRACTICES OF TRADITIONAL BIRTH ATTENDANTS IN MATERNAL HEALTHCARE SERVICES IN NIGERIA.

Traditional Birth Attendance (TBA) remains an important component of maternal healthcare delivery in Nigeria, particularly in rural and underserved communities where access to skilled birth attendants and formal healthcare facilities is limited. This paper examines the practice of Traditional Birth Attendance in Nigeria, focusing on its conceptual foundations, determinants of utilisation, reasons mothers prefer TBA services, associated challenges, and possible integration into the formal healthcare system. A qualitative literature review approach was adopted, drawing on existing scholarly publications and relevant literature on traditional childbirth practices and maternal healthcare in Nigeria. The review highlights that mothers' preference for TBAs is influenced by cultural beliefs, religious practices, affordability, accessibility, perceived compassionate care, and trust in traditional birth attendants. TBAs also play significant roles in providing emotional support, preserving cultural heritage, and offering childbirth services within local communities. However, their practices are associated with several challenges, including inadequate professional training, limited knowledge of obstetric emergencies, poor infection prevention practices, and insufficient access to modern medical equipment, which may increase the risk of maternal and neonatal complications. The paper concludes that although TBAs remain relevant in Nigeria's maternal healthcare system, their services require appropriate regulation, capacity building, and effective collaboration with skilled healthcare professionals. It therefore recommends strengthening referral systems, providing continuous training, promoting maternal health education, and establishing partnerships between TBAs and formal healthcare providers to improve maternal and newborn health outcomes in Nigeria.