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Isabelle wants to deliver her fifth child at a health centre © UNICEF Timor-Leste/2012/Andy Brown |
Suku Hatólia is part of a new initiative that encourages women to give birth at their nearest health centre. After a meeting with her local community, Isabelle signed up. “I don’t want to suffer or die giving birth,” she says. “Now, when I go into labour we can call the health centre and they will send the ambulance to collect me. I’m very happy to know they will come.”
The programme is run by local NGO Alola Foundation with support from UNICEF. There have already been some early successes. In the previous quarter, only nine women gave birth in the local health centre. This is now up to 20 and rising.
Early start
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Part of the view from the mountainside above Suku Hatólia © UNICEF Timor-Leste/2012/Andy Brown |
Above Suku Hatólia, the view suddenly opened up and we stopped for a minute. Standing on the shoulder of the mountain, we could see a wide, deep valley ending in interlocking fingers of land with the expanse of sea beyond. The sky was clear and blue, except for a few clouds piling up behind the peak of the tallest mountain opposite. Along the valley floor, dried-out river beds like dusty scars on the landscape traced the route that the waters would later take to spill into the sea during the rainy season.
I was driving with UNICEF health specialist Aderito Docarmo, so I asked him about the programme. “The percentage of assisted births in this area is just 22 per cent,” he said. “We wanted to find a way to increase this.”
UNICEF started with advocacy, from the Ministry of Health down to village chief level. Once everyone was on board, Aderito and colleagues started meeting with local communities including pregnant women. “We asked them to list the reasons that they don’t go to the health centre to deliver,” he said. “Their reasons included lack of money, difficulties in transportation and lack of family support. Then we helped them to develop solutions to those problems. For example, if all the mothers in the village save $1 a month, they can use that money to help pregnant women when they need to go to the clinic.”
The team also helped the villagers determine which women needed extra help. “We get three coloured baskets and write all the pregnant women’s names on pieces of paper,” Aderito continued. “If the community agrees that ‘Maria’ can get to the clinic by herself, her name goes in the green basket. If they think ‘Johanna’ will need help, she goes in the red basket. Anyone that they’re not sure of goes in the yellow basket, and we follow up with them later.”
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Midwife Ofelia (left) and head of the health centre and with their ambulance © UNICEF Timor-Leste/2012/Andy Brown |
At the maternity ward, we met senior midwife Ofelia Isabella Suarez, who had worked there since 2006. “Sometimes the women come and immediately deliver, other times they stay here for a few days,” she said. “We had two women with us last week. We cooked rice for them and their families brought them vegetables.”
Ofelia showed us round the health centre, which was spacious but fairly basic. “We can do normal deliveries here but we don’t have the equipment to deal with complications,” she continued. “Last month we had to send a woman to the hospital in Dili. We couldn’t get the baby out and she was suffering from hypertension. She delivered successfully in Dili and both mother and child survived.”
Village meeting
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Pregnant women and new mothers at the community meeting © UNICEF Timor-Leste/2012/Andy Brown |
The community meeting began with one of the volunteers, 26-year-old Paul Soares, reading the outcome of the previous meeting, where they talked about problems and solutions related to women giving birth. Paul and the other volunteers were chosen by the community. They are responsible for monitoring pregnant women, taking them to the clinic when they’re ready to deliver, and helping care for children left at home. At the end of the meeting, Paul and another volunteer were each given a mobile with $15 credit so that they could call the clinic when mothers had to be brought to the health centre.
“Isabelle is my mother’s goddaughter,” Paul told us afterwards. “I want to help her and other pregnant women in the village. When Isabelle is ready to deliver, I will take her to the health centre. If there’s an emergency, I can call the health worker on this mobile.”
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Paul (left) and another volunteer examine the mobile phones © UNICEF Timor-Leste/2012/Andy Brown |
The maternal health programme is still in the pilot phase and covers just a few villages and UNICEF is looking for additional funding to scale it up. “This is a good example of our equity approach,” Aderito said as we left. “Before, only the women who lived close to the clinic could go. Now all the women can, including those in remote areas.”
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A boy plays on a swing at Suku Hatólia. © UNICEF Timor-Leste/2012/Andy Brown |
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ReplyDeleteheritage of Nepal. Nepal treks offers snow capped views of Nepal Himalaya, stunning landscape, totally different ethnic teams & their traditions, welcome, lush valleys through forests of bush, bamboo, oak, and hemlock, visiting one or 2 villages to next trekking destination. Nepal isn't merely walking hiking sooner or later when another, it's rather a gradual means of experiencing of Nepal's diversity in terms of earth science, people, faith and a large vary of culture. Shiva Excursion is Local Trekking Agency in Nepal may be each day hike to nduce to the highest on a mountain or a ridge for the spectacular views of mountain chain peaks or it may be a hiking for a month passing through villages within the shadow of lofty snow peaks, valleys, notch experiencing wealthy culture, custom and also the impressive views of the Himalaya in Asian nation. the target of Trekking in Nepal isn't simply the actual destination, however the journey itself. You travel at a modest pace, observant nature, rural communities, and spectacular mountain panoramas whereas you're trekking in Himalaya . Shiva Excursion old trekking guide can lead for path finding an introduction to the native individuals, culture, faith and mode. Under Nepal Government License holder Trekking Company in Nepal which is lead by Over 20 Years Trekking and Tour Operation Highly Recommend Everest Base Camp Trek and Annapurna Base Camp Trek. Because these Trip are most Popular and Challenging and top Destination in Nepal. Most of the Adventure, Moderate, and Easy hiking and Hard Passes Organized in Nepal. not that much enough some of Top Peak Climbing as Island Peak Climbing, Mera Peak Climbing, Lobuche Peak and Many others real adventure path of Nepal. In Nepal More then 3000 threkking Agencies and all are competion for the business sector. Some one selling cheapest and some one selling top and quality service. those Agencies as over 30% are fake travel dealing.