http___www.worldmomsblog.com_2014_06_17_field-report-ethiopianewborns-an-overview-of-maternal-newborn-and-child-health-in-ethiopia__replytocom_162638_lang_ga_1.xml
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Etiopi, një nga vendet më të varfra në Afrikë, me një popullsi prej 90 milion njerëz, tronditi botën me arritjen e Qëllimit të Zhvillimit të Mijëvjeçarit #4 of reducing the mortality rates of children under age 5 by two-thirds well ahead of the 2015 deadline. In a country in which 95% of the population lives outside of an urban center in rural, remote and hard to reach areas and a shocking 80% e lindjes të gruas në shtëpi pa një mami. Health Extension Workers (HEW) kanë qenë përbërës kyç për suksesin e Etiopisë. Megjithatë, sadly the rate of newborn survival in Ethiopia has not shown nearly as much progress. As an international reporting fellow with Projekti Raportimi Ndërkombëtar, fellow World Moms Blog editor Elizabeth Atalay and I are in Ethiopia for the next two weeks reporting on newborn health. We will be meeting with a diverse variety of people around the country such as doctors, health officials, nënat, OJQ-të, midwives and health extension workers to learn about Ethiopia’s maternal, newborn and child health systems, policies and strategies for improving newborn health. Today we had a presentation on maternal, newborn and child health in Ethiopia given by Dr. Abeba Bekele, the Program Manager at Save the Children Ethiopia’s Saving Newborn Lives Program. Dr. Abeba Bekele is a medical doctor by training yet after spending five years working in the field she saw firsthand some of the tragic problems with maternal care in her country. Watching a patient bled to death after delivery, and being unable to save this mother of six, was a turning point for Dr. Abeba. She decided to move to working in public health policy in hope of improving Ethiopia’s poor maternal and child health care system. Gjatë viteve, Dr. Abeba has seen remarkable progress in some areas but painfully slow progress in other areas in regards to maternal, newborn and child health. - Over the past 20 vjet, Ethiopia has reduced child deaths (for children under age 5) by more than two-thirds. Në 1990, nje vlerësuar 204 children in every 1,000 in Ethiopia died before the age of five. Now that number is closer to 69 në çdo 1,000. - While 1- 59 muaj (IU. 5 vit) child mortality rate is declining 6.1% annually the neonatal rate (i parë 28 days of life) is only declining 2.4% annually. - Since the year 2000, Ethiopia has reduced its lifetime risk of maternal death from 1 në 24 tek 1 në 67. Although these figures are encouraging there is also much work to be done in improving maternal, newborn and child health in Ethiopia. One of the main issues that is making maternal and newborn mortality rates difficult to tackle is the fact that over 80% of women in Ethiopia deliver at home with no trained help. These women give birth assisted by the community birth attendant, with a friend, a neighbor or even by themselves. The best way to save both maternal and newborn lives is to have women give birth assisted by a trained midwife at a health center. In fact the Ethiopian government is strongly encouraging all women to give birth at a health center but there are many obstacles in the way. In an effort to improve maternal, newborn and child health, the Ethiopian government has implemented a massive effort of new policies and programs throughout the nation. The biggest success story has been the training and deploying of an army of 34,000 Health Extension Workers (HEW). Implemented in 2005, this massive effort has had remarkable success in saving lives through education, prevention of diseases, and provision of family health services. HEW’s live within the community and are trained and paid by the government to do home visits for an assigned population within their community. HEWs have been successful in cutting child under five deaths significantly as they can check and treat for the biggest child killers like diarrhea, pneumonia and malaria. Megjithatë, HEWs are not trained as midwives, and can only advise a woman to give birth in a health center. This is an area that must be changed as giving birth by a trained professional in a health center would significantly reduce neonatal and maternal deaths. Progress also needs to be made in the sheer accessibility and number of health centers. Today there are only 3,500 health centers in Ethiopia for 90 milion njerëz. More health centers and hospitals need to be built and more roads to reach the inaccessible areas. More midwives need to be trained and distributed throughout the country. Sipas 2012 State of the World’s Midwives report, there is one midwife for every 18,000 people in Ethiopia whereas the World Health Organization recommends there should be one midwife per every 5,000 people in a given country. A lot of work needs to be done but the progress they have made in the past two decades is admirable. Nicole Melancon is reporting from Ethiopia as a fellow with the Projekti Raportimi Ndërkombëtare (IRP). Ky është një Postimi origjinal shkruar për Moms Botërore Blog. Ju mund të ndiqni të gjitha raportet IRP nga World Moms Elizabeth Atalai & Nicole Melancon në # EthiopiaNewborns
