Outcomes of Training Traditional Birth Attendants in Rural Honduras: Comparison with a Control Group
Bibliographic record
Abstract
To compare obstetrical knowledge referral practice and integration into the public health system among trained and untrained traditional birth attendants (TBAs) in rural Honduras an area of high maternal mortality. Eighteen practicing TBAs in rural Honduras completed traditional lay midwife training in 2000 and 26 months later a randomly selected six of these and six untrained “control” TBAs from a nearby village were interviewed to assess maternal mortality process indicators including obstetrical knowledge referral practices and monthly training meeting attendance. At 26 months post- training the trained TBAs demonstrated uneven but persisting achievement of curricular learning goals relating to identification of high-risk pregnancies and management of obstetrical emergencies increased and appropriate referrals to the government health system and increased meeting attendance compared with the control group of TBAs. These outcomes support this model of training TBAs as a component of programs to decrease maternal mortality in geographically isolated and impoverished regions. (authors)
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".