EXPERIENCE AS A TRADITIONAL HEALERS by asafwewe

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									IN, TBAS, interview No.00

Asia IT&C Programme - Traditional medicine across European and Asian cultures
Contract n. ASI/B7-301/970126-42 - Accounting n. ALA/970126
File: 04 Trad birth attendant study 2004 10 09




                     THE TRADITIONAL           BIRTH ATTENDANTS’ STUDY


                              Paramparika dhaikara adhyana



Interview No.               Date:

        Sakshyat Kramanka           Tarikha.




Facilitator/interviewer Information
Subidhakari/Prashnakarta’s Bibarani




Nam Nama e:



Gender:         F__ M__               Age:

Linga                               Bayasa


Caste/ethnic group:

        Jati/Dharmia dala
Religion:

     Dharma Samandhiya

Town/Village:

         Sahara/Grama

District/Province:

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IN, TBAS, interview No.00

Zilla/Pradesha

Region:                         Country:

       Anchala                             Desha




                                  Time started_________

                                  Time ended__________




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IN, TBAS, interview No.00

                       SECTION ONE (RESPONDENT GENERAL INFORMATION)

                       Bibhaga prathama (UTTARADATAKA SADHARANA KHABARA)



1.1. Gender:       F__ M__                                 1.2. Age:

          Linga                                                Bayasa

1.3. Caste/ethnic group:

          Jati/Dharmia dala
1.4. Religion:

    Dharma Samandhiya

1.5.Town/Village:

Sahara/Grama


1.6. District/Province:

Zilla/Pradesha

1.7. Region:                                         1.8. Country:

       Anchala                                                 Desha

1.9. Marital Status:

       Bibaha Sambandhiya

1= Unmarried, 2= Married, 3= Widow/Widower, 4= Separated, 5= single parent;



1.10. Residence:

Basinda



1= Living in an urban area, 2= Living in a rural area, 3= Living in other places (specify)



1.11. Educational Status:
                                                                                             y
                  Sikshyagata Yogyata

1= illiterate, 2= only literate, 3= Only School admitted, 4= Below V class, 5= Junior High, 6=

Primary completed, 7= High School completed, 8= University degree (specify), 9= Post

graduate degree (specify), 10= attended nursing school, 11=attended midwifery school,

11=Other (specify)

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IN, TBAS, interview No.00




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IN, TBAS, interview No.00

                                        SECTION TWO


2.1. How did you decide to become a Traditional Birth Attendant (TBA)?
       Jane dhai hebaku tume kipari bichara kala ?
1= own decision, 2= advised by a relative, 3= call from God, 4= call from the spirits, 5= had a
dream, 6= had special powers, 7= other (specify)
(Get the story)

2.2. How did you become a Traditional Birth Attendant?
               Tume dhai kipari hela ?
1 = school, 2 = learned from another TBA, 3 = from mother/father TBA, 4 = from a relative
TBA, 5 = from a friend, 6 = from God, 7 = from the spirits, 8 = other (specify)

2.3. Which kind of treatment you mainly use in your practice?
Tumara karyare tume mukhyata ki prakara ra upachara kara ?

2.4. For the treatment of which pregnancy related problems are you well-known? (list
maximum 10 of them) Garbhabasta samparkita jatilata ra keun upachara upre tume adhika
jana ?
1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________
4. __________________________________________________________________________
5. __________________________________________________________________________
6. __________________________________________________________________________
7. __________________________________________________________________________
8. __________________________________________________________________________
9. __________________________________________________________________________
10. __________________________________________________________________________

2.5.Which are the main causes of those problems?
Sehi asubidha guidkara mukhya karana kana ate ?
1. ___________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ___________________________________________________________________
5. ____________________________________________________________________
6. ____________________________________________________________________
7. ____________________________________________________________________
8. ____________________________________________________________________
9. ____________________________________________________________________
10. ___________________________________________________________________

2.6.How do you treat each of them?
Pratyek ti ku tume kipari upachara kara ?
1. _________________________________________________________________________
2. __________________________________________________________

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IN, TBAS, interview No.00

3. __________________________________________________________
4. __________________________________________________________
5. _________________________________________________________
6. _________________________________________________________
7. _________________________________________________________
8. _________________________________________________________
9. _________________________________________________________
10. _________________________________________________________

(Since it is an open interview the format of the answers to the previous questions 4 -6 will be most
probably talkative. For the sake of clarity among all partners, at the end the interviewer should be
able to summarise their content in the following table):

   PROBLEM( Asubidha )                  CAUSE( Karana)               TREATMENT( Upachara )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.




