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Traditional birth attendants could have a key role in preventing
perinatal transmission of HIV. Bulterys and colleagues (p 222) say
that it may be possible to train traditional birth attendants to
perform confidential HIV counselling and testing. With appropriate training, supervision, and support they could offer HIV prevention services and help with antiretroviral prophylaxis at delivery. Most
traditional birth attendants are illiterate, argues Walraven (p 224),
and this will have major constraints in training them to provide high
quality care.