Abstract

Despite local populations' sensitization and level of knowledge, traditional birth attendants (TBAs) are increasingly
being used in developing countries. In most societies, TBA use has been linked to higher maternal death rates. A
cross-sectional descriptive and analytical investigation was conducted. After obtaining informed consent from study
participants, a standardized questionnaire was used to collect data. 372 participants were chosen on purpose, and
data was collected by all group members. STATA 14.1 was used for statistical analysis, which included univariate
and multivariate Robust Poisson regression analysis. The average age of research participants was 32. The majority
of the participants were business professionals, and 13% had to go more than 5 kilometers to get to a health
institution. TBA consumption reached 58% in some cases. Participants who had to walk more than 5 kilometers to
the health facility were 2.3 times more likely to use TBA than those who had a health facility within a 1km radius,
PR=2.3, 95%CI 1.5-3.5. Participants who were influenced by family were more likely to use TBA in this community
than their counterparts who made prenatal decisions on their own. TBA use is quite high in rural Northern Uganda,
particularly in Vurra Sub County, where lengthy distances to health facilities induce rural residents to use TBA.
More health facilities, as well as more trained workers, are still required in isolated areas of Northern Uganda.
Sensitization and education of the community are required to have concrete self-decision-making