February 21st, 2014 by khalil

Imagine giving birth in a mud hut or hay strewn floor. The only assistance you might have is your family and if you’re lucky and can afford it, an untrained traditional birth attendant acting as midwife with dirty scissors. The nearest medical facility with qualified staff is miles away or simply doesn’t exist.

That’s the reality for millions of women in developing countries.

Every day, 1,000 women die during pregnancy and 8,000 newborn babies die during their first month of life

Doctors Worldwide has been working hard in Pakistan, a country ranked 3rd highest in the world where newborns die on their first day of life every year where we aimed to reduce maternal and neonatal mortality. We started in May 2011, with Phase 1 of our Maternal & Child  HealthCare Program, which was outreach based and community focussed.  The program delivered training and education to Traditional Birth Attendants and provided maternal health education, clean birthing kits and micronutrients to women of a reproductive age who needed them to help reduce the risks of mothers and new born dying during or soon after birth.

We are now pleased to announce the launch the 2nd Phase of our program focussed on providing facility based care.  Our DWW RHC Junejo Maternity Centre opened in February 2014 in rural Sind Province, Pakistan.

Serving a catchment area of 526 villages and an approximate population of 30,000 in Qambar Shahdadkot District of Sind Province, the centre will provide a vital lifeline (providing MNCH & ultrasound services) to expecting mothers, newborns and children in this desperately poor area, which borders Balochistan Province.

The centre has a team of 19 staff including women doctors and a paediatrician.

February 10th, 2014 by angela

Doctors Worldwide began a maternal and newborn care program in Qambar Shahdadkot in May 2011. It is one of the most deprived and remote districts of Sindh bordering Balochistan, with a population of 1.2 million.

According to a 2013 study by Save the Children, Pakistan is the 3rd highest ranked country for babies dying within the first day of birth. More than 65% of women in Pakistan deliver their babies at home and unskilled Traditional Birth Attendants assist with more than half of deliveries. This is higher in rural areas.

Instead of building medical facilities we decided to take a different approach and focus what would change behaviors amongst women and those involved in maternal health in rural areas. To maximise impact we decided on a 3 year project utilising a public health and preventative based approach based on research evidence. We created a multifaceted project to lower maternal and neonatal mortality (babies dying within the first 28 days of birth).  Our program is delivered through a Family & Community care package, which focuses on three areas:

– Education & Counseling of women of a reproductive age in each village on aspects of pregnancy and the importance of eating properly & exclusive breastfeeding.

Providing Clean Birthing Kits and micronutrients such as iron and folic acid to pregnant women.

– Training local traditional birth attendants to a high skilled midwife level using a combination of powerful visual education tools and classroom teaching.

For the three years ended Jun 2014, we:

– Visited 478 villages and carried out 549 training sessions for local villagers
– Registered 7,581 pregnant women.
– Supported the safe delivery of 5,415 babies.
– Gave out 5,915 clean birthing kits.
– Trained 128 traditional birth attendants in modern midwifery techniques.
– Provided anti-natal care to 5,438 women