The TBA role in the community should not be overlooked; they are highly respected members and proven assets in addressing poor maternal outcomes. TBAs have been unsuccessful in handling obstetric complications, but have contributed to successful maternal, neonatal, and child health interventions, although there is insufficient evidence that TBA training improves peri-neonatal mortality. The key piece missing in TBA training is an adequate referral system, which allows TBAs to use their close ties with the community to link pregnant women to skilled birth attendants (SBA).