Field Report #EthiopiaNewborns: Mosebo Village Health Post

Field Report #EthiopiaNewborns: Mosebo Village Health Post

Elizabeth Atalay

We had just spent the night at the source of the Blue Nile River. Lake Tana sits in Bahir Dar, Ethiopia, and as our caravan of Land Cruisers wove through the countryside from Bahir Dar to Mosebo I took in deep gulping breaths of sweet fresh Ethiopian air. The lush colors of our surroundings looked to me like they had been enhanced in Photoshop in the way that everything seemed to pop.  How could I feel this emotional connection to place that was never mine? A place I had never been?

Though this is my first time in Ethiopia, the verdant landscape brought me back to other rural parts of Africa I’d traveled through in my youth, similar topographies that had stayed with me ever since.  This time I’d returned to the continent as a new media fellow with the International Reporting Project to report on newborn health. World Moms Blog Editor Nicole Melancon of ThirdEyeMom is a fellow on the trip as well, and last week wrote about our initial overview of maternal and newborn health in Ethiopia. Now we were heading to one of the villages housing a Health Post, which serves the local and surrounding population of approximately 3,500 people.

Photo by Elizabeth Atalay

Mosebo Village is part of Save The Children’s Saving Newborn Lives program, and as such is looked to as a model village in the Ethiopian Government’s plan to reduce maternal and newborn mortality.  Mosebo is a rural agrarian community that produces wheat, teff and corn.  There I met seven-year-old Zina whose mother, Mebrate was about to give birth.  Through our translator Mebrate estimated her age to be around 26, and told us that Zina was her first child. For economic reasons she and her husband had waited to have a second.  When she had Zina, Mebrate had gone to her parent’s home to give birth, as women in Ethiopia often do. It is estimated that 80% of Ethiopian mothers will give birth in their home, often without a trained health care attendant. Towards the end of Mebrate’s first pregnancy she went to live with her parents as her family instructed, until after the baby was born.  In that way her mother could help her deliver, could care for her and the baby, and feed her the traditional porridge after birth. Although there were no complications during her delivery, sadly, many young mothers giving birth at home are not as fortunate. The time period during and around birth are the most vulnerable for the lives of both the mothers and babies. The Saving Newborn Lives Program aims to reduce maternal and newborn mortality beginning with awareness programs and antenatal care on the local level at Health Posts like the one we visited in Mosebo.

Mosebo Health Post

The Mosebo Health Post and Health Extension Workers

We had met Tirgno and Fasika, the two Health Extension Workers at the Mosebo Health Post earlier that day as they showed us the two room interior, and explained their role in improving maternal and newborn health.  They work to raise awareness in the community about the importance of antenatal care, and the potential dangers of giving birth at home for both mother and child. Newborn health is interdependent with maternal health, and the most prevalent causes of newborn mortality, infection, Asphyxiation, pre-maturity or low birth weight, and diarrhea can often be avoided with proper care.   These days in Mosebo after receiving antenatal care at the Health Post women are then referred to the regional Health Center for deliveries.

Zina shyly smiled when we ask her how she felt about having a new sibling, she stood straight and tall listening intently as we asked her mother about the babies’ arrival.  When Mebrate goes into labor this time, with her second child, she will embark on the walk along rural dirt roads for around an hour to the nearest Health Center to give birth.

Elizabeth Atalay is reporting from Ethiopia as a fellow with the International Reporting Project (IRP). This is an original post written for World Moms Blog.

You can follow all IRP reports by World Moms Elizabeth Atalay & Nicole Melancon at #EthiopiaNewborns

Elizabeth Atalay

Elizabeth Atalay is a Digital Media Producer, Managing Editor at World Moms Network, and a Social Media Manager. She was a 2015 United Nations Foundation Social Good Fellow, and traveled to Ethiopia as an International Reporting Project New Media Fellow to report on newborn health in 2014. On her personal blog, Documama.org, she uses digital media as a new medium for her background as a documentarian. After having worked on Feature Films and Television series for FOX, NBC, MGM, Columbia Pictures, Warner Brothers, 20th Century Fox, and Castle Rock Pictures, she studied documentary filmmaking and anthropology earning a Masters degree in Media Studies from The New School in New York. Since becoming a Digital Media Producer she has worked on social media campaigns for non-profits such as Save The Children, WaterAid, ONE.org, UNICEF, United Nations Foundation, Edesia, World Pulse, American Heart Association, and The Gates Foundation. Her writing has also been featured on ONE.org, Johnson & Johnson’s BabyCenter.com, EnoughProject.org, GaviAlliance.org, and Worldmomsnetwork.com. Elizabeth has traveled to 70 countries around the world, most recently to Haiti with Artisan Business Network to visit artisans in partnership with Macy’s Heart of Haiti line, which provides sustainable income to Haitian artisans. Elizabeth lives in New England with her husband and four children.

