This is a really interesting discussion. The recent WHO recommendations on optimizing health worker roles for maternal and newborn health (OptimizeMNH: http://www.optimizemnh.org/) include a number of recommendations for lay or community health workers (which was defined to encompass trained TBAs), including misoprostol administration to prevent PPH, continuous support for women during labour and a range of health promotion activities (see http://www.optimizemnh.org/intervention.php ). The administration of oxytocin to prevent and treat post-partum haemorrhage was recommended in the context of rigorous research in this guidance.

Best wishes

Simon