
Health for
All was initially developed by Dr. David Mark Jones the doctors, staff and patients
at the Bridge and Littlebourne Health Centres, Canterbury. Aiming to
"preserve health and relieve sickness and suffering in the less
developed countries of the world" it supports partnership projects in
India and Africa.
Working in Bihar,
India, in partnership with People First, a local Indian NGO, successful
developments have included bringing nurse and doctor clinics to many
villages, supporting health education and immunization programmes and
poverty alleviation through women's self-help groups. Recent work with
UNICEF has led to an opportunity to develop a "model project" for rural
health care in Bihar.
Most recently,
Health for All has been working in partnership with The Tigray Health
Bureau in Ethiopia to support rural health programmes aiming to reduce
maternal and child mortality.
Health for All is
also active in promoting the idea of "partnership projects" to assist in
holistic health improvements in the developing world".
The last year has
seen Health for All continue to work with partners in both India and
Ethiopia.
In India we are working closely with UNICEF to ensure that the standards
of health care provided are as high as possible and also that our work
supports the development goals of the local heath service. In
particular, the work with Women’s Groups in the villages goes from
strength to strength and is offering families a real chance to help
themselves out of poverty.
Doctors and Midwives
from Kent have continued to visit Tigray, Ethiopia on a regular basis,
supporting the Tigray Health Bureau reduce maternal and childhood deaths
in one of the poorest parts of Africa.
Ethiopia
Midwifery Project
The
midwifery training visits to Tigray have now settled into a pattern of
twice a year (Spring and Autumn) when groups of four midwives from East
Kent visit the midwifery schools in Mekele and Axum and two health
centres in the rural areas of Nebelet and Mai Kinetal. It is such a
privilege to work with these students who show such enthusiasm and
willingness to learn. The training programme is developing and the
students have been taught practical skills in neonatal resuscitation,
management of labour, postpartum haemorrhage, shoulder dystocia, breech
delivery, use of partograms and the recognition of obstructed labour. It
is encouraging to see students grow in confidence and that the training
continues between visits. The first group of students have graduated as
midwives and are now working throughout Ethiopia.
The gifts of
equipment have been well received and in addition to teaching aids, back
packs containing basic midwifery equipment were supplied for the Health
Extension Workers who travel between the villages and Health Posts. The
numbers of deliveries conducted by the Health Extension Workers is
increasing along with the confidence in their skills and training.
Report -
Another major change in the partnership is the inclusion of another
Health Centre at Mai Kinetal with its Health Posts into the partnership.
There is evidence emerging of an improvement in the level of skills and
knowledge of the grassroots Health Extension Workers. They have now a
much greater understanding of the third stage of delivery and of
neonatal resuscitation. This is beautifully reflected by the local
population who are increasingly placing their trust in them over the
more traditional birth attendants to deliver their babies. The two
communities of Nebelet and Mai Kinetal are extremely remote with poor
health provision but the partnership has already demonstrated that this
can be changed. The need for improved transportation, water and
electricity supplies and the continuing support through training and
education are just examples as to how this can be achieved.
The time spent with
them in the villages was most rewarding. Examining many patients and
with the brief histories was taken and was of help in the diagnosis and
treatment of many villagers. Most commonly was malnourishment and its
consequences.
While in Bihar the
majority of time with the health team in the villages, the work the team
does of providing primary care and health education to the villages was
impressive.
New
Vehicle, Bihar - This past year has seen major fundraising in the UK
to replace the vehicle that the Health Team in Bihar have been using for
nearly ten years. Extreme heat, the annual monsoon and regular use on
the awful and often non-existent roads in Bihar had made this a
necessity! John Rofe, a Forest of Blean Rotarian and enthusiastic
supporter of Health for All, led the fundraising and then travelled to
Bihar in February to present the four wheel drive vehicle to the Health
Team.
Accommodation in Bihar
