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2009.01.14

* UNICEF flagship report: Training midwives in Afghanistan
* 시간: 02 min 22 secs
* 촬영도시: Panjhir, Balkh, Kandahar
* 촬영국가: Afghanistan
* 촬영일자: N/A


Dr. Forough Malalai is a rarity.


A female doctor in Panjhir Province, Afghanistan.


Her patients are the women living in these vast valleys and in remote villages often inaccessible by road. The distance between their homes and her clinic is common in rural Afghanistan - the consequence…one of the highest maternal mortality rates in the world.


SB (Dari) Dr. Forough Malalai, Rukha Health Clinic, Panjhir:
"We are facing challenges such as lack of transportation, cultural and traditional values and family issues. Lack of transportation means families don’t bring their patients early and on time"


Compounding the dangers for pregnant women … most abide by a ban on being treated by male doctors. That means that for 6 million child-bearing age women, there are fewer than 13,000 skilled birth attendants.


A UNICEF supported midwifery programme is underway country-wide to train female community health workers in life-saving delivery skills.


In the east, in Kandahar … an active insurgency is another challenge to be surmounted.


SB (Pashto) Dr Shahwali Popel, Heath and Nutrition Specialist, UNICEF Kandahar:
"As you know we have security problems in this region. This insecurity affects the provision of several services including health services. Clinics are closed and physicians and other medical personnel are not ready to provided health services in such regions. We are not able to reopen these healthcare centres due to refusal of medical personnel to go to theses districts because of high risks of insecurity. The mothers and children are affected most.


Antenatal care, availability of caesarean section and skilled female birth attendants are all on the rise. But there are still too many women who are alone in Afghanistan … too far from too few attendants, making the gift of life an all too deadly venture.


This is Elizabeth Kiem reporting for UNICEF Television, Unite for Children

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