Monthly Archives: October 2011

Sierra Leone: Seeing the difference health workers make

Our first health centre was at Baiima, it is one of 35 where we have trained staff and community volunteers and completely refurbished and re-equipped the health centre.

The chief proudly told me that ‘our future leaders are being born here’.

Despite reports of drugs getting stuck at ports and there were many of the drugs you would expect to be available from asthma treatment to antibiotics – as a mother of a 5 year-old, I reflected that I had used them all at some point.

The health worker effect

We moved on to Levuma and encountered two beautiful and healthy newborns with their mums – safely delivered just hours ago.

This is a real turnaround from 18 months ago as previously these women had no-where to go and no skilled help on hand.

But whilst Levuma gave me a real sense that women and children have much better life chances it also reminded me there is still so much to be done.

A mother who was chatting with us at a community meeting proudly handed me her 5 month old sleeping son, her delightful baby Abou.

Saving a child

But within a few minutes I realised this child was really sick – his breathing was too rapid and he was in a stupor.

I asked the Save the Children midwife who was travelling with us to examine him, she instantly diagnosed him with pneumonia.

His mother was oblivious which is shocking and sad but with the low levels of educated women we probably shouldn’t be surprised.

Thanks to the Save the Children midwife, little baby Abou escaped one of the biggest child killers,  right there and then in this remote outpost she had almost certainly saved his life.

 

Content by Tanya Steele – Save the Children UK

Friday 21st October

 

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This is why we need more health workers!

In Nepal, Banas Ram and his wife Khetrani were blessed with a baby boy after 20 years of marriage but their happiness had a complicated twist. Khetrani was brought to the hospital in a bullock cart from her village almost an hour away from the health post in Dhodari in Bardiya district. Her baby had suffocated and the placenta had already detached.

Auxiliary Nurse Midwife Pushpa and Jhamkali, Maternal and Child Health Worker helped her give birth but the baby was not breathing. While Pushpa worked on saving the mother, Jhamkali started cleaning the baby’s wind pipe. After being assured that the mother would live, Pushpa and Jhamkali started resuscitating the baby with ‘bag and mask’ but could not revive the baby after 20 minutes. They didn’t give up. With permission from the father who was waiting outside the labour room, Pushpa decided to try for another 15 minutes.

The baby started breathing and crying after 35 minutes of resuscitating. The two health workers immediately called an ambulance to avert any danger to the baby. Pushpa went along with the mother and father to the Bheri Zonal Hospital, the biggest hospital in the region at 1 in the morning, admitted the baby at the Neonatal Intensive Care Unit to make sure that the baby got the best possible chance at living.

This is why we need more health workers, better trained in every village so that ever baby born has an equal chance of surviving.

 

 

 

Photos and text by Sanjana Shrestha.

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Sierra Leone: Seeing the difference health workers make

Our first health centre was at Baiima, it is one of 35 where we have trained staff and community volunteers and completely refurbished and re-equipped the health centre.

The chief proudly told me that ‘our future leaders are being born here’.

Despite reports of drugs getting stuck at ports and there were many of the drugs you would expect to be available from asthma treatment to antibiotics – as a mother of a 5 year-old, I reflected that I had used them all at some point.

The health worker effect

We moved on to Levuma and encountered two beautiful and healthy newborns with their mums – safely delivered just hours ago.

This is a real turnaround from 18 months ago as previously these women had no-where to go and no skilled help on hand.

But whilst Levuma gave me a real sense that women and children have much better life chances it also reminded me there is still so much to be done.

A mother who was chatting with us at a community meeting proudly handed me her 5 month old sleeping son, her delightful baby Abou.

Saving a child

But within a few minutes I realised this child was really sick – his breathing was too rapid and he was in a stupor.

I asked the Save the Children midwife who was travelling with us to examine him, she instantly diagnosed him with pneumonia.

His mother was oblivious which is shocking and sad but with the low levels of educated women we probably shouldn’t be surprised.

Thanks to the Save the Children midwife, little baby Abou escaped one of the biggest child killers,  right there and then in this remote outpost she had almost certainly saved his life.

