One Heart World-Wide's mission is to decrease maternal and neonatal mortality and morbidity in remote rural areas. Our partnership with them is helping women in Bhojpur, Nepal receive skilled birth attendant training.
Pregnancy is a natural process for which medical assistance is not considered as a need or requirement in Nepal. As a result, many Nepalese women, especially those residing in more rural areas of Nepal deliver at home. In most communities, traditional birth attendants are usually primary service providers who have never received modern training in midwifery. The lack of training poses a risk to the lives of the women and newborn. Currently, there are only a few SBAs that serve about 45,000 women per year in Bhojpur. One Heart World-Wide has identified several eligible nurses that are on their way to becoming certified skilled birth attendants. Post-training, they will be able to provide the maternity care necessary to conduct safe deliveries in this district.
Results from 2016 Quarter 3
Story from the Field: "16 Years of Struggling with the Dark Finally Comes to an End"
Chandra Maya Ingnam, CMA; Ghoretar Birthing Center
Story collected by: Shreya Sharma
Ghoretar is a remote Village Development Community (VDC) of Bhojpur district consisting of approximately 6,500 in the catchment population. Parts of this region lack the basic necessities of daily living. There is a limited number of healthcare providers, inadequate health services, and also a lack of awareness among the general public in terms of childbirth.
During our visit to Ghoretar, we were able to see for ourselves the difficulties faced by the health care center and hear about the challenges faced by its providers. Chandra Maya Ingnam (CMA) is someone who has been working in Ghoretar for the past 16 years. Chandra Maya, along with her team of providers, has conducted up to 60 deliveries in the past year, the majority of which were in the dark.
Among the women that had to deliver in the dark was 22 year old Sabina, of Ranibas-01. Sabina had labor pains all morning and decided to visit the health center as a result. She was admitted at 2:45 pm and had fully dilated upon Pelvic examination. However, there were complications and Chandra had to recommend that Sabina be referred to the district hospital if she didn’t start showing signs of progress within the next hour. Sabina was monitored and provided with basic nursing and fortunately, the labor progressed.
However, because she was lacking basic necessities such as a source of heat and proper lighting, Sabina suffered a perineal tear during this process, resulting in profuse bleeding. As Chandra Maya was attempting to repair this tear, the needle broke into two pieces and they had to use torchlights and lights from their cell phones to search for the needle. Despite all of these difficulties, Chandra Maya was able to help Sabina deliver a healthy baby boy and the pair was discharged the next day.
Chandra Maya and her team were therefore understandably really excited during the installation of the Solar suitcases and the training session. They expressed genuine enthusiasm and we could sense from their high enrollment rates that the Solar lighting we were installing was important to them. Chandra Maya showed further gratitude for providing hope and facilitating bright lights for the delivery room. “Sixteen years of struggling with the dark has finally come to an end.”
Quotes from the Field
“Birth Preparedness Training is the most important preventive approach to reduce maternal and neonatal mortality and morbidity because it addresses each of the three delays. Through the training, I acquired lifesaving skills like identification of danger signs during pregnancy and prompt care-seeking, education for women and families, and distribution of Misoprostol tablet for prevention of postpartum hemorrhage (PPH).”
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