News / Africa

    Ethiopian Women Seek Improved Access to Pre-Natal Care

    In Ethiopia, pregnant women and young children face a serious problem: most of them live in rural areas, far from health care facilities. Usually they must travel for hours on foot to the nearest clinic, only to receive marginal quality treatment. For many pregnant women, even that is a luxury.

    A model maternity clinic

    Mondays are busy at the Fufa village maternity clinic in south western Ethiopia. Mothers from near and far come to this clinic, the first of its kind within a 100 kilometer radius.

    Women and children travel on foot seeking medical treatment in Ethiopia
    Women and children travel on foot seeking medical treatment in Ethiopia

    The hospital has a delivery room, basic equipment and trained professionals - luxuries compared to what was available in the past.

    Gebremariam Ayele, a clinical nurse who has been working in the Fufa area for decades, says prenatal care was a much different experience before the Fufa clinic was built.

    "We were limited in what we could do. [Before the clinic was built], we sent two health care workers to the villages on foot. They provided vaccinations and antenatal care to mothers," Gebremariam says.

    Challenges to rural healthcare

    Most pregnant women do not get to proper clinics like the one at Fufa, says Gebremariam.  Many are forced to travel long distances on foot to seek medical treatment, or to forgo it altogether.

    Delivery room at Fufa clinic
    Delivery room at Fufa clinic

    The effects are devastating. The UN reports that Ethiopia's infant mortality rate is 86 out of every thousand, compared to about 6 out of every 100,000 in the United States.

    Lack of care can also be fatal for mothers who go through difficult pregnancies or labor. Those who survive have to deal with the emotional scars and physical complications. One of these complications is fistula, a childbirth injury where fluid leaks through a hole between the bladder and cervix or rectum.  It can be caused by prolonged labor.

    Mark Bennet is the CEO of the Addis Ababa Fistula Hospital, where women who suffer from birth injuries get free treatment. He says fistula often happens in rural areas because women don't have access to healthcare during delivery.

    "They live a long distance from a place where healthcare can be provided, so getting transport, getting to a health center in time and getting to a health center that actually has the facilities or the professional staff that can give some assistance takes a long time," Bennet says.

    According to Bennet, it will not be easy to improve access for women in rural areas.

    "Ethiopia has a big challenge. Building roads to connect rural communities to locations where health care can be provided, that is a big challenge," he says. "Providing education to rural communities is a big challenge. And providing health care professionals to a rural community that is so large is an enormous challenge. Educated people do not want to work in the countryside."

    Physician shortage

    Ethiopian midwife Mekdes Kassahun
    Ethiopian midwife Mekdes Kassahun

    Often, educated doctors choose to leave Ethiopia altogether for better-paying jobs overseas. The government is training health extension workers to meet the growing demand in the country, which has Africa's second largest population.

    Health extension workers are low-level professionals with some months of training.  Midwife Mekdes Kassahun says these workers can still make a big difference.

    "Health extension workers and mobile clinic workers teach mothers about basic nutritional needs during pregnancy," she says.

    According to Mekdes, the biggest challenge is raising awareness in rural communities, and health extension workers are helping bridge that gap.

    "They grow cabbage and carrots for sale at local markets to buy grain. We advise them to eat vegetables during pregnancy. We also consult them about possible birth complications, vaccinations and PMCT [Prevention of Mother to Child Transmission of HIV."

    Clinics like the Fufa hospital also focus on PMCT as a big component of prenatal care.

    At another maternity clinic, in the town of Durame in southern Ethiopia, farmers Amenech Haylemariam and her husband Desta Tsienew came to visit a patient. Amenech said she is likely to be four or five months pregnant, and intends to go regularly to the clinic.

    The government says health extension workers will help out in efforts to expand healthcare access for millions of Ethiopia's rural women, but there is no quick fix in sight.  Poor infrastructure and a high population growth remain formidable challenges.

    This is part 3 of our 15 part series, A Healthy Start: On the Frontlines of Maternal and Infant Care in Africa

    « Prev: Early Marriage Series Index Next: Pregnancy Spacing »

    You May Like

    Video Democrats Clinton, Kaine Offer 'Very Different Vision' Than Trump

    In a jab at Trump, Clinton says her team wants to 'build bridges, not walls'; Obama Hails Kaine's record; Trump calls Kaine a 'job-killer'

    Turkey Wants Pakistan to Close Down institutions, Businesses Linked to Gulen

    Thousands of Pakistani students are enrolled in Gulen's commercial network of around two dozen institutions operating in Pakistan for over two decades

    AU Passport A Work in Progress

    Who will get the passport and what the benefits are still need to be worked out

    This forum has been closed.
    Comments
         
    There are no comments in this forum. Be first and add one

    By the Numbers

    Featured Videos

    Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
    In State of Emergency, Turkey’s Erdogan Focuses on Spiritual Movementi
    X
    July 22, 2016 11:49 AM
    The state of emergency that Turkish President Recep Tayyip Erdogan has declared is giving him even more power to expand a purge that has seen an estimated 60,000 people either arrested or suspended from their jobs. VOA Europe correspondent Luis Ramirez reports from Istanbul.
    Video