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Pneumonia, The Global Killer

Pneumonia is the world’s leading killer of children under the age of five. Each year, pneumonia takes the life of two million children before they reach their fifth birthday. One child dies from pneumonia every 15 seconds. The tragedy is that pneumonia can be easily prevented and we can stop children under 5 from developing pneumonia by giving vaccines, better nutrition and reducing risk factors.

World Pneumonia Day on 12th November continues to highlight the importance of more health workers, better supported. Without our Superhero health workers, this global killer will never be brought to justice.

ABC report: Pneumonia, The Global Killer
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Uganda Safe Motherhood Week Kicks Off

By Nsinda Elman and Senfuka Samuel
WRA Uganda

The Ministry of Health has declared the commencement of the safe motherhood week which has kicked off today 11 October 2011 in Kasana Luwero District. In the press briefing held at the ministry headquarters in Kampala, the Permanent Secretary Dr. Lukwago Asuman informed the press that a series of activities will run throughout the week which will be crowned with Safe Motherhood Day on 17th October.

The Safe Motherhood Day themed ‘Invest in Safe Motherhood for better livelihood,’ underpins the importance of ensuring survival of a pregnant mother throughout pregnancy and childbirth.

A number of activities which will be offered to the people include: Cervical and breast cancer screening, Family Planning services, Malaria screening and onsite treatment; Antenatal care services, Blood screening and donation, HIV counseling and testing, Information sharing on matters related to safe motherhood through Community dialogue meetings and radio programs and Public rally, a health fair, among others.

At the briefing, the Permanent Secretary acknowledged the loss of a mother as a great loss to the nation, “A death of a mother is a loss to her family, community and nation at large both in terms of her physical and economic contribution. A healthy mother ensures a healthy family, and a healthy nation.” Asuman noted. He also revealed that in the near future the Ministry will provide mama kits to all health facilities countrywide at no cost to ease access of supplies during delivery. Read more

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White Ribbon Alliance’s note of thanks

White Ribbon Alliance’s note of thanks to every one in the Health Workers Count coalition

The White Ribbon Alliance for Safe Motherhood has been proud to be part of the Health Workers Count coalition leading the call for quick and decisive action from leaders at the global, regional and national levels for health workers better supported. The health worker gap of 3.5 million must be filled and measures must to be put in place for health workers to be adequately trained, supported and equipped in order to carry out their jobs effectively, it is also critically important to fill the gap of 350,000 midwives to ensure that every woman has the best possible care during pregnancy and childbirth. We appreciate the broad range of organisations that have signed up to the campaign who helped to raise the voices of health workers again and again around the UN General Assembly in New York. Moving forward we must continue to promote the voices of health workers working on the frontlines, promoting realities they face every day and hold governments to account to promises made.

 

Maeve Shearlaw

The White Ribbon Alliance for Safe Motherhood

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Our movement for health workers

 

In May 50 organisations came together to issue a simple but urgent call, for more health workers, better supported. Over the past months 50 organisations have grown to over 300 and millions of individuals have joined the movement –taking part in public hearings, rallies, online petitions, Facebook and twitter, pop concerts and seminars, stunts and parliamentary discussions. The Health Workers Count coalition has caused the health worker issue to rise up the agenda and rallied support for the importance of investing in health workers to save lives.


The commitments made

‘The unsung heroes, health workers, are in desperately short supply’ Ban Ki-moon, UN Secretary General, opening the Every Woman, Every Child event on September 20

At the UN Every Woman Every Child events held on September 20 the role of health workers was referenced as central in the achievement of MDGs 4, 5 and 6 and governments joined the private sector and civil society to make new commitments to EWEC. Among those speaking specifically on health workers the new Nepal Prime Minister, Baburam Bhattarai,spoke about Nepal’s commitment to train and deploy 10,000 additional skilled birth attendants and Peter Baxter, Director General of AusAID, stressed the health workers that the Australian Government are supporting in Afghanistan.

This is just a glimpse of over 100 commitments made to EWEC:

  • Ethiopia pledges to increase the proportion of births attended by a skilled professional from 18% to 60%;
  • Bangladesh commits to double the percentage of births attended by a skilled health worker by 2015 and train 3,000 midwives;
  • Uzbekistan committed to improve the quality of care provided to mothers and children by training    25,000 health workers;
  • Congo commits to reducing maternal mortality and morbidity by 20% by 2015 and will provide free obstetric care and free access to caesarian sections;
  • Indonesia will pay for at least 1.5 million deliveries by poor women in 2011;
  • Burundi, Lao, and Papua New Guinea plan to increase skilled birth attendance.

