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ACTIVITEITEN IN OOST AFRIKA

Maternity Units Project proposal For East African Women in Rural Areas


 

Background

Uganda’s maternal mortality rate as per In  2011 was 435 deaths per 100,000 live births, while the infant mortality rate is estimated at 76 deaths per 1,000 live births. In Uganda, 16 women die every day in childbirth.Uganda does not have a right to health in its laws but only relies on international documents and this is why there is no progress in the reduction of maternal mortality,” Dora Byamukama of the East African Legislative Assembly says.She adds that there is inequitable distribution of medical labour between rural and urban areas and this has led to increased maternal mortality especially in the rural areas.Highly trained cadres like medical doctors, specialised nurses/midwives, pharmacists, dentists as well as diagnostic personnel are unequally distributed, serving only a small fraction of the population, largely in urban areas. In Uganda, 16 women die every day in childbirth 80% of the Ugandan population live in rural areas, the urbanised central region that houses only 27% of the population has 64% of qualified nurses and midwives, 71% of medical doctors, 76% of dentists and 81% of pharmacists.Of the 1,830,000 pregnancies annually, only 41% are attended to by skilled birth attendants, while 137 neonatal deaths occur per 1,000 babies born. From the Population Policy Action Plan, there are three trends:

This is due to unequally distribution of Health centers and lack of tailored maternity units  and  the few midwifes left in rural districts  also suffer from poor service availability  ranging from inadequate skills to lack of equipment, supplies and drugs in most  health units.

Maternal and child health care

The World Health Organization(WHO) defines maternal health as the health of women during pregnancy, childbirth and the postpartum period. According to estimates from UNICEF, Uganda’s maternal mortality ratio, the annual number of deaths of women from pregnancy-related causes per 100,000 live births, stands at 435  after allowing for adjustments. Women die as a result of complications during and following pregnancy and childbirth and the major complications include severe bleeding, infections, unsafe abortion and obstructed labour.

 

Uganda is slow in its progress in the fifth goal of improving maternal health in its Millennium Development Goals.  With the 2015 target for maternal mortality ratio at 131 per 100,000 births and proportion of births attended by skilled health personnel set at 100%, Uganda has a long battle in reaching its intended goals. Moreover, the methodology used and the sample sizes implemented by the Uganda Demographic Health Survey (UDHS) do not allow for precise estimates of maternal mortality. This suggests that the estimates collated are erroneous and it is conceivable that the actual rates could be much higher than those reported.

High maternal mortality rates persist in Uganda due to an overall low use of contraceptives, limited capacity of health facilities to manage abortion/miscarriage complications and prevalence of HIV/AIDS among pregnant women. Despite malaria being one of the leading causes of morbidity in pregnant women, prevention and prophylaxis services are not well established.

In rural areas, conceiving pregnant women seek the help of traditional birth attendants (TBAs) due to difficulty in accessing formal health services and also high transportation or treatment costs. TBAs are trusted as they embody the cultural and social life of the community. However, the TBAs’ lack of knowledge and training and the use of traditional practices have led to risky medical procedures resulting in high maternal mortalities.

With the assistance of Patience Safety-Pasimpia, and GMC medical consultants gmcmedic have made up their mind to join the battle of this unacceptable public service crisis in Uganda and East Africa to help and save mothers to deliver successfully without dying. By setting the setting up the first mobile Maternity unit in the Eastern Uganda (a rural area) as a pilot project and if it succeed it will set up a Maternity unit in each district. If we get help to facilitate this project in for the first time then we shall also continue to put other projects in rural areas of East AFRICA.

Below is the photo is the proposed units which will contain 2 beds in each room and 3 in the bigger room which totals to 7 patients at each time. According to the research already carried out in the rural areas, the unit will receive 7-10 patients a week which implies that  these units can meet the demands of the patients population, should there be more patients in a district then a second unit can be arranged to be next to the other..

 

AIMS & OBJECTIVES OF THIS PROJECT;

To reduce maternal mortality by three-fourths in Uganda & East Africa which a  Millennium Development Goals  to provide better medical facility conditions for the poor population. If we get help to facilitate this project in for the first time then we shall also continue to put other projects in rural areas of East AFRICA.

ADVANTAGES OF THE OF THE PROPOSED PROJECT

  1. Lives will by no doubt be saved and as result maternal mortality will reduce.
  2. Manageability will be possible because of the existing technology & continuity will be effected fostering employment.

  3. Training of new midwifes will be boosted if not midwifes will be imported from neighboring countries.

  4. The will an equal distributions of medical care and therefore remove the problem of depending on the government for media.

  5. Co-operate responsibility of companies will be visible and heavily publicized and therefore boosting medical manufactured good in the country and it succeeds in Uganda then in can be applied in the African countries.

     More companies, institutions and individuals are still needed to support the project proposal, All assistance, donations, materials, skills and services are most welcome!

                                                                                                         

     

     

     

     

    http://www.nedas.nl/index.php/contact?form_id=2&show_form_title=0&show_form_description=0

                                                  

                               

                         

                                                                                                                      

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