The dai { 46 images } Created 25 Apr 2011

A Dai is an unskilled midwife or traditional birth attendant (TBA).
Their skills are passed on from generation to generation, rather learning her skill from her elders and usually the profession runs in families.

Every 30 minutes a women dies during or shortly after childbirth in Pakistan.
Estimates (WHO & UNICEF) place the figures around 270 deaths per 100,000 live births, but in reality it may be higher because of under registration of deaths and an absence of cause of death information.

Birth at home in Pakistan, no matter what social class or caste, involves calling the Dai.
The women giving birth know their Dai personally from their neighborhoods and consider her the expert in childbirth. She is respected within her community and thus an important figure.
The Dai are valued somewhat differently by hospital staff though.
The terms 'Dai handled' is synonyms for dangerous practices.
Paradoxically, many women say they are afraid of being 'hospital handled'.
Most think the doctors deliberately complicate cases or perform c-sections to get more money.

Increasing costs of medicines and diagnostic tests have made treatment unaffordable for most people in Pakistan with low-incomes.
More and more people simply cannot afford the care they need and medicines are beyond their budget, leaving them with no choice but to call in the help of the Dai to assist their delivery.
Slowly the Dai are educating themselves, many working part-time in government hospitals alongside skilled doctors.
The new generation of midwifes go to schools instead of learning the trade from their elders and work in more professional and hygienic environment.
At present it seems very unlikely Pakistan will achieve the Millennium Development Goals by 2015.
Affordable medical care and the availability to skilled female health workers during childbirth is crucial for reducing maternal deaths and birth complications like obstetric fistula and
the Dai can help play a very important role.
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