More specific details can be found via the PMNCH and the EWEC.


Being the voice

Over the past months campaigners have been taking the message to the airwaves, the newspapers and online to engage people all over the world with our calls. Health worker messages have been hitting the headlines around the world including in Ethiopia, Nigeria, South Africa, Nepal, Pakistan. News from the General Assembly appeared on BBC World, Reuters, the Guardian, and Financial Times and more. A potential readership of hundreds of millions have seen our messages.

Online, the campaign has seen huge momentum – we reached over 5 million people with our messages on facebook and twitter. Thousands of people signed up to online petitions and transformed into health worker superheroes health workers on www.healthworkerscount.org. In New York, online bloggers, and social media enthusiasts attending the Social Good Summit also became health worker superheores for the day to lend their support – including USAID administrator, Raj Shah.

We saw the power of high profile bloggers such as Melinda Gates and Sarah Brown in spreading the word. As well as top national bloggers such as UK mommy blogger @christinemosler covering the UNGA and Spanish blogger @cosechadel66 visiting health workers in Cambodia.


Taking over New York

As the General Assembly began, hundreds of mums and supporters came together in New York’s iconic Times Square to create a giant human mosaic with one simple message: Health Workers Save Lives. Celebrity model and actress Alexis Bledel came along to support. The story was covered in nearly 50 different outlets totalling over 85 million impressions and the striking image of the human mosaic from the sky created a real buzz in New York and proved to be a  social media hit, being picked up by blogs, and shared extensively on twitter.


Building the movement

The sticking plaster became the global symbol for the growing health worker campaign movement and soon the world’s biggest plasters began appearing  in rallies and events across the world, from Germany to China Thousands of people have taken to the streets. Midwives from nearly 80 countries signed up to a series of national petitions, from Tanzania to Australia. In Bangladesh 25,000 pressed for change in support of national commitments to train more midwives and in Nigeria, Sierra Leone and Norway health workers have joined ordinary people to campaign.

At the Every Woman, Every Child evening reception, Midwife Joan Shepherd from Sierra Leone encouraged nearly 30 high profile attendees to sign the giant health worker pledge and join the movement including Desmond Tutu, Beverley J. Oda the Canadian Minister of International Development, Dr. Tedros Adhanom Ghebreyesus the Ethiopian Minister of Health, and celebrities including 50 cent, Yvonne Chaka Chaka, Christy Turlington and Jennifer Connelly.


Running to save lives

On Wednesday, just two weeks on from the UNGA meetings, thousands of children in more than a dozen other countries across the globe, from Canada to China, competed in the EVERY ONE World Marathon Challenge demanding more health workers for the world’s poorest communities. World marathon record holders Patrick Makau, Paula Radcliffe and previous record holder Haile Gebrselassie supported the calls.


What’s next?

We have built great momentum and encouraged some champion governments to step up, but now we need to keep the momentum going, so that we further strengthen political commitment and concrete action for more health workers, and better support for those in place. That means campaigning and advocating about government planning processes, legislation and – crucially – budgets. It means continuing to work with our partners to keep this issue on the agenda.

Watch out for us campaigning at the Commonwealth Heads of Government Meeting in Australia between the 28 – 30 October; our next major global push to close the 3.5 million health worker gap.


Best wishes,

Ben Phillips

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Campaigning for Health Workers in New York and Sierra Leone

 

Campaigning for Health Workers in New York and Sierra Leone, by Dr Joan Shepherd, President of the Sierra Leonean Midwives Association

Warmest greetings from me here in Sierra Leone.

