TBAs may not have any formal training on how to attend pregnant women. Many are highly experienced in well woman care including how to recognize and respond appropriately to complications of pregnancy. It is a matter of discussion whether the lack of education in some TBAs and the way many attend deliveries are risky for the mothers and their babies. Evaluating the impact of these traditional practitioners on health outcomes requires taking into consideration additional factors such as poverty, availability of health services, or institutional support.