{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T20:46:48Z","timestamp":1757623608386,"version":"3.44.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,16]],"date-time":"2025-02-16T00:00:00Z","timestamp":1739664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["anthrosource.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Med Anthropol Q"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Global health regimes have reversed the role of traditional birth attendants (TBAs) from partners in the fight against maternal and child mortality to barriers to indicator\u2010driven care. In rural Tanzania, widespread fear of government surveillance and punishment for non\u2010compliant individuals and organizations that climaxed during the presidency of the late John Magufuli (2015\u20132021) put increased pressure on TBAs. To negotiate tensions, TBAs adopted the position that they <jats:italic>only<\/jats:italic> escort women to health facilities for birth. We argue that TBAs\u2019 insistence on this <jats:italic>only<\/jats:italic> both occludes and protects their multiple caring roles and responsibilities in a context of harsher home birth penalties, yet limited efforts to improve systemic shortages in the rural health system. TBAs\u2019 performance of \u201cwe only escort women\u201d operates both as the sedimentation of policies, a way to resist them, and means to hold space for TBAs in the wake of ambiguous global and national health policies.<\/jats:p>","DOI":"10.1111\/maq.12917","type":"journal-article","created":{"date-parts":[[2025,2,16]],"date-time":"2025-02-16T14:33:16Z","timestamp":1739716396000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cWe Only Escort Women to the Health Facility\u201d: Traditional birth attendants and the performance of indicator\u2010driven care in rural Tanzania"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7022-303X","authenticated-orcid":false,"given":"Megan D.","family":"Cogburn","sequence":"first","affiliation":[{"name":"Department of Sociology and Criminology &amp; Law University of Florida  Gainesville USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6652-6660","authenticated-orcid":false,"given":"Mohamed","family":"Yunus Rafiq","sequence":"additional","affiliation":[{"name":"New York University  Shanghai People's Republic of China"},{"name":"Center for Global Health Equity  Shanghai People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldg014"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822374480-002"},{"key":"e_1_2_10_4_1","unstructured":"Al Jazeera.2018. \u201cTanzanian President Advises against Contraception.\u201dAl Jazeera. September 10 2018."},{"volume-title":"Managing Motherhood, Managing Risk: Fertility and Danger in West Central Tanzania","year":"2004","author":"Allen D.","key":"e_1_2_10_5_1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3167\/9781845457525"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112730"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(16)31528\u20108"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112508"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dech.12307"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jlca.12384"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/01459740.2018.1539974"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4314\/ajtcam.v13i3"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822374480-007"},{"key":"e_1_2_10_15_1","unstructured":"Kabwe Z.2016. \u201cKutumbua majipu.\u201dZitto na Demokrasia(blog). February 12 2016.https:\/\/zittokabwe.wordpress.com\/tag\/kutumbua\u2010majipu\/."},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2979\/5787.0"},{"key":"e_1_2_10_17_1","first-page":"31","volume-title":"Medicine, Mobility, and Power in Global Africa: Transnational Health and Healing","author":"Langwick S. A.","year":"2012"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/03056249508704099"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(89)90322-5"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-84514-8_6"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/01459740.2018.1476974"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102393\u201013\u201055"},{"key":"e_1_2_10_23_1","first-page":"232","volume-title":"Childbirth and Authoritative Knowledge","author":"Pigg S. 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Ministry of Health (MOH) [Tanzanian Mainland] Ministry of Health (MOH) [Zanzibar] National Bureau of Statistics (NBS) Office of the Chief Government Statistician (OCGS) and ICF.Dar es Salaam Tanzania and Rockville Maryland USA: MoHCDGEC MoH NBS OCGS and ICF."},{"key":"e_1_2_10_31_1","unstructured":"Tanzania Demographic and Health Survey and Malaria Indicator Survey(TDHS\u2010MIS)2022. Ministry of Health (MOH) [Tanzania Mainland] Ministry of Health (MOH) [Zanzibar] National Bureau of Statistics (NBS) Office of the Chief Government Statistician (OCGS) and ICF.Final Report. Dodoma Tanzania and Rockville Maryland USA: MoH NBS OCGS and ICF."},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822374480-003"},{"volume-title":"Making Pregnancy Safer: The Critical Role of the Skilled Attendant: A Joint Statement by WHO, ICM and FIGO","year":"2004","author":"WHO","key":"e_1_2_10_33_1"}],"container-title":["Medical Anthropology Quarterly"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/anthrosource.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/maq.12917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T08:24:16Z","timestamp":1757406256000},"score":1,"resource":{"primary":{"URL":"https:\/\/anthrosource.onlinelibrary.wiley.com\/doi\/10.1111\/maq.12917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,16]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/maq.12917"],"URL":"https:\/\/doi.org\/10.1111\/maq.12917","archive":["Portico"],"relation":{},"ISSN":["0745-5194","1548-1387"],"issn-type":[{"type":"print","value":"0745-5194"},{"type":"electronic","value":"1548-1387"}],"subject":[],"published":{"date-parts":[[2025,2,16]]},"assertion":[{"value":"2024-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12917"}}