    Video In State of Emergency, Turkey’s Erdogan Focuses on Spiritual Movement

    The state of emergency that Turkish President Recep Tayyip Erdogan has declared is giving him even more power to expand a purge that has seen an estimated 60,000 people either arrested or suspended from their jobs. VOA Europe correspondent Luis Ramirez reports from Istanbul.
    Video

    Video Scientists in Poland Race to Save Honeybees

    Honeybees are in danger worldwide. Causes of what's known as colony collapse disorder range from pesticides and loss of habitat to infections. But scientists in Poland say they are on track to finding a cure for one of the diseases. VOA’s George Putic reports.
    Video

    Video Wall Already Runs Along Parts of US-Mexico Border

    The Republican Party’s presidential nominee, Donald Trump, gained the support of many voters by saying he would build a wall to keep undocumented immigrants and drugs from coming across the border from Mexico. Critics have called his idea impractical and offensive to Mexico, while supporters say such a bold approach is needed to control the border. VOA’s Greg Flakus has more from the border town of Nogales, Arizona.
    Video

    Video New HIV Tests Emphasize Rapid Results

    As the global fight against AIDS intensifies, activists have placed increasing importance on getting people to know their HIV status. Some companies are developing new HIV testing methods designed to be quick, easy and accurate. Thuso Khumalo looks at the latest methods, presented at the International AIDS conference in Durban, South Africa.
    Video

    Video African Youth with HIV Urge More Support

    HIV, the virus that causes AIDS, is the top killer of teens in sub-Saharan Africa. But many youths say their experience with the virus is unique and needs to be addressed differently than the adult epidemic. VOA South African Correspondent Anita Powell reports.
    Video

    Video Poor Residents in Cleveland Not Feeling High Hopes of Republican Convention

    With the Republican Party's National Convention underway in Cleveland, Ohio, delegates and visitors are gathered in the host city's downtown - waiting to hear from the party's presidential candidate, Donald Trump. But a few kilometers from the convention's venue, Cleveland's poorest residents are not convinced Trump or his policies will make a difference in their lives. VOA's Ramon Taylor spoke with some of these residents as well as some of the Republican delegates and filed this report.
    Video

    Video Pop-Up Art Comes to Your Living Room, Backyard and Elsewhere

    Around the world, independent artists and musicians wrestle with a common problem: where to exhibit or perform? Traditional spaces such as museums and galleries are reserved for bigger names, and renting a space is not feasible for many. Enter ArtsUp, which connects artists with venue owners. Whether it’s a living room, restaurant, office or even a boat, pop-up events are bringing music and art to unexpected places. Tina Trinh has more.
    Video

    Video With Yosemite as Backdrop, Obama Praises National Parks

    Last month, President Barack Obama and his family visited some of the most beautiful national parks in the U.S. Using the majestic backdrop of a towering waterfall in California's Yosemite National Park, Obama praised the national park system which celebrates its 100th anniversary this year. He talked about the importance of America’s “national treasures” and the need to protect them from climate change and other threats. VOA’s Julie Taboh reports.
    Video

    Video Counter-Islamic State Coalition Plots Next Steps

    As momentum shifts against Islamic State in Iraq, discussions are taking place about the next steps for driving the terrorist group from its final strongholds. Secretary of State John Kerry is hosting a counter-IS meeting at the State Department, a day after defense ministers from more than 30 countries reviewed and agreed upon a course of action. VOA Pentagon correspondent Carla Babb reports.
    Video

    Video Russia's Participation at Brazil Olympic Games Still In Question

    The International Olympic Committee has delayed a decision on whether to ban all Russian teams from competing in next month's Olympic Games in Brazil over allegations of an elaborate doping scheme. The World Anti-Doping Agency recently released an independent report alleging widespread doping by Russian athletes at the 2014 Winter Olympics in Sochi. So far, only Russian track and field athletes have been barred from the Summer Games in Brazil. VOA's Zlatica Hoke has more.
    Video

    Video Scotland’s Booming Whisky Industry Fears Brexit Hangover

    After Britain’s vote to leave the European Union, Scotland’s government wants to break away from the United Kingdom – fearing the nation’s exports are at risk. Among the biggest of these is whisky. Henry Ridgwell reports on a time of turmoil for those involved in the ancient art of distilling Scotland’s most famous product.
    Video

    Video Millennials Could Determine Who Wins Race to White House

    With only four months to go until Americans elect a new president, one group of voters is getting a lot more attention these days: those ages 18 to 35, a generation known as millennials. It’s a demographic that some analysts say could have the power to decide the 2016 election. But a lot depends on whether they actually turn out to vote. VOA’s Alexa Lamanna reports.

    Special Report

    Adrift The Invisible African Diaspora