Maternal & Child Healthcare

pakistan bw-1

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. Following our work after the 2010 Floods it became clear our next focus should be aimed at reducing maternal and neonatal death. With over 80% of births delivered at home with either no help or from untrained traditional birth attendants. We started in May 2011, with Phase 1 of our programme, which was outreach based and community focussed.  The program delivered training and education to Traditional Birth Attendants (over 185 in all) and provided maternal health education, clean birthing kits and micronutrients to women of a reproductive age, to help reduce the risks of mothers and new born dying during or soon after birth. In total 5955 clean delivery packs were distributed which have been shown to reduce the risk of a baby dying by 50%. Over 8000 women were counselled on ante-natal care, breast feeding, immunisations etc. and so after over 650 community awareness sessions, run to improve the womens understanding of their pregnancy and expectations at delivery, we felt we had empowered the women enough to seek help and so we moved into Phase 2.

In Phase 2, we 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 provided a vital lifeline (providing full ante-natal, delivery and post natal care) to expecting mothers, newborns and children in this desperately poor area, which borders Balochistan Province.

The centre was run by a team of 19 staff including women doctors and a paediatrician through 24 hours of the day offering a full package of care including ceaserian sections.

 

Key Achievements:

 

1900 deliveries with the loss of only one mother who died sadly when away from the clinic.

Over 8000 ante natal clinic consultations

9500 out patient consultations.

15,300 paediatric consultations

 

In summer 2017 the clinic was handed over to a Pakistan government back NGO to continue running, the community awareness and outreach work was continued until January 2018 when all work in the country was handed over to Doctors Worldwide Pakistan.