One Heart World-Wide

"Mission: Saving the lives of women and newborns one birth at a time". One Heart World-Wide programs improve the health and well-being of pregnant women and infants that would not otherwise have access to maternal and child-health services due to sociocultural barriers, limited personal resources, or remote living conditions. Essential to our programs are the integration of local resources, collaboration with local communities and providers, with respect for cultural norms and practices. In each of our program sites, we are committed to working within the local culture, respecting and honoring it while helping women access a safe delivery
Oct 15, 2014

Updates from Dolpo

Training with HFOMCs
Training with HFOMCs

We remain so grateful to each of you for your generosity and compassion in action toward women and babies in Nepal. Your support helps to ensure One Heart World-Wide’s success as we work hard to eradicate preventable maternal and neonatal mortality in Nepal. With your help, we have reduced neonatal mortality rates in the two districts where we work by an average of 75% and maternal deaths by 89% in the Baglung district, and 50% in the (more challenging and remote) Dolpa district. The extreme remoteness of many women in Dolpa and climate present a challenge, but we are proud of the many lives saved there and we continue to work hard to train healthcare workers and educate the public around maternal healthcare. In this report, we would like to update you on just a couple of our activities in Dolpa since mid-July.

In August, we conducted trainings sessions for the Health Facility Organizing Management Committees, who are elected Nepalese governmental bodies responsible for managing the birthing centers.  These trainings were held in Phoksundo and Saldang, the most difficult-to-access Birthing Centers of Northern Dolpa. Each of the 22 committee members attended the sessions, where they were coached on best practices in management for the centers, they talked through local needs and challenges, and they committed to implement the teachings they learned. In addition, both of the Health Facility Organizing Management Committees agreed to sustain the quality birthing center services, which will eventually be turned over to the communities with One Heart World-Wide stepping into an advisory role. This allows One Heart World-Wide to eventually pass complete ownership of this project to the community, and allows us to use your dollars to work in districts that still lack accessible maternal healthcare services. Until then, we will continue to work in close partnership with the Nepalese government as we train and prepare the workers and community for the transition. Community ownership, long-term sustainability, and high-quality services are our goals for each place we work.

In late July our Liku Birthing Center staff performed plays in partnership with a local club to build awareness of good maternal and neonatal healthcare practices among community members. Over three hundred people attended, and we hope it will bring about positive behavioral changes in the Liku community.

A story:

Dhani, a 20-year-old in Liku, part of the Dolpa district, was pregnant with her first baby.  After 11 hours of excruciating labor, her family brought her to the Liku Birthing Center. The nursing staff at the center tended to Dhani and she delivered the next day. Shortly after the birth, Dhani experienced intense bleeding. The nurses immediately recognized the bleeding as postpartum hemorrhage, a leading cause of maternal deaths in Nepal, and they administered medication and fluids. Dhani’s life was saved and her family was so grateful that they vowed to get the word out in the community to assure that all other pregnant women deliver at the Liku birthing center. One way that the word is spreading quickly about our birthing centers is the many women and their families who use the centers and want to encourage all of their networks to use the center after their positive experiences.

In the last thee months we also trained 57 Health Worker in the Baglung district in the birth preparedness package using misoprostol to manage post-partum hemorrhage. Thank you again for making it all possible. Your support means so much to the people whose lives are saved every day. 

Street Theater in Liku
Street Theater in Liku
Dhani and her Baby
Dhani and her Baby
Dhani
Dhani's Baby
Jul 17, 2014

Trainings and Stories from the Field

Female Community Health Volunteers
Female Community Health Volunteers

These past three months have been dedicated to some successful trainings and visits to the communities where we work to verify the impact we are creating in these remote areas. Our team in the field met with 144 female community health volunteers from 16 different village development committees. This is done to review the Community Based Newborn Care Package. This package consists of basic knowledge provided to volunteers in the field in order to assist before and during an emergency. The package is not only a training, it also includes some basic equipment provided to our volunteers so that they can perform routine checkups on pregnant women. When a review is done, it basically retests the knowledge of volunteers and it focuses on refreshing volunteers in topics that they have most difficulties with. This revision also provides an assessment of the current situation in the field, and to make sure that our goals are being met.

We also trained 27 health workers from three new communities, Liku, Pahada and Juphal. This training includes topics related to prenatal care and providing the best service to patients coming into a health facility. Our team also supervises that health facilities are in the best condition possible to attend deliveries and reduce the risk of any infections during labor. We are strongly committed to teach health staff the basics in providing the best experience for women living in difficult areas. When health facilities are upgraded, it creates a welcoming environment for women.

