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Kezdőlap > Egyéb > Szörnyű képek! Az UNICEF megmutatja, milyen gyereket szülni a világ legrosszabb helyein

Szörnyű képek! Az UNICEF megmutatja, milyen gyereket szülni a világ legrosszabb helyein

Az idén 70 éves UNICEF képeken mutatja meg, milyen gyereket várni és szülni olyan borzalmas helyeken, mint Guinea, vagy Niger. Sok baba és anya túl sem éli a születést, a körülményeket elnézve, nem is csodálkozunk….

Mateneh Sesay awaits a caesarean section at the Kabala Government Hospital in Kabala, a town in Northern Province. The foetus has died, but doctors cannot remove it until a relative arrives to donate blood for a transfusion. The hospital does not have a blood bank. In March 2010 in Sierra Leone, child and maternal mortality rates remain among the highest in the world. Nearly one out of every five children dies before the age of five, and a woman’s lifetime risk of maternal death is one in eight. Many health clinics lack ambulances, electricity, skilled personnel, and essential supplies, and many people simply cannot afford basic health services. Maternity services are particularly poor, with only 43 per cent of women giving birth in the presence of a skilled birth attendant, such as a doctor, nurse or midwife. The high prevalence of malnutrition, malaria, acute respiratory infections, preventable diseases, poverty and gender inequality also contribute to the high rates of death and illness among children and mothers. UNICEF is supporting government efforts to improve child and maternal health by building clinics, supporting ambulance services, and providing essential drugs and supplies for obstetric care. UNICEF also supports preventative and curative health programmes, including vaccination campaigns, the distribution of insecticide-treated mosquito nets, the practice of exclusive breastfeeding and the promotion of hand-washing. The Government is also preparing to launch a programme to abolish fees for primary health services to pregnant and lactating mothers and children under the age of five.

Mateneh Sesay császármetszésre vár Sierra Leonéban, a babája meghalt az anyaméhben. | Forrás:UNICEF

A midwife clips the umbilical cord from the newborn of Suraya [NAME CHANGED], 22, moments after his birth, at Malalay Hospital in Kabul, the capital. Due to severe overcrowding, Suraya gave birth on the floor of the delivery room. Nafisa [NAME CHANGED], 20, lies in labour behind her. [#1 IN SEQUENCE OF THREE] In 2007 in Afghanistan, the maternal mortality ratio (1,800 per 100,000 live births, based on 2005 estimates) is among the highest in the world. Only 16 per cent of women receive any type of antenatal care, and only 14 per cent of births are attended by skilled health workers. Child survival and welfare is intimately tied to women's health. Afghanistan's infant mortality rate is 165 per 1,000 live births, while an estimated 54 per cent of children under five are stunted, and 38 per cent are moderately or severely underweight. Thus both women and children are threatened by grossly inadequate maternal health care. Most women cannot choose when and how many children they will bear, and pressure to have sons often drives repeated pregnancies. Early pregnancy, pregnancies that are too close together and large family size also contribute to high maternal and infant deaths. Women have a 1 in 8 lifetime risk of dying from complications due to pregnancy, most from preventable or treatable causes. This crisis, made worse by entrenched attitudes and decades of conflict, will not be solved without addressing the denial of women's rights that is its principal underlying cause. Globally, 536,000 women die annually from pregnancy and childbirth complications and 99 per cent of these deaths are in the developing world, especially in South Asia and sub-Saharan Africa. In Afghanistan, UNICEF supports access to reproductive health services and contraception; primary education for all, especially girls; and the training of female doctors to redress the acute shortage of skilled providers.