I was really pleased to represent the Health Workers Count coalition at the UN meetings in New York. It is so important. 41 African countries have a critical shortage of health workers. Ghana has only half of the health workers it needs, and Sierra Leone has just one tenth. This is a crisis. African governments, supported by donor funding, need to invest in health care and put in place retention strategies for medical practitioners in remote areas like housing, water supply and other allowances. It simply is not acceptable that mothers and babies are dying for no reason. With the support of the international midwifery community and renewed commitment from world leaders, we can save more mothers and babies and stop this desperate waste of life.
It has always been my pleasure to promote critical issues that will further enhance the work of our noble profession and that of children and mothers. The forum, I believe, created a fertile ground for the world to see and appreciate the contributions of health workers which was a timely response to an important and relevant need. We are elated here at the very prospect of health workers being at the center of discussions for recognition among others in closing the gap. It is my fervent hope and prayer that you will get all the necessary support from key stakeholders to actualize your vision and future plans for health workers which in turn will contribute to saving valuable lives of children and mother.

I feel privileged and highly honoured to be chosen as an ambassador. I wish I could have done more. I am more than willing to contribute towards the attainment of this goal. My Pleasure, my duty! I arrived home safely to meet my family in good health. I was interviewed yesterday for the News Papers as the lobbying and campaigning continues from this end. I very much enjoy participating in any activity that will lead to better outcomes for children and women.

Missing you all.

Best regards,
Joan.

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Children make global, marathon record breaking performance to save children’s lives

Photos                        Results                        World Map

School students in 13 countries race to break Patrick Makau’s world record marathon time and call for more live-saving health workers

On Wednesday 5 October thousands of children from more than a dozen countries across the globe, from Canada to China, took part in Save the Children‘s EVERY ONE World Marathon Challenge, to raise awareness for the demand of more health workers for the world’s poorest communities. Read more

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Day 2: Healthcare in action in Colombia

In the morning, about ten of us bundled into a Save the Children minibus and headed off towards the neighbourhood of Comuna 18 on the outskirts of Cali — a city in western Colombia.

The houses at the bottom of the hill are made of brick and fairly sturdy. As we drove up the steep hill the houses got more and more basic.

Apparently it wasn’t safe to go to the top of the hill and we had to leave by 3pm in the afternoon.

Reckitt Benckiser and Save the Children Colombia Teams (and a finger on the camera lens!)

A dangerous place to be a child

I later found out that Comuna 18 had lost 12 children last year.

A two-year-old and a four-year-old were shot in gang warfare.

Ten children died from preventable diseases.

The reality of the situation that children and families face every day was becoming apparent.

Forgotten children

I could see the Save the Children banners as we arrived. Children and families were registering to see the Save the Children doctor for health check-ups.

These families have been displaced from farms and rural areas due to the conflict and threat of violence and now live in temporary shelter such as Comuna 18.

The government don’t have to provide healthcare to displaced families so these children are just forgotten.

Children registering to see the Save the Children doctor.

Healthcare in action

Space is at a premium in this community. The doctor is treating children in someone’s home.

Voluntary nurses are measuring the height and weight of the children as they get treated.

Most commonly the doctor provides anti-parasitic medicines, vitamins, vaccinations, and treats respiratory illnesses.

A girl from Comuna 18 receiving a health check from the Save the Children doctor.

Workshops for mums and babies

Early stimualation workshops for mothers and babies were taking place in another home.

These workshops teach mothers how they can stimulate their babies to ensure their motor neurones develop.

Older children were colouring in the corner of the room and clearly having lots of fun!

An early stimulation workshop with mothers and babies.

Clean hands

Next we visited a handwashing workshop. Posters were used to teach mothers and children proper handwashing techniques and of course, lots of soap!

A handwashing workshop.

The feeding centre

Next stop, the feeding centre run by a local foundation. 330 children are enrolled and receive lunch on a daily basis.

For many this is their only meal of the day.

Reckitt Benckiser Colombia employees support the centre through salary donations. This was incredible to see.

Children coming to the centre are no longer malnourished.

We sampled the potato soap, mixed rice with chopped up frankfurters, and guava juice. It was delicious and certainly filling!

The feeding centre where 330 children are provided with lunch every day.

A positive impact

In the afternoon we spoke to local community members and learnt about what a positive impact the project has had on their lives.

A visit to a child-friendly space was our last stop. These are set up by Save the Children all over the world to ensure that children have a place to play and feel protected from whatever else may have been happening, such as conflict, war, or natural disaster.

It was fantastic to see that these children had somewhere to go after school where they could feel safe.

A girl taking part in activities in Save the Children's child-friendly space.

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