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IN, TBAS, interview No.00

                      SECTION THREE: SPONTANEOUS ABORTION


3.1. What women in this area usually do when they get pregnant?
       Yehi anchalarei stree loke garbhati hele sadharanatta kana karanti ?
1=go to the TBA, 2=go to the western doctor, 3= go to the Community Clinic, 4= get care from
elderly women, 5= prepare self-medication, 6= use alternative medicine (specify)
7= other (specify)

3.2. Where does a woman deliver?
       Jane stree loka keuon therei prasaba karei ?

1=at the hospital, 2= at the Community Clinic, 3= at home, 4= other (specify)

3.3. Who helps her to deliver?
              Prasaba rei kiye sahajya kare ?
1= the doctor, 2= the nurse, 3= a traditional birth attendant, 4= the mother/mother in law, 5=
the husband, 6= an elderly woman, 7= other (specify)

3.4. When does the pregnant woman usually consult you?
       Garbhabati mahila sadharanatta ketebele tumaku samparka kare ?

1= as soon as she suspects she is pregnant, 2= as soon as she has a problem related to the
pregnancy, 3= at a specific time requested by the Gynaecologist, 4= when having pains, 5= is
different for each woman, 6= when bleeding, 7= other (specify)

3.5.Which symptoms are recognised by women as signs of a possible spontaneous
abortion?
Keuon lakshana gudika dekha gale sambhabita garbhapata ra nidarshana mile ?


1= vaginal bleeding, 2= lower abdominal pains, 3= other (specify)

3.6. How do you get to know that the pregnant woman has a problem?
       Garbhabati mahilati ra asubidha achhi boli tume kipari janibaku paw ?
1= by asking questions to the woman; 2= by using shells, bones, stones; 3= by consulting
ancestors; 4= by consulting spirits; 5= other (specify)

3.7. Is there any taboo in your area about spontaneous abortion?
       Tuma anchala rei acchanak garbhapata nei kichi andhabiswas acchi ki ?
     Yes…       No…         Don't know …

3.8. If “Yes” can you tell us about it?

Jadi haan, tume eha bisayarei amaku kahipariba ki ?
3.9. Is there in your area a social stigma on a woman who had a spontaneous abortion?



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IN, TBAS, interview No.00

                Tuma anchala rei jeyon stree loka ra acchanak garbhapata hoi
   thilla setharei ehe bisaya rei kounashi samajika kalanka acchi ki ?

     Yes…       No…         Don't know …

3.10.If “Yes”, what is the reason for the stigma?
Jadi haan, samajika kalankara karana kana ?

3.11. In your area, is there a specific belief on the causes of a spontaneous abortion?
              Tuma anchala rei       acchanak garbhapata karana ra nirdishta biswas
acchi ki ?
       Yes…      No…         Don't know …

3.12.If “Yes”, can you tell us about it?

Jadi haan, tume amaku eh bisayarei kich kahi pariba ki ?
3.13. In your area, is there a specific belief on the consequences of a spontaneous
abortion?
       Tuma anchala rei acchanak garbhapata ra parinama uparei nirdistha
biswasa acchi ki ?
       Yes…       No…        Don't know …

3.14. If “Yes”, can you tell us about it?

Jadi haan, tume eha bisaya rei kahipariba ki ?




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IN, TBAS, interview No.00

Sec. 3. Spontaneous abortion

3.22. How does it work?
(Which is its mechanism
of action?)
Eha kipari kama kare ?


3.23. How often does it
work?
Eha barambara kipari
kama kare ?

3.24. After how long
does it work?
Eha kete samaya pare
kama kare ?

3.25. Can you tell us
something about possible
complications of these
treatments?
Amaku tume upacharara
sambhabita jatila abasta
bisaya rei kichi ta kahi
pariba ki ?
3.26. How much each
treatment does it cost?
Pratyek upachara nimante
kete kharcha huyea ?




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IN, TBAS, interview No.00

3.27. How do you get
paid?
Tume kipari kharcha
paya ?




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IN, TBAS, interview No.00

SECTION THREE: SPONTANEOUS ABORTION


                            3.15. How many types of spontaneous abortion are there? (attach one type to each number)
                            Tume kete prakara achanak garbhapata bisaya rei janichha ?
                            1                                                     2
                            A                B                  C                 A                   B                C
3.16. Which is the
cause for each type of
spontaneous abortion?
Pratyek prakara
payien achanak
garbhapata ra kana
karana hai thai pare
?
     3.17. What does a
   pregnant woman do if
   she experiences signs
        of a possible
        spontaneous
         abortion?
     Pratyek prakara
         achanak
       garbhapata
     samayarei loke
     kana anubhaba
        karanti ?




