|Traditional Birth Attendants participate in training, 2011|
All fifteen of the practicing traditional birth attendants (Dai) of the MGVS working area attended a training workshop on safer delivery practices from March 21st–25th, 2011 at the ANM Centre in Naag Raja Dhar. Permission was obtained by MGVS from Govt. Dr. Rana at the PHC in Chaam to hold the workshop with the help of area Govt. ANMs: Mrs. Mamta Kaushal and Mrs. Pushpa Chauhan. Six Govt ASHA health workers of the area also joined the five-day event, where the MGVS Team worked together with the participants on how to reduce emergency situations and the mother mortality rate in their community.
Training was hands-on and participatory: two local pregnant ladies in their ninth month very kindly offered to take turns acting as model patients. A baby doll and a plastic pelvic structure were also used for demonstration, along with numerous other audio and visual aids. The workshop focused on hygiene and infections, risk pregnancies, risks in conducting deliveries away from a hospital as well as assessing risks in time, practical details about getting to the hospital and where to obtain extra gloves in advance of delivery dates etc. The workshop also covered topics related to the health during pregnancy and post natal care of mother and child.
|Village midwife (right) learns how to check if baby has turned in the 9th month|
The village midwives especially appreciated learning about the physiology of the uterus: Mr. Das is a 75-year old midwife who has been performing deliveries for over 50 years, but like the other women Dais, he had not seen a “map” of the uterus before. The importance of having a birthing place fully prepared before the delivery was discussed by all the participants at great length with MGVS Staff and Kyarda Panchayat pradhan (village council chief) and Chief Guest for the final day of the workshop, Mr. Kirti Dutt Nautiyal. Participants talked enthusiastically about their new understanding of why the birthing place needs to be clean: that it should not be pasted with cow dung, which may contain tetanus, but with clay only, that hot water should be prepared ahead of time for washing hands and arms etc. Delivering babies in a completely different place from the cowshed was also explored by midwives practicing in villages where this is still taking place. Each Dai and ASHA worker was presented with a Dai Kit from MGVS and a certificate at the completion of the workshop.
Overcoming Vaccine Fears
Immunization of children under five has increased from 40% to 70% this year in seven Gram Panchayats (village council areas) of the Naugun Valley and ANC/PNC (Antenatal Care / Postnatal Care) for pregnant mothers have increased from 20% to 60%. Immunization and ANC/ PNC are currently taking place regularly in twelve villages of the area. Govt. ANMs: Mrs. Chauhan and Mrs. Kaushal explained that MGVS assistance has improved villager response to government health services, especially in helping villagers overcome fears about government medical help and vaccines. Villagers are also visiting the ANM centres more frequently as a result.
|ASHA Pooja Devi administers Oral Polio Vaccine at Mother Child Health Care Day - |
Gaer Aanganbari (Pre-School): 7
|Bayaar: Chattar Singh cares for apricot tree|