Dear Margaret
Here is the CRANA website And I have forwarded this emali to Sue Kildea

Denise Hynd

"Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled."

— Linda Hes

----- Original Message ----- From: "Sue Cookson" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, June 20, 2005 4:56 PM
Subject: Re: [ozmidwifery] Midwifery in East Timor


Hi Margaret,
I fully agree with Denise that the high mortality rates are more to do with nutrition than practices by traditional midwives. Sue Kildea has actually got some programs together for Aboriginal women in NT, who suffer from the same high mortality and morbidity rates as other malnourished impoverished women around the world.
Her work is fascinating.
Google CRANA (remote nurses group) and then put in Kildea in the search place. Alternatively search Maningrida which is a remote Aboriginal community where Sue and the Indigenous women have created a website talking about education etc to assist women in childbirth.

Good luck with your work - wish I was free to join you for a while,
Sue Cookson

Dear Margaret
I respond as one who spent time in PNG in the 1980's as a midwifery tutor where I actually learnt more from the village/traditional culture of birth there than here
until I became involved with Homebirth women and midwives!!
As in other countries including Australia in the past, I suspect a large proportion of the higher maternal and neonatal mortality rate in Timor is more a reflection of the poor state of the nutrition, housing and sanition of the people than their birthing practices. For example where I was in PNG most women had hookworm, malaria with enlarged spleen and other diseases we do not!
Haemoglobin in PNG was rarely more than 6!!
But the women who were not western educated knew their bodies gave birth and nutured their babies Thus the traditional women taught me alot about how to labour, birth and breast feed babies But the western educated would be good patients and therefore have many similar problems as our women for example get on the beds and need drugs, forceps etc! I understand now the Safe Motherhood programs and similar efforts concentrate teaching hygeine to traditional birth attendants and otherwise re-inforcing their knowledge of active birth abilities I understand there are web sites for this and similar teaching programs for TBAs?
Denise Hynd
"Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled."
— Linda Hes

    ----- Original Message -----
    *From:* Margaret Aggar <mailto:[EMAIL PROTECTED]>
    *To:* [email protected]
    <mailto:[email protected]>
    *Sent:* Sunday, June 19, 2005 12:34 PM
    *Subject:* [ozmidwifery] Midwifery in East Timor

    Dear All,
    I am a Midwife and Childbirth Educator working on the Central
    Coast of NSW. I went to East Timor in May, after hearing that
    their mortality rate is 100 times that of Australia! Only 10% of
    the women birth with a trained professional present. Many birth
    alone, or with an untrained relative or friend. There are village
    women who assist with births in the remote villages. One village I
    visited was a 9 hour bus trip from Dili (just 180 kms away).
    I have been asked to provide some training for these women in the
    remote villages so that they are able to better care for these
    women and reduce the poor outcomes, and to be able to recognise
    problems during the pregnancy so that they can be moved into Dili
    before birth.
    I am working on a training package at present, which will need to
    be translated into Tetum. The training will take place at a Clinic
    in Dili where there are about 60 births / month. I also need to
    become more fluent in their language - Tetum. I will return to
    East Timor either later this year, or early next year.
    This is a voluntary venture, and the training will be provided
    free of charge for the village women, with accomodation included.
    I will be looking for sponsorship for this as well as resources
    for these women to use in their villages at the completion of the
    training. It is anticipated that this will be on-going, with maybe
    two trips / year to check and see how they are going and provide
    more training. There are 5 women interested in the training at
    present.
    If there is anyone who may have an interest in assisting with this
    training, or assisting in some way, or would like to know more,
    please contact me via email.
    Regards,
    Margaret

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