South Sudan calls for increased advocacy on maternal health care
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December 4, 2011 (JUBA) - South Sudan on Sunday called on activists
and community groups to focus more on giving messages about maternal
health care, which is a major challenge in the new nation.

Maternal mortality rates are among the worst in the world with 2,054
mothers out 100,000 dying during labour in South Sudan, according to
figures from the ministry of health.

Health care during pregnancy is free in South Sudan but there are less
than 100 midwives for the entire country, which has a population of
over 8 million.

Janet Michael, director of nursing and midwifery with the ministry of
health, said Sunday that her ministry wanted to encourage Civil
Society Organisations (CSOs) and human rights groups to include health
care messages in all their activities.

Specifically she asked that they help the government educate men and
women about when to seek medical advice, not to delay reaching proper
medical facilities and accessing quality care.

These "three delays determine life or death for a woman experiencing
complications in child birth”, she said.

"Most people aren’t even aware about how to identify complications.
Men as heads of households aren’t aware of the importance of seeking
care so long as the woman is on her feet."

A three day workshop was held over the weekend in Juba on "Improving
Maternal Health in South Sudan” to try and address the issue.

Patrick Tom Umboya, a consultant at the ministry of health speaking at
the closing session pointed out that maternal and under five mortality
remain public health concerns in Sub-Sahara Africa as a whole and not
just South Sudan.

For South Sudan and the region as a whole to achieve Millennium
Development Goal 4 and 5 under five mortality and maternal mortality
will have to drop significantly.

The health official cited negative practices such as access to
services, hemorrhage, infection, hypertensive disorders of pregnancy,
obstructed labour and some unsafe abortion as some of the causes of
maternal mortality.

"With regards to socio-economic barriers it is not only the attitude
of the health care service provider but the education of the woman,
her level of empowerment and access to sanitation" that effects the
chances of her and her child surviving pregnancy and the first few
years of life.

"Also, NGO efforts seem ad hoc as sometimes you can’t point put what
is being done. Antenatal care and supervised delivery are critical to
minimizing the risk associated with maternal health.”

He lauded efforts by government to ensure universal access to health
care, especially the introduction of a policy to provide free
comprehensive free maternal health care (antenatal, delivery and post
natal care).

Measures are being taken, he said, to improve geographical access are
the Traditional Birth Attendant (TBA) program, Community-Based Health
Planning Services (CHPS), expansion of midwifery training and
expansion of health facilities.

(ST)

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