Background:

Midwifes at work for humedica

by Lisa Wolff,  2018/05/05

In order to allow children a good, healthy start in life and to offer mothers advice and support around the clock, midwives work day for day – also in many of our projects.

At the Kara in Ethiopia

Since 2017 Kebebush works as a. midwife for humedica. The passion for this line of employment was passed on to her by her family. Her mother is a traditional midwife, whose xcellent work was funded by the government. Kebebush now followed in her mother´s footsteps. „I am a born Hamer. Hamer and Kara are very close, so that I know both the culture and the problems of the women, who live here, very well. A great challenge till date still is the acceptance of the examinations”, she explains.

Kebebush could already assist about 40 expectant mothers, she has carried out four births on her own yet. „I aim to convince as many pregnant women as possible of the importance of pre- and after-care.“, Kebebush tells us. „That asks for a lot of trust on the women´s side, who often refuse to be treated out of modesty.” Kebebush is determined to change this. Preventive examinations can help to avoid a whole range of problems during birth and/or allow for a timely transfer of risk patients to the nearest clinics in Turmi or Jinka.

Hebamme von humedica bei den Kara in Äthiopien

Midwife Kebebush cares for the medical treatment of children and their mothers at the Kara in Ethiopia. Photo: humedica

„After the birth I also offer hygiene trainings for mothers.”, Kebebush tells us. Consultations on vaccination and breastfeeding as well as information on birth control are part of her important work, too.

Mother-child clinic in Niger

Obstetric care by midwives contributes to reduce enormously the mortality rate of both mothers and children as proven by the balance of the mother-child hospital in the Nigerian Kollo. Together with the Hosanna Institut du Sahelhumedica here employs six midwives besides physicians and nurses. Natacha is head of the team. Here also trust is a major topic.

„We encourage the women to give birth in our health care stations. 90 per cent of the fatalities of mothers and 80 per cent of newborns take place in the course of house births in the villages.“ explains Natacha. „We would like to change this situation.“

Hebamme von humedica im Niger

Together with her team Natacha (on the left) cares for the patients in the mother-child clinic in Kollo. Photo: humedica

The treatment in the hospital is free for women and children. After the birth the new mothers receive a basic equipment for their babies. Besides the weekly vaccination consultations daily information talks on various topics from the field of hygiene and heath care are offered. „The majority of our patients are illiterates, so that we pass on our knowledge orally and practically.“, continues Natacha.

The wellbeing of women and children is the top priority in the clinic at Kollo. More and more people from the region make use of this offer, sometimes even travelling long distances to do so.

Medical support for Syrian refugees in Lebanon

Also Sihman and Victoria travel long distances. Every day, the two humedica midwives drive to approximately 30 of the innumerable refugee camps near the Syrian border. By MMU bus: the Mobile Medical Unit of humedica. Equipped with all necessary items, the opaque treatment cabin protects the private sphere of the patients. If the bus is not available, the midwives organise tents with the help of their female patients.

Mobiler Klinikbus von humedica im Libanon

Funded by the German Foreign Office the physicians and midwives can use the mobile clinic bus to go directly to their patients in the refugee camps in order to treat them on site. Photo: humedica

Thus they are able to provide gestation care for approximately 200 women in the often informal tent camps. They reach even more with their educational campaigns on topics such as birth pre- and aftercare, breastfeeding and birth control. „During our interventions I care for 25 up to 30 women each day.“ Siham tells us. „The health care trainings take place with groups of 10 women. This way I have enough time to give each of them individual tips on hygiene and breastfeeding for both themselves and their children.”

The situation in the tent camps is often challenging. Hygiene standards are low. In the winter it is cold and wet. In the summer it gets very hot.

Back in Ethiopia

In Ethiopia Amran and Leila have to confront similar challenges as Siham and Victoria in the Lebanon. Here they care for women and children in the refugee camp Melkadida near the Somalian border. Besides general gestation care their main task is to identify risks in time and induce corresponding supporting measures.

Hebamme im Flüchtlingslager Melkadida

Midwife Amran at work: together with her colleague Leila she cares for the needs of mothers and their babies in the refugee camp Melkadida. Photo: humedica

Amran reports about a birth with complications. The placenta was not expelled, so she had to take appropriate measures. Especially in this kind of critical situation the help of experienced obstetricians decide on the outcome. In this case everything went well. „I was very happy that this woman was in our care and we were able to help her in time.“ says Amran.

Also Leila is beaming when she tell us: „I am very proud to work as a midwife and to help all these women and children here.“

We would like to express our thanks not only to our, but to all midwives everywhere for their important work – here in Germany as well as all over the world!

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