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Field Report From #BrazilMDGs : Health Care System – Right To All

Field Report From #BrazilMDGs : Health Care System – Right To All

Raimunda with her family and Dr. Rodrigo D'Aurea from the Community Health Center

Raimunda with her family and Dr. Rodrigo D’Aurea from the Community Health Center

Raimunda is a 46-year-old mother to two beautiful daughters aged 19 years old and 7 years old. She sadly has lungs cancer, stage-4, has undergone chemotherapy, and now is in palliative care. Her family physician, Dr. Rodrigo D’Aurea took us to her house  yesterday in a locality called Boa Vista in the suburbs of Sao Paulo which has a population of 20,000 people. She was diagnosed almost a year and half ago and she was already in stage-4. She has a very aggressive form of lung cancer. She used to smoke a long time ago, but has kicked the habit for more than a decade. Her husband used to contribute to the family’s upkeep until her elder daughter was 18 years old, but in the past year, he has stopped doing it. She has some pension from her retirement and she crochets for a living. You can see the beautiful white crochets folded on her couch.

Her doctor says, there are four things he has to take care of – firstly the physiological aspect of her body having cancer, secondly her psychological acceptance, how she deals with it, and accepts it emotionally, thirdly her dependents (here her daughters who will need to be adopted after her time), and fourthly he has also spoken to her priest and arranged for things. It made us a bit sad listening to it, this way. But hold on, there is more to this article. Melody, Julianna (our translator), and I accompanied Dr. Rodrigo D’Aurea and the health care worker on a work visit.

Dr. Rodrigo D'Aurea being greeted by yet one of his elderly patients on the street. The community health worker looking on.

Dr. Rodrigo D’Aurea being greeted by yet one of his elderly patients on the street. The community health worker looking on.

I am here all the way from India as an International Reporting Project Fellow, reporting about the Public Health Center’s community visits. Here, a team consisting of a doctor, a nurse, two nursing assistants, a community health worker visits their patients in their assigned locality (Boa Vista here) and speak to the people and treat them. As we walked along the streets, I could see every resident saying “Ola” (Hi/Hello) and “Tudu Bem” (How are you) to Dr. Rodgrigo. It looked like he was a friend, a son, a brother to everyone whom we passed along in the streets.

The USB (Unidade Basica de Saude) which basically means Unit of Primary Health located in Jardin Boa Vista (Garden of Boa Vista) takes care of its 20,000 residents. It is almost like a hospital with about ten consultation rooms, a dentistry, Vaccination room, first aid and emergency room, a small nurses’ station, and some admin rooms. It is elegant, clean and hygienic. The doctors and health workers cater to not just the medical needs of the residents, but to their emotional and family needs.

Because here social problems have a big impact on the health problems of residents.

Dr. Rodrigo D'Aurea leaving for the day after giving us a tour of the clinic and the community

Dr. Rodrigo D’Aurea leaving for the day after giving us a tour of the clinic and the community

Dr. Rodrigo mentioned that he is more like a psychologist, counselor and a family doctor, rolled into one. He knows more about all the residents than anybody else. He feels morally responsible and I could feel the pride in his voice when he spoke about them.

He owns the hearts of the residents, is all I can say.

This Community Health initiative is a wonderful one and it is funded by the SUS. (Sistema Único de Saúde) which means the Unified Health System. It is Brazil’s publicly funded health care system. SUS was created after the Brazilian Constitution of 1988, which assured that health care is a “right of all and an obligation of the State”. Prior to that, only people who contributed to social security were able to receive health care. The creation of SUS was important in the sense that more than 80% of the Brazilian population depend on it to receive medical treatment.

These public health units focus mainly on the family health instead of the health of a single individual. It is interrelated. A family’s social, mental, and emotional well-being is directly related to the physical health of the individuals. It taps into different knowledge and practices from the perspective of a holistic and problem solving approach, enabling the creation of bonds of trust through ethics, commitment, and respect. They have different specialists visiting them often and on request. They also refer cases to different units like oncology, gynecology, and such for detailed assistance.

All the population of Brazil is covered to receive primary health care. It does not matter if you have insurance or not, if you are covered under your social security or not. Brazil is on the road to achieve a 100% health coverage. This is something the other developing nations in the world have to carefully watch and learn from.

This is an original post to World Moms Blog by Purnima Ramakrishnan, our Indian mother writing from Chennai, India. Her contributions to the World Moms Blog can be found here. She also rambles at The Alchemist’s Blog.

Photo credit to the author.

Purnima Ramakrishnan is a fellow of Journalism with the International Reporting Project (IRP), reporting from Sao Paulo, Brazil.

 

Purnima Ramakrishnan

Purnima Ramakrishnan is an UNCA award winning journalist and the recipient of the fellowship in Journalism by International Reporting Project, John Hopkins School of Advanced International Studies. Her International reports from Brazil are found here . She is also the recipient of the BlogHer '13 International Activist Scholarship Award . She is a Senior Editor at World Moms Blog who writes passionately about social and other causes in India. Her parental journey is documented both here at World Moms Blog and also at her personal Blog, The Alchemist's Blog. She can be reached through this page . She also contributes to Huffington Post . Purnima was once a tech-savvy gal who lived in the corporate world of sleek vehicles and their electronics. She has a Master's degree in Electronics Engineering, but after working for 6 years as a Design Engineer, she decided to quit it all to become a Stay-At-Home-Mom to be with her son!   This smart mom was born and raised in India, and she has moved to live in coastal India with her husband, who is a physician, and her son who is in primary grade school.   She is a practitioner and trainer of Heartfulness Meditation.

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