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 11, 2013

Progress Despite Weather Delays

Program Director meeting with FCHV
Program Director meeting with FCHV

Despite unforseen weather challenges this year, we continue to make progress on our birthing center upgrades in Dolpa. The extreme weather has made travel to the sites of our birthing center projects even more difficult than usual. There are no roads in the entire district of Dolpa and therefore, all equipment and construction materials must be delivered by plane, helicopter, or carried to the site on the backs of yak or mule caravans. Due to rain, it has been unsafe for helicopters and planes to make landings in the area and trips by pack animals have been heavily delayed due to dangerous conditions.

However, our teams are up to the challenge! We have had better luck in Phoksundo than in Saldang, and we have finally completed construction at the Ringmo (Phoksundo) birthing center site. We expect to have the necessary medical equipment delivered and set up before the year's end. We have gotten price quotes and are in the process of purchasing delivery beds, infant warmers, dopplers, and a variety of medical devices to provide preventative, delivery and emergency obstetric care and newborn care at the newly upgraded birthing centers.

Saldang, the more remote of the two locations, has proven a bit more arduous, and as such, construction materials have just arrived. Construction should be underway shortly and we are hoping that all structural work will be completed by the end of the year as well. 

Over the past several months, we also completed monitoring and evaluation on the implementation of the Childbirth and Newborn Care Package (CBNCP) in which we train all Female Community Health Volunteers (FCHV). Our team visited 18 health facilities and spoke with more than 100 FCHV, making this the largest follow-up of its kind ever to have been done in Dolpa, where travelling on foot can be a challenge to completing such a task. This feat is encouraging for future work in the district, as it shows that comprehensive monitoring and evaluation is possible in the region with the right amount of determination and hard work! We are setting the bar high for our teams and for other NGOs working in Dolpa. In addition, we participated in a three-day district level review of the CBNCP program. All of the health workers from peripheral level health institutions were part of the review process. We had an open discussion regarding the major bottle necks to the program's success in addition to skill refreshers. Our team reports that it was very fruitful to have representatives of all the health facilities update their knowledge and skills as well as provide feedback on the progress and impact of the program.

Our team also had the opportunity to present our work in Dolpa at the Annual District Project Advisory Committee Meeting. Many high ranking officials from the government were present, who praised our vision to work in remote locations such as Dolpa where many other organizations are hesitant to work at the moment. They provided us with valuable suggestions and asked for our assistance not only in continuing to improve the Maternal and Child Health sector in Dolpa, but also the development of health as a whole, which is of course something to strive for! 

I should also mention that this month marks one of the biggest festivals of the year in Nepal - Happy Dashain!

Thank you for all of the continued support.

Saldang Birthing Center Site
Saldang Birthing Center Site
Yak Caravan to Dolpa
Yak Caravan to Dolpa
On the hike to Dolpa
On the hike to Dolpa
Nepal Program Director at the PAC Meeting
Nepal Program Director at the PAC Meeting

Links:

Jul 24, 2013

New Plans Ahead

Health Providers-Emergency Obstetrics
Health Providers-Emergency Obstetrics

Since our last report, things have changed for the better. We had originally set a goal to train 200 community health volunteers, but with new commitments from various stakeholders across the state - that number just got bigger. We are pleased to inform you all that our project in the Copper Canyon of Mexico is now set to reach more women and communities than we had expected. 

Thanks to the committment of the State Health Department of Chihuahua and the municipal jurisdictions' efforts to irradicate maternal mortality, as well as a committment from the State Government and its Social Development Department, we have been able to raise the bar for improving maternal and newborn health in the most affected communities of the Sierra Tarahumara. Through a committment made by One Heart Mexico and government entities dedicated to this project, we have been able to agree to train a total of 500 community health volunteers by the end of September of 2013 in order to implement our Network of Safety model. Additionally, we will have trained at least 200 health providers in topics like Emergency Obstetrics, Helping Babies Breathe Protocol and Intercultural Sensitivity, plus, 30 key memebers of the health system will be trained in Basic Use of the Ultrasound Machine. All of this makes for a  total of 730 people trained this year in the Sierra Tarahumara to implement and improve a statewide strategy for the reduction of maternal and newborn mortality. 

One Heart World-Wide's new goal is to raise money for the purchase of two ultrasound machines that will benefit over 2,000 women in the Sierra Tarahumara. We have agreed to allocate those machines in the areas where they are most needed. The agreement made with the various state agencies will also introduce monthly food incentives for the community health volunteers, starting in August of this year. This will provide a stronger committment from these volunteers to implement this project and will thus improve the lives of so many women. Becasue of the support you have given us up to this point, we have been able to provide trainings to 157 community health volunteers,100 health providers and have been able to reach close to 400 women.

Thanks for the continued support!

Slide
Slide
Balloon Tamponade
Balloon Tamponade
Balloon Tamponade Practice
Balloon Tamponade Practice
Jul 15, 2013

Renovations, Training, and the Harvest

Phoksundo Birthing Center
Phoksundo Birthing Center

Early summer in Dolpa is when the majority of people there participate in the Yarchagumba harvest. Yarchagumba is a caterpillar fungus found only within a specific elevation range in parts of the Tibetan Plateau and the Himalayas that is highly coveted for its medicinal benefits. Dolpa is one of the few places that this precious fungus grows and as such, it is one of the area's most lucrative crops.

While many people have been occupied by the hard work that the season entails, OHW has been able to accomplish some great things over the past few months. Here are a few highlights:

  • Our new Program Coordinator and Field Supervisor for Dolpa successfully reached the field site where they will be based, completing a full staff complement for the district
  • 18 Female Community Health Volunteers (FCHV) received a four-day refresher training on Maternal and Neonatal Health
  • Five more refresher trainings have been planned for Upper Dolpa, which will train 45 additional FCHV and 20 Amchis (traditional healers)
  • Birthing center renovations have begun for two new birthing centers in Phoksundo and Saldang! (Construction materials have been purchased, plans have been further developed, and agreements with collaborating teams have been signed)
  • A solar power system was installed at the Dho Tarap birthing center
  • In May, Nepal Program Director, Surya Bhatta was able to attend the Women Deliver Conference in Kuala Lampur along with One Heart Mexico's Executive Director and 4,500 other advocates, policymakers, researchers and others working for women's health and empowerment from 149 countries worldwide - returning to Nepal with new ideas, resources, and partnerships that will serve to further the development of our projects. 

Once the harvest is complete, the local teams will be able to start more extensive renovations on the birthing centers and planned trainings will begin, including training for the treatment Pelvic Organ Prolapse as part of a newer program we are implementing in partnership with another NGO, Karuna Shechen. We are exciting for what the next few months will bring!

In other news – two of our project’s photos have been chosen as finalists for the Photo Contest! You can find our photos under the "Give Relief" catergory. Find one (or both!) marked with our project name "Saving lives, one birth at a time" and vote by entering your email address! Voting begins on Monday, July 15th so please check back between then and July 31st to vote and PLEASE share with your networks! The photo with the most votes by noon (Eastern) on July 31st will win.

Thanks from everyone at One Heart World-Wide!

Saldang Birthing Center
Saldang Birthing Center
Community-Based Newborn Care Training
Community-Based Newborn Care Training
Female Community Health Volunteers during training
Female Community Health Volunteers during training
FCHVs during training
FCHVs during training
Nepal Program Director at Women Deliver 2013
Nepal Program Director at Women Deliver 2013

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