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IN, TBAS, interview No.00

   3.18. How do you
   treat each type?
   Pratyek prakara ku
   tume kemeti
   upasama kara ?



3.19. Where does the
patient get the
treatment?
 Rogi keothu upachara
paouchi ?
3.20. If some kind of
treatment is used, how
is it prepared?
 jadi kaunashi
upacharara tiyari
darakara pade , eha
kipari kara jaye ?
3.21. How is it
administered?
 Eha kipari bhabe
prayoga kara jai acchi
?




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IN, TBAS, interview No.00

                 SECTION FOUR (COMMENTS ABOUT TRADITIONAL MEDICINE)



4.1 What is your opinion about modern medicine?

Adhunika ousadha bisaya rei tumara matamata kana ?




4.2. In which cases do you send a patient to the western Doctor or clinic?

Keuon abastharei apana rogitiku adhunika daktara kimba daktara khanaku pathanti ?




               SECTION FIVE (COMMENTS ON THE RESEARCH METHOD)



5.1. Would you like to add anything about the topic?

Ye bisaya rei tume kichi adhika kahibaku chhouncha ki ?




5.2. Do you have any question regarding the interview?

Ye sakhyatakara bisaya rei tumaku kichhi prasana pachariba ku acchi ki ?




5.3. Is there anything that needs clarification?

Tumaku ye bisaya rei kichhi adhika bujhibara darkara paduchhi ki ?




5.4. Do you have any suggestions on the conduct of the research?


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IN, TBAS, interview No.00

Ye anusandhana uparei tume kounashi sanketa debaku chahunchha ki ?




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IN, TBAS, interview No.00

Traditional birth attendant study - Table 1 - Section 3: Spontaneous abortion


Q. 3.15. Q. 3.17.   Q. 3.18.  Q. 3.19.           Q. 3.20.   Q. 3.21.    Q.3.23.        Q. 3.24.  Q. 3.25.   Q. 3.26.   Q. 27
 Types     What    Treatment   Where             How is it How is it How often       After how Possible     Cost of   How do
  of …     does a    used     does the          prepared? administer    does it       long does complicati treatment you get
Prakara pregnant               patient          Eha kipari     ed?      work?          it work? -ons of …? Upachara    paid?
         woman do Upachara     get …?             tiyari   Eha kipari     Eha        Eha kete sambhabit        ra    Tume
            if …?  byabahara Rogiti eha          hoichhi ?   bhabe    barambara      samaya       a jatila  kharcha kipari
            Kana             keuonthar                      prayoga      kipari      pare kama    abasta             kharcha
         garbhaba              u pai ?                        kara       kama        karichhi ?   bisaya             paya ?
          ti stree                                          jaichhi ?  karichhi?
          ti kare
         jetebele
              se

          A B     C   A     B   C   A   B   C   A   B   C   A   B   C    A   B   C   A   B   C   A B    C   A   B   C   A   B   C   A   B   C
1
2
3


Q.3.17.: 1= goes to the western doctor, 2= goes to the health centre, 3= goes to hospital, 4= goes to the gynaecologist/trained midwife, 5=
goes to the traditional healer, 6= goes to the traditional birth attendant, 7= uses alternative medicines (specify), 8= gets care from elderly
women, 9= uses self-medication , 10= it depends on the symptoms, 11= other (specify)
Q.3.18.: 1= herbal treatment, 2= aromatherapy, 3= diet, 4= massage, 5= shaman, 6= spiritual healing, 7=powder, 8=tablets, 9= injections,
10= suppositories, 11= syrups, 12= other (specify)
Q.3.19.: 11= at the pharmacy, 2= at the Health centre, 3= at the hospital, 4= at the herbal shop; 5= bought over the counter, 6= home made,
7 = provided by the traditional healer, 8= provided by knowledgeable people, 9=other (specify), 10= not applicable.
Q.3.20.: 1= boiled, 2= it was ready to be used, 3= not applicable, 4= other (specify)
Q.3.21.: 1= by mouth, 2= intravenous infusion, 3= inhaled, 4= external use, 5= injection, 6= other (specify), 7= not applicable
Q.3.23.: 1= always, 2= often, 3= at times, 4=never

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IN, TBAS, interview No.00

Q.3.24.:   1= a few minutes, 2= one or two hours, 3= a day, 4= two or three days, 5= one week, 6= other (specify), 7= not applicable
Q.3.25.:   1= none, 2= skin irritation (rash), 3= nausea, 4= other (specify), 5= not applicable
Q.3.26.:   1= specify in local currency…………………………….., 2= not applicable
Q.3.27.:   1= cash, 2= goods, 3= paid by Government (National Health System), 4= other (specify)




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