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An Aetóip, ar cheann de na tíortha is boichte san Afraic le daonra de 90 milliún duine, stunned an domhan ag an Sprioc Forbartha na Mílaoise a bhaint amach #4 de laghdú ar na rátaí mortlaíochta de leanaí faoi aois 5 ag dhá thrian maith chun tosaigh ar an 2015 spriocdháta. I dtír ina 95% den daonra ina chónaí taobh amuigh de lárionad uirbeach i gceantair tuaithe, iargúlta agus deacair a bhaint amach réimsí agus shocking 80% na mban breithe sa bhaile gan bean chabhartha. Oibrithe Síneadh Sláinte (Hew) a bheith ar an príomh-chomhábhar do rath na hAetóipe. Mar sin féin, Faraor nach bhfuil an ráta marthanais nuabheirthe san Aetóip a thaispeántar chun cinn beagnach oiread agus is. Mar gcomh tuairiscithe idirnáisiúnta le An Tionscadal Tuairiscithe Idirnáisiúnta, eile Moms Domhanda Blag eagarthóir Elizabeth Atalay agus mé san Aetóip don dá sheachtain eile ag tuairisciú ar shláinte nuabheirthe. Beidh muid ag bualadh le héagsúlacht éagsúla daoine ar fud na tíre, mar shampla dochtúirí, oifigigh sláinte, máithreacha, Eagraíochtaí neamhrialtasacha, cnáimhseacha agus oibrithe síneadh sláinte chun foghlaim faoi na máthar san Aetóip, nuabheirthe agus córais sláinte leanaí, polasaithe agus straitéisí chun feabhas a chur ar shláinte an nuabheirthe. Sa lá atá inniu a bhí againn i láthair ar mháthartha, sláinte nuabheirthe agus leanaí san Aetóip a thug an Dr. Abeba Bekele, an Bainisteoir Clár ag Sábháil na Leanaí san Aetóip Shábháil Lives nuabheirthe Clár. Is Abeba Bekele dochtúir leighis oiliúint fós tar éis an caiteachas cúig bliana ag obair i réimse a chonaic sí go díreach leis roinnt de na fadhbanna tragóideach le cúram máithreachais ina tír. Breathnú othar a fhuiliú chun báis tar éis an seachadadh, agus a bheith in ann a shábháil ar an máthair de shé, Bhí pointe ag casadh le haghaidh an Dr. Ababa. Chinn sí ar bhogadh le bheith ag obair i bpolasaí sláinte poiblí i súil feabhas a chur ar chórais máthar agus cúram sláinte leanbh bocht san Aetóip. Thar na blianta, Dr. Abeba Tá dul chun cinn suntasach i gceantair áirithe ach dul chun cinn mall painfully i réimsí eile i dtaca le máithreacha, sláinte nuabheirthe agus leanaí. - Thar an am atá caite 20 bliana, An Aetóip Tá laghdú bás linbh (do leanaí faoi aois 5) ag níos mó ná dhá thrian. I 1990, measta 204 leanaí i ngach 1,000 san Aetóip a fuair bás roimh aois a cúig. Anois go bhfuil líon níos gaire do 69 i ngach 1,000. - Cé go 1- 59 mhí (I.E. 5 bliana) Tá an ráta mortlaíochta leanaí ag meath 6.1% go bliantúil ar an ráta nua-naíoch (chéad 28 lá den saol) tá laghdú ach 2.4% go bliantúil. - Ós rud é an bhliain 2000, An Aetóip Tá a riosca feadh an tsaoil de bás na máthar laghdaithe ó 1 i 24 go 1 i 67. Cé go bhfuil na figiúirí a spreagadh tá neart oibre le déanamh i máthar a fheabhsú freisin, nuabheirthe agus sláinte leanaí san Aetóip. Is é ceann de na príomh-shaincheisteanna atá ag déanamh na rátaí báis máthar agus nuabheirthe deacair chun dul i ngleic leis an bhfíric go bhfuil níos mó ná 80% na mban san Aetóip a sheachadadh sa bhaile gan aon cabhair oilte. Tugann na mná breithe de chúnamh ag an comhghafach breithe phobail, le cara, comharsa nó fiú féin. Is é an bealach is fearr a shábháil ar shaol na máthar agus nuabheirthe araon a bheith acu a thabhairt do mhná breithe de chúnamh ag an bhean chabhartha oilte in ionad sláinte. In fact the Ethiopian government is strongly encouraging all women to give birth at a health center but there are many obstacles in the way. In an effort to improve maternal, sláinte nuabheirthe agus leanaí, the Ethiopian government has implemented a massive effort of new policies and programs throughout the nation. The biggest success story has been the training and deploying of an army of 34,000 Oibrithe Síneadh Sláinte (Hew). Implemented in 2005, this massive effort has had remarkable success in saving lives through education, prevention of diseases, and provision of family health services. HEW’s live within the community and are trained and paid by the government to do home visits for an assigned population within their community. HEWs D'éirigh ghearradh leanbh faoi bhun cúig básanna go suntasach mar is féidir leo a sheiceáil agus a chóireáil le haghaidh an killers leanbh is mó cosúil le buinneach, niúmóine agus maláire. Mar sin féin, Ní HEWs oilte mar cnáimhseacha, agus is féidir comhairle a thabhairt ach amháin le bean breith a thabhairt in ionad sláinte. Is réimse é seo nach mór a athrú mar breith a thabhairt ag duine gairmiúil oilte i ionad sláinte thiocfadh laghdú suntasach ar básanna naíonán nuabheirthe agus máithreacha. Ní mór an dul chun cinn a dhéanamh chomh maith ar an inrochtaineacht fórsa agus líon na n-ionad sláinte. Sa lá atá inniu nach bhfuil ach 3,500 ionaid sláinte san Aetóip le haghaidh 90 milliún duine. Ní mór ionaid sláinte níos mó agus ospidéil a thógáil agus bóithre níos mó a bhaint amach ar an réimsí inaccessible. Ní mór níos mó cnáimhseacha a bheith oilte agus a dháileadh ar fud na tíre. Dar leis an 2012 Staid na mBan Cabhartha thuarascáil an Domhain, there is one midwife for every 18,000 people in Ethiopia whereas the World Health Organization recommends there should be one midwife per every 5,000 people in a given country. A lot of work needs to be done but the progress they have made in the past two decades is admirable. Nicole Melancon is reporting from Ethiopia as a fellow with the Tionscadal Tuairiscithe Idirnáisiúnta (IRP). Is é seo an original post written for World Moms Blog. You can follow all IRP reports by World Moms Elizabeth Atalay & Nicole Melancon at #EthiopiaNewborns