We would like to share two stories from the field related to some of the pregnant women that we serve and some of the difficulties that they face in their lives.

  1. One of our young female patients from Vijer-2 was suffering from Hyper emesis Gravidarum and was in a very poor condition. As a treatment course, she was kept in observation for 3 days with IV line open and Drip continued (D5,DNS). She was kept NPO for 1 day. Then, inj.domepridone was given. Later, liquid and soft and normal diet was started according to the condition. Fortunately, the traeatment was successful. She is now home, reunited with her family and in very good condition.

    Together, as a team, we can help these women to regain their dignity, health and once again to be respected by their communities and lead happier lives.

 

  1. One of our child from Vijer was suffering from  pneumonia. The child was given IV medication(antibiotics) and nebulised with asthaline to make him breath smoothly. The mother was quite worried. We provided informal teaching to the mother. Fortunately, treatment came out to be successful.

Now, the child is in very good condition. I feel grateful to see the child playing happily and the happy and thankful faces of the family members. 

Mother Group for Health orientation in Juphal
Mother Group for Health orientation in Juphal
Bhagwati with Manmaya
Bhagwati with Manmaya's son
Water System for Birthing Center
Water System for Birthing Center
May 5, 2014

Thank you GlobalGiving!

Mother and Baby
Mother and Baby

Part of the One Heart World-Wide model is to ensure long-term sustainability of the projects we implement by ensuring that local staff and volunteers are prepared to independently manage programs, ensuring stable funding sources, and making sure that the community stakeholders are invested in our mission. We are pleased to announce that we have identified a great partner that has the not only the ability to fund the program in its entirety, but is also dedicated to the mission of saving lives and educating the indigenous people of the Copper Canyon. We are confident that we are leaving our Mexico program in very good hands as we transition into a role of providing technical assistance and evaluation of the work we began there.

Our new partner, Fundación Vida Digna, a foundation funded by Interceramic, S.A. will be incorporating the Network of Safety model into their mission. Fundación Vida Digna currently works in rural areas of the Copper Canyon and has provided education and health services to these communities for over 10 years. Interceramic is one of the largest tile companies in the world, and we are thrilled that they share our passion to improve maternal and newborn health outcomes for indigenous communities in the Copper Canyon. This is an opportunity to expand our projects to a larger scale within the state of Chihuahua and to more efficiently provide services to the communities at the highest risk there. We are excited to embark on this new partnership with them. 

Because the process of creating a new partnership can be time-consuming, we have dedicated much of the past three months to fine-tuning our plan to satisfy the needs and goals of both One Heart and Vida Digna, while maximizing benefit to the Tarahumara people. Despite being busy with planning details, we have been able to provide refresher courses for 60 community volunteers from the municipality of Guachochi in basic prenatal care. By the end of this year we will have trained at least 4 more groups of 60 people each, totaling 300 community volunteers. We expect the number of volunteers trained to increase steadily next year, therefore enabling us to reach out to larger numbers of women in need of improved access to maternal and newborn care.

As part of the new strategy, we have decided that outreach health workers will participate in a new motivation program. Outreach workers present the largest support for our community volunteers, and through them, volunteers are able to learn the difficulties faced in rural communities. The outreach workers will attend at least one One Heart training every three months so that they can share their first-hand experiences of working with people in the communities so that volunteers may learn more about the people and the environment they live in. Additionally, we will hold two trainings for health personnel covering Emergency Obstetrics, Helping Babies Breath and the use of ultrasound this year. These trainings will cover at least 80 health workers. Right now, they are working on building a new birthing center in Urique to provide a safe space for women to deliver with midwives in the Canyon.

We are certain that our new partnership will bring excellent results by the end of this year, and for that we are very excited. Your help has been essential, not only to this process, but to the entire project. The funds we have received has allowed us to continue to train health workers and volunteers and to provide much-needed support needed to the Tarahumara communities in the Copper Canyon while we plan for the future of the program. One Heart World-Wide and all of our staff are very proud of the work that has been done under our watch. We have trained hundreds of community volunteers and health professionals, learned from the local communities, and improved birth outcomes for women and newborns in the Copper Canyon. We are incredibly grateful for the support of the GlobalGiving community – we couldn’t have done it without you.

Thank you from the One Heart World-Wide family.

This will be the final report for this project. If you would like to continue to support our work in Nepal, please take a look at our project Saving lives, one birth at a time: http://goto.gg/8860

Newborn Care Training
Newborn Care Training
Master Trainer, Carlos, and Community Volunteers
Master Trainer, Carlos, and Community Volunteers
Birthing Center being built in Urique
Birthing Center being built in Urique
Certified Volunteers
Certified Volunteers

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