This translation is not completely accurate as it was automatically generated by a computer.
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By Kay Panovec*
6:00 P.M. EST December 8, 2010 | BO, Sierra Leone (UMNS)
Traditional birth attendants listen to their nurse supervisor at the
Taiama Health Center near Bo. UMNS photos by Mike DuBose.
View in Photo Gallery
Christiana Tommy is on a mission to reduce maternal and infant deaths in her community.
Childbirth is never easy, especially in Sierra Leone, where the
maternal and child mortality rates among the highest in the world. The
West African country has the highest under-5 mortality rate, with almost
one in three children dying before age 5, according to the World Health
Organization.
In 19 years, Tommy has seen more than her share of maternal and
infant death. Trained at the National School of Nursing in Freetown, she
received additional education in community-based health care in India
but returned to Sierra Leone to serve the people there.
At the Taiama Health Center in the Moyamba District, Tommy helps expectant mothers deal with often significant problems.
“We face many challenges here,” she said. “Malaria and HIV/AIDS can
cause premature birth and, in some cases, death for both the mother and
child. Complications such as hemorrhage also occur.”
Birth attendants help
When a woman is unable to deliver her child in her home, she is
transferred by hammock or wheelbarrow to the health center. Modern means
of transportation are not easily accessible or affordable to the poor.
Nurse Christiana Tommy
oversees the traditional birth attendant program based at
the Taiama Health Center.
View in Photo Gallery
The most helpful addition to the health clinic is the traditional
birth attendants, or TBAs. “Now, with the TBAs, we are able to help more
mothers, more infants,” Tommy said proudly.
Forty such attendants were trained through a United Methodist health
board, which receives support through the denomination’s Board of Global
Ministries and the United Methodist Committee on Relief in
collaboration with the Sierra Leone Ministry of Health. Attendants
volunteer their time in assisting pregnant women by sharing basic health
and nutrition information to increase the probability of a healthy
pregnancy.
Each of the traditional birth attendants has received a cell phone
for staying in contact with the health center and the other attendants.
The attendants also identify women who are at high risk. Once they have
been identified, they receive follow-up treatment that may lead to
admission at the United Methodist Hospital in Kissy.
Following the birth of a child, the birth attendant visits the new
mother and advises her on basic baby care, sanitation information,
proper breast-feeding techniques and the importance of childhood
immunizations. As part of a leadership succession program, each of the
attendants recruits a younger woman who will also be trained and
assigned to her particular village.
‘Cannot do this on our own’
The United Methodist Church is working to improve the survival rate of children throughout Africa through the Imagine No Malaria Campaign. The disease kills a child under 5 in Africa every 45 seconds.
Although Tommy is hopeful, she cannot escape the reality that there
is more need than money to provide resources. “With God’s help, we will
continue to help the women and infants of our villages,” she said
“We cannot do this work on our own,” she said. “We pray for the patients and nurses. We ask God to assist us.”
*Panovec is executive director of new media at United Methodist Communications.
News media contact: Kay Panovec, Nashville, Tenn., (615) 742-5470 or newsdesk@umcom.org.
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