Afganisztán: A 22 éves lány a padlón fekve szülte meg a kisbabáját – miközben tartja a kicsit, a dúla elvágja a köldökzsinórt. | Forrás: UNICEF

[RELEASE OBTAINED] Midwife Esther Chimembe cleans newborn Elson, who lies on top of his mother in the labour ward of the Chelstone Clinic in Lusaka. His mother, Inonge Siamalambo, is HIV-positive and is receiving ARVs, part of the PMTCT programme at the clinic. Elson will receive prophylactic ARVs twice a day for the first seven days after birth and, at six weeks, will be tested for HIV. [#2 IN SEQUENCE OF SEVEN] In April 2009 in Lusaka, the capital of Zambia, the Chelstone Clinic provides vital programmes to treat HIV-positive pregnant women and prevent mother-to-child transmission of HIV (PMTCT). PMTCT programmes include HIV testing during pregnancy, antiretroviral (ARV) regimens for sick HIV-positive pregnant women, prophylactic antibiotics and ARVs for infants exposed to HIV in utero, and early infant diagnosis and treatment. HIV-positive infants diagnosed and treated within the first 12 weeks of life are 75 per cent less likely to die from the virus. However, many infants do not receive PMTCT services because their caretakers lack access to properly equipped facilities or fear the stigma associated with HIV. Zambia has recently made great strides in expanding PMTCT programmes. In 2007, HIV tests were administered to 65 per cent of pregnant women in the country, and nearly half of HIV-positive pregnant women received ARVs. But, for PMTCT measures to be effective, infants must adhere to a long-term, structured course of tests and services, which is difficult for many caretakers.

Zambia: A dúla az újszülött babátt törölgeti – édesanyja HIV-pozitív. | Forrás: UNICEF

2010. A health worker assists a mother breastfeeding her baby just 30 minutes after delivery at an integrated health centre in the town of Maradi, Maradi region, south east of Niger. UNICEF supports a safe motherhood programme to reduce maternal and neonatal mortality.

Niger | Forrás:UNICEF

Nadége Ndi Rose, 20, is in labour in the maternity ward of Saint Luc Hospital, a privately run hospital in the town of Mbalmayo. Two health workers attend to her. Ms. Rose will deliver her fifth premature, stillborn baby. She has never received a prenatal consultation. In April 2009 in Cameroon, rates of infant and maternal mortality remain some of the worst in the world. In the past decade, the under-five mortality rate has climbed from 139 to 148 per 1,000 live births, and the infant mortality rate has also increased. Women’s lifetime risk of maternal death is one in 24. These massive death rates stem from a lack of knowledge about prenatal and maternal care and from widespread poverty, which makes basic health care unaffordable. Many women, particularly in rural areas, lack access to health facilities, and over 90 per cent of health districts do not have adequate staff or equipment. Gender inequality aggravates these conditions: 58 per cent of women report that their husbands alone make decisions regarding their health. As a result of these circumstances, nearly 20 per cent of women do not receive even one prenatal consultation, and only 61 per cent of births are attended by a doctor, nurse or trained midwife. Many women turn to traditional birth attendants who do not have medical training and are unable to deal with labour complications. UNICEF is working with the Government to provide equipment and trained personnel to all health districts and to train traditional midwives to manage complications during childbirth or to seek medical help when problems arise.

Kamerun: A 20 éves lány egy most szüli meg ötödik, halva született kisbabáját. Soha nem volt lehetősége terhességi tanácsadáson részt venni. | Forrás: UNICEF

Bernadette, a midwife, wipes down a newborn baby girl at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. Behind her another midwife helps the mother who has had to give birth on the floor because the only delivery bed was being used by a mother who had just lost her child in labour. The body of the dead baby can be seen wrapped in a kanga on the table behind. In partnership with the Government of Spain, UNICEF is aiming to improve neo-natal, child and maternal health care throughout Guinea thus contributing to the reduction of infant, children and maternal mortality rates. A specific objective is to foster community-based delivery of health services including: Community Integrated Management of Childhood Illnesses: Malaria, Pneumonia, Diarrhoea; Community Based Emergency Obstetrical and Neo Natal Care and Community Based Management of Malnutrition.

Guinea: A szülésznő egy újszülött kisbabát tisztogat. Mögötte egy másik szülő nő fekszik a padlón. A kép bal sarkában egy csecsemő letakart teste látható, aki nem élte túl szülést. | Forrás: UNICEF

Forrás:  UNICEF

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