Page 12 - EMBRACE Book
P. 12

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                                                                                                                                                                                                                         Maternal Care












                                                                                                                                                                                                              When it comes to mothers receiving the healthcare they need, there are two broad issues:
                                                                                                                                                                                                              access to health care and the quality of care. These two broad issues are broken down into
                                                                                                                                                                                                              what is known as the three-delay model.

                                                                                                                                                                                                              Firstly, mothers delay seeking medical care due to the low status of women, the acceptance of
                                                                                                                                                                                                              maternal deaths, poor understanding of the risks involved in pregnancy, negative health care
                                                                                                                                                                                                              experiences in the past, and financial constraints.

                                                                                                                                                                                                              The EMBRACE project addressed this first delay by training mothers, fathers, community
                                                                                                                                                                                                              leaders, and health care providers on the life-saving importance of prenatal and post-natal
                                                                                                                                                                                                              check-ups, as well as giving birth in a health facility. The project also helped to establish
                                                                                                                                                                                                              savings and loans groups, thereby enabling families to save money towards medical
                                                                                                                                                                                                              emergencies and have easy access to small loans.

                                                                                                                                                                                                              Mothers also delay seeking medical care because health facilities are far away, perhaps over
                                                                                                                                                                                                              mountains, rivers, or on the mainland. Transportation can be expensive, unavailable, or even
                                                                                                                                                                                                              dangerous.

                                                                                                                                                                                                              By donating ambulances, establishing community-based transportation systems, and
                                                                                                                                                                                                              constructing health clinics and “halfway homes,” the EMBRACE project has helped to address
                                                                                                                                                                                                              this second delay.

                                                                                                                                                                                                              When mothers do make the decision to seek health care and make the effort to arrive at a
                                                                                                                                                                                                              health facility, there can be a delay in receiving adequate care. This can be due to poor
                                                                                                                                                                                                              facilities lacking medical supplies. It can also be due to inadequately trained staff.

                                                                                                                                                                                                              The EMBRACE project has outfitted facilities with birthing tables, beds, and other needed
                                                                                                                                                                                                              supplies. It has also provided training to the staff so they are able to improve their practices.



















                                                                                                                                         Photo: © 2019 ADRA | Frank Spangler
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