Increasing Access to Healthcare Services for Women at Risk
According to the World Health Organization, hundreds of women die from pregnancy or childbirth-related complications around the world every day. Almost all of these maternal deaths occur in low-resource settings, and most could have been prevented.
CMMB works in countries with the highest maternal mortality rates in Africa and the Americas. Globally, our maternal health programs focus on the best outcomes for mothers and children. Failure to identify risk factors, lack of early screening to detect STDs, inattention to hygiene and health, delayed identification of pregnancy, and a tradition of home births are factors which can endanger a baby’s healthy growth and the health of her mother.
South Sudan has has one of the world’s highest maternal mortality rate; Haiti’s is the highest in the Western Hemisphere.
We make long term commitments to communities globally. We collaborate with local institutions and health personnel to create integrated, consistent responses targeting killers of women of childbearing age, pregnant women, and newborns. We focus on providing antenatal care to prevent and treat complications.
Interventions include:
- Increasing access to focused antenatal care, facility-based deliveries, and skilled birth attendants.
- Identification and management of infectious diseases, including HIV, syphilis, and other sexually transmitted infections.
- Promotion of tetanus toxoid immunization.
- Intermittent preventive treatment for malaria during pregnancy.
- Management of obstetric complications such as preeclampsia and hemorrhage.
- Education to promote the use of skilled facility-based deliveries and healthy behaviors such as breastfeeding, early postnatal care, and planning for optimal pregnancy spacing.
CMMB also addresses cultural, behavioral, socioeconomic, health system, and other challenges, especially those that contribute to the three primary delays that inhibit pregnant women from reaching maternal care:
- Delay in the decision to seek care.
- Delay in identifying and reaching a health facility that provides maternal care.
- Delay in receipt of adequate and appropriate treatment.
Evidence shows that by addressing these delays, we can positively impact a mother’s utilization of critical health services and her maternal health outcomes.
Safe Motherhood in South Sudan
In 2013, CMMB initiated a Safe Motherhood project at the Ezo Primary Health Care Center in Nzara County as part of our CHAMPS (Children & Mothers Partnerships) program. The project directly responds to the “three delays” and leverages CMMB’s volunteer program to expand access to quality care. The project encourages, mentors, and tangibly supports traditional birth attendants (TBAs) to refer pregnant women for facility-based antenatal care and delivery. TBA-related efforts have led to consistent increases in the number of pregnant women referred for antenatal care, prevention of mother-to-child transmission of HIV (PMTCT), and outpatient services.