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
Jan 23, 2014

Happy New Year! Feliz Ano Nuevo!

Tarahumara girl and infant
Tarahumara girl and infant

As we move forward into a new year, we would like to take a moment to reflect on all that was accomplished over the past 12 months.

In 2013, a total of 390 Community Health Volunteers and 365 Health Providers were trained. An additional 200 health workers participated in trainings on Multiculturalism and Humanization of Obstetric Care, and the first symposium on the same topic offered in the state of Chihuahua.

In other news, One Heart World-Wide worked with our local government partners to provide food incentives to all Community Health Volunteers. This allows us to offer thanks and compensation to our volunteers and increases the sustainability of our model. Volunteers are able to provide for their families in exchange for their time and dedication, which both increases volunteers ability to continue to work with us and improves the health of their families and communities.

Another huge milestone for our programs in 2013 was the approval of the use of Misoprostol in the communities of the Sierra Tarahumara. One Heart World-Wide has been incorporating Misoprostol into our programs as an effective means of postpartum hemorrhage prevention and management in Tibet and Nepal. However, due to regulations regarding Misoprostol in Mexico, it has not been available for use outside of larger hospitals until recently. Through advocating for its use in rural areas, One Heart was able to work with the state government to allow Community Health Workers to use the life-saving drug to manage postpartum hemorrhage. Misoprostol is ideal for use in remote locations as it can be administered in a pill form and does not require refrigeration such as similar injectable drugs that are commonly used for postpartum hemorrhage management. One Heart is excited that Community Health Workers will now also be able to administer the drug when necessary, and will continue to work with the goverment manage its use. The expanded reach of Misoprostol will help prevent many women from dying in childbirth, as postpartum hemorrhage is the most common cause of maternal deaths in the region. This development shows the strong collaboration that exists between OHW and the state government, and the shared goal to eradicate maternal deaths in the Copper Canyon.

We also wanted to share an anecdote from last year that we found particularly inspiring:

Ángel and Feliciana are One Heart Mexico volunteers. We spoke with Ángel recently and he confessed to us that when his wife, Feliciana, first began volunteering with One Heart, he did not believe in the program. Some months later, as he saw the positive changes that his wife’s commitment was brining to the community, Ángel changed his mind and decided that he, too, wanted to get involved. He was familiar with the small center where his wife and other volunteers held their meetings and gave talks. The small cement room did not have a roof and activities were often cancelled due to rain, strong winds, and other extreme climate conditions common to the canyons. Weather rendered many volunteer activities impossible in the winter months. Wanting to help, Ángel took three weeks of his time to build a roof and reconstruct the community center. Today the center is bigger and better. Volunteers gather there often for meetings and to host health education talks on Sundays. The small building has become an important center of active and ongoing community participation. Ángel now feels very proud to be helping the women in his town and finally feels empowered to make a difference in his community. He has also become a community volunteer, making community visits to deliver clean birth kits and safe motherhood messages to help ensure healthier outcomes for pregnant women and newborns in the Sierras.

We are very excited about our accomplishments in 2013 and we are looking forward to many more successes in the year ahead. Thank you for your continued support and your part in making our work possible.

Thanks!

Master Trainer training community volunteers
Master Trainer training community volunteers
OH Staff working with community volunteer
OH Staff working with community volunteer
Community Center upgraded by Angel
Community Center upgraded by Angel
Feliciana demonstrating use of blood pressure cuff
Feliciana demonstrating use of blood pressure cuff

Links:

Oct 23, 2013

Training Season

OHW Volunteers receive training certificates
OHW Volunteers receive training certificates

Late Summer and Fall have been marked by a series of trainings in Guachochi, Chihuahua.

In August, we held five training sessions for volunteers from the municipalities of Guachochi and Batopilas in partnership with the Servicios de Salud (SES, State Health Services) and Desarrollo Integral de la Famila (DIF, government entity for Family Development). Volunteer trainings cover a variety of topics, including the Network of Safety model, healthy pregnancies, prenatal care and its importance, newborn care, how to identify warning signs and possible complications during pregnancy, delivery, and puerperium and how to handle them, developing delivery and evacuation plans, use of volunteer equipment and materials, community outreach, and data collection.

All 250 participating Foot Soldiers of Change (volunteer outreach providers) were provided with materials and equipment to help pregnant women in their communities. Their volunteer backpacks include items such as thermometers, blood pressure cuffs and headlamps to monitor the women's progress, as well as flip charts that help volunteers to recognize warning signs and guide them through actions to take when certain situations arise.

In September, alongside the SES, we held a training for 40 doctors and nurses from Guachochi and Batopilas. The providers were trained in ultrasound use, emergency obstetrics, and intercultural sensitivity. They also participated in a workshop on vertical delivery, as this is a delivery option that is seldom used in delivery facilities, but is often preferred by Tarahumara women. Helping providers to better understand equipment designed for vertical delivery and discussing the importance of giving this delivery position as an option may encourage more Tarahumara women to have facility-based deliveries

This month, the SES will be hosting a Multiculturalism and Humanization of Obstetric Care Symposium in Chihuahua. While the Symposium has previously been taught on a national level, this will be the first of its kind within the state of Chihuahua. Providers across all levels (including One Heart Mexico volunteers) from all over the Copper Canyon have been selected to attend and act as representatives who will then go back and share with their teams in their units. 

One Heart is happy to have played a role in bringing this symposium to the state by helping to organize workshops earlier this year on intercultural sensitivity - a training package that we now include in all of our health providers trainings. Currently, the state health department is working with One Heart and other key stakeholders to promote such trainings for providers as part of their strategy to reduce maternal mortality.

Thanks for all of your support! Don't forget to take advantage of the GlobalGiving Bonus Day on October 23rd! Starting at 9:00am Eastern your donation with be match with an extra 30%!!  

Distribution of volunteer backpacks
Distribution of volunteer backpacks
Ultrasound Demonstration
Ultrasound Demonstration
Ultrasound Training
Ultrasound Training
Volunteer/Traditional Midwife Training
Volunteer/Traditional Midwife Training
Volunteer/Traditional Midwife Training
Volunteer/Traditional Midwife Training

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
 
   

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