Most government training programmes have attempted to improve the level of knowledge and skills of the TBA but have done little to bridge the wide socio-cultural gap between the traditional and the modern practitioners. On the other hand, several micro-level projects especially in the NGO sector have shown that when this gulf between the TBA and the formal health system is bridged, TBA training programmes can be much more effective. In the foreseeable future, they will continue to play a significant role until there is sufficient infrastructure to make high quality institutional delivery affordable and accessible to all women
