When the world gets closer.

We help you see farther.

Sign up to our expressly international daily newsletter.

Maternal mortality is still very high in Afghanistan
Maternal mortality is still very high in Afghanistan
Mudassar Shah

JALALABAD — Shah Zaman, 11, spends his days carting people's luggage to earn a few cents. His mother died during his birth and soon after, his father remarried.

"I wish my mother had been taken to the hospital," he says. Shah lives in Jalalabad, in eastern Afghanistan, where war and internal conflicts have weakened the local economy and health system.

Like in so many parts of the country, health facilities lack trained staff. In more remote areas, health facilities can also be hours away, making it difficult for pregnant women to reach them in time. This, in a country where women give birth to an average of six children, and where one in 11 women dies in pregnancy or childbirth, according to a 2012 report from Save the Children.

The government is working hard to address the issue by training midwives — more than 4,000 since the fall of the Taliban in 2002. Saliha, a midwife in the Kama district hospital in eastern Nangarhar province, thinks the initiative has helped, but says maternal mortality is still far too high. Blaming both the lack of female health providers in her area, and bad roads, she decided she would step in.

"It was my dream to be a doctor," she recalls. Unable to afford medical school, she completed a two-year midwifery course. "

[rebelmouse-image 27089977 alt="""" original_size="800x536" expand=1]

A newborn baby at a Kandahar hospital — Photo: Staff Sgt. Arthur Hamilton

Saliha says that because patients can show up at any moment, health facilities keep midwives on call 24 hours per day. "Our services have helped reduce the maternal mortality rate," she says.

A survey by the Afghan Ministry of Health and its partners suggests that the maternal mortality has indeed dropped steeply: from 1,600 deaths per 100,000 live births in 2002 to 327 deaths per 100,0000 live births in 2010.

Medical practitioners say women in rural areas have started to trust the local health services, and rather than give birth at home, as they did in the past, are traveling to hospitals to deliver their babies.

Aasiya is Saliha's colleague at the hospital, where she has been working for the past eight years. "Pregnant women used to give birth in their homes," she explains. "They have a false perception about deliveries in health facilities."

The women have also organized health education and awareness sessions to encourage locals to take advantage of the new care available. Nazia recently traveled to the hospital with her sister, who is having her first baby. "We are very grateful to the staff who provided us with great support, and for free," she said. "This is vital for poor people like us who can't afford it otherwise.".

You've reached your monthly limit of free articles.
To read the full article, please subscribe.
Get unlimited access. Support Worldcrunch's unique mission:
  • Exclusive coverage from the world's top sources, in English for the first time.
  • Stories from the best international journalists.
  • Insights from the widest range of perspectives, languages and countries
Already a subscriber? Log in

When the world gets closer, we help you see farther

Sign up to our expressly international daily newsletter!
food / travel

Denied The Nile: Aboard Cairo's Historic Houseboats Facing Destruction

Despite opposition, authorities are proceeding with the eviction of residents of traditional houseboats docked along the Nile in Egypt's capital, as the government aims to "renovate" the area – and increase its economic value.

Houseboats on the Nile in Zamalek, Cairo

Ahmed Medhat and Rana Mamdouh

With an eye on increasing the profitability of the Nile's traffic and utilities, the Egyptian government has begun to forcibly evict residents and owners of houseboats docking along the banks of the river, in the Kit Kat area of Giza, part of the Greater Cairo metropolis.

The evictions come following an Irrigation Ministry decision, earlier this month, to remove the homes that have long docked along the river.

Keep reading...Show less

When the world gets closer, we help you see farther

Sign up to our expressly international daily newsletter!
You've reached your monthly limit of free articles.
To read the full article, please subscribe.
Get unlimited access. Support Worldcrunch's unique mission:
  • Exclusive coverage from the world's top sources, in English for the first time.
  • Stories from the best international journalists.
  • Insights from the widest range of perspectives, languages and countries
Already a subscriber? Log in
THE LATEST
FOCUS
TRENDING TOPICS

Central to the tragic absurdity of this war is the question of language. Vladimir Putin has repeated that protecting ethnic Russians and the Russian-speaking populations of Ukraine was a driving motivation for his invasion.

Yet one month on, a quick look at the map shows that many of the worst-hit cities are those where Russian is the predominant language: Kharkiv, Odesa, Kherson.

Watch VideoShow less
MOST READ