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Table 2 Description of health providers, by type of provider, training and type of care provided, and location of care; Sarlahi District, Nepal

From: Illness recognition, decision-making, and care-seeking for maternal and newborn complications: a qualitative study in Sarlahi District, Nepal

Provider

Training and type of care provided

Location

Traditional/informal provider

 Traditional birth attendant

May have some training in clean delivery and newborn health

Attends home-based births

Patient’s home

 Traditional healer

Shamans referred to as “dhami/jhakri”

Provides healing through spiritual cleansing for illnesses believed to be caused by spirit possession

Patient’s home

Healer’s home

 Village doctors

Village doctors or pharmacy doctors who reside nearby

May have some training (e.g., health assistant—3 academic years or community medical auxiliary—2 academic years) but often informal and based on experience

Some have their own pharmacy shop

Provides allopathic medicines, injections (including uterotonics), and IV solutions

Patient’s home

Doctor’s home/pharmacy shop

Skilled/formal provider

 Doctor

Certified as Bachelor of Medicine and Bachelor of Surgery (MBBS) doctor1

Clinic/hospital

 Nurse

Certified as nurse

Clinic/hospital/birthing centers

 Auxiliary nurse midwife

Certified as auxiliary nurse/midwife2

Clinic/hospital/birthing centers

  1. 1Six years of Bachelor’s degree level training
  2. 2Eighteen months training after high school