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 Health  Bulgaria Project #32311

Free Medical Access for Teenage Mothers, Bulgaria

by Trust for Social Achievement Foundation
Free Medical Access for Teenage Mothers, Bulgaria
Free Medical Access for Teenage Mothers, Bulgaria
Free Medical Access for Teenage Mothers, Bulgaria
Free Medical Access for Teenage Mothers, Bulgaria

A year ago we shared with you the story of 18-year-old Maria and her baby girl Anna who only had access to medical services through a volunteer midwife visiting their neighborhood once a month. Maria dropped out of high school after she found out she was pregnant and now lives with her partner and four other family members in a small ramshackle house in Fakulteta, Sofia’s poorest and most marginalized neighborhood. Home to nearly 35,000 Roma, according to some NGO estimates, there are only three registered doctors providing services in the neighborhood. None of them attend to uninsured mothers.

We are happy to announce that since December 2019, hundreds of families like Maria and Anna’s have access to basic medical services in a newly opened health center in Fakulteta. The center, the first to provide care to uninsured patients in the neighborhood, became a reality thanks to your generosity and the partnership between the Trust for Social Achievement and the Health and Social Development Foundation, which has provided vital services to the community for 20 years and has operated a local daytime community center since 2017.

With the support of more than 100 private donors from Bulgaria, the USA, the UK and India, we succeeded in raising nearly $19,000 and purchased vital pre and post-natal medical equipment. We estimate that the health center will be able to provide care to about 250 mothers and infants in the coming year, and no mother, child or pregnant woman in need will ever be refused a medical checkup, regardless of insurance status.

Experts say that the first thousand days provide a rare opportunity to dramatically change the life outcomes of a child. In particular, access to health education and basic care results in significant gains in life quality for both mother and child. Mothers are more likely to carry their pregnancies to term and bear healthy babies, while infants are less likely to suffer neglect and abandonment. Mothers who receive medical counseling wait longer before subsequent pregnancies and are more likely to seek employment and provide care supporting their child’s emotional and physical development. Improved access to care also leads to better school readiness, reduced dependence on social welfare and decreased criminality.

The medical center still needs YOUR support to cover supplies and maintenance of the premises. Together we can make sure that no child or pregnant woman is left behind!


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Dear Donor,


We have great news to share! We are in the final stretch to officially opening the long anticipated Medical Center in Sofia! After months of negotiations and inspections, we received news from the Bulgarian Health Inspectorate that they have granted our center a license. This means that we can soon begin providing free access to prenatal care to disadvantaged women and children!


Thanks to your generous support we have raised an additional $566.38 that will help us obtain the last pieces of critical equipment. Since our last report in July we purchased an autoclave, a medical bed, a gynecological examination lamp,  children’s height meter, a hospital bed, 3 medical waste bins and a stainless-steel medical cart. We now only need to purchase some outstanding medical instruments in order to complete the process and begin examinations!


Another piece of good news is that since August parents can turn to a qualified pediatrician for the physical, mental and emotional care of their infants, children and teenagers.


Thank you again for backing our cause to reduce infant and child mortality in Bulgaria’s capital and to offer long-term change among the most vulnerable!




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Dear Donor,

Thank you for your generous support! In the last three months we have succeeded in raising an additional $410.47 for our campaign to provide free medical access to disadvantaged women and children.

We have finally been able to purchase several new pieces of equipment for our future community medical center. These include an ultrasound machine, a colposcopy, and a video printer. That gives us the opportunity to officially initiate the registration process with the Bulgarian Health Fund, which will entail stricter service regulations and additional equipment requirements but will also allow us to offer examinations to both uninsured and insured pregnant women, mothers, and children. Our next target is to purchase an autoclave, a medical bed, and a gynecological examination lamp. Until then, Roza and other volunteer midwives and pediatricians will continue supporting mothers and children who do not have insurance or other access to medical care.

Thank you again for backing our cause to reduce infant and child mortality in Bulgaria’s capital.


Brand new ultrasound machine
Brand new ultrasound machine
Brand new colposcopy
Brand new colposcopy


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Dear donor,

Firstly, we would like to wish you Happy New Year! May this year bring lots of happiness, new goals and inspirations and great achievements.

Thank you for your continuous support in 2018! It was our first year on the Global Giving platform, and so far it’s been an incredible journey that has given us additional tools to help the most vulnerable in Bulgaria’s capital.

Thanks to our campaigns and your generous help throughout the year, we’ve managed to raise $18,102!

We’ve been supported by 90 unique donors and 1 recurring donor who donates monthly to our cause. We appreciate your generosity, and we will continue to appeal to all our friends to keep supporting us so that we can meet our target and provide all the necessary neonatal and pediatric medical equipment needed to ensure adequate

Last year we spent 15% of raised funds on equipment. So far we've purchased a new gynecological chair, a fetal monitor, a fetal doppler, a baby scale, a contactless thermometer, and a blood pressure monitor. The remainder of funds will be used to purchase an ultra-sound machine and colposcopy. We are also hopeful that 2019 will bring opportunities to fund a hospital bed, pulse oximeter, and an autoclave.

With these gifts, our medical center will be fully equipped to meet a range of community needs.

In 2019, our team began working on a video production to show you the story of the disadvantaged children and mothers in Sofia and our mission to help them. Stay tuned!

Thank you again for your good hearts and happy 2019!

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Happy Anna and her mother at their consultation
Happy Anna and her mother at their consultation

“She is healthy and growing normally,” exclaimed Roza, a midwife who volunteers every third Friday of the month at the Health and Social Development Foundation center located in the biggest Roma neighborhood in Sofia, Bulgaria. She had just recorded the growth of baby Anna and examined her teenage mother Maria for any outstanding health-related issues. Roza is the only source of medical counselling for many uninsured, disadvantaged mothers who lack access to the Bulgarian healthcare system.

Maria, who is currently 17, was forced to drop out of high school due to her pregnancy. She lives together with her partner Miro and 4 members of his extended family in a small house in the same segregated neighborhood. “I’m meeting Roza for the first time. I’ve heard about the free medical appointments through my friend Iva, who also comes here with her daughter. I visit the center’s food kitchen every day to collect food for Anna but I never knew that we could get a checkup as well. I am extremely happy to know that Anna has grown 28 cm in one year and that she is all well and healthy,” Maria explains.

Maria and a line of disadvantaged women waiting outside Roza’s tiny office depend on your help to get pre and postnatal examinations. TSA is currently in the process of acquiring an ultrasound machine and additional medical equipment to ensure that those at risk have access to quality healthcare. Together with our partners from the Health and Social Development Foundation, who provided the facilities, and our network of volunteers, we are committed to put an end to preventable deaths of vulnerable mothers and children.

Roza measuring Anna's growth and development
Roza measuring Anna's growth and development
Baby Anna getting weighed
Baby Anna getting weighed
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Organization Information

Trust for Social Achievement Foundation

Location: Sofia - Bulgaria
Project Leader:
Boyan Dimitrov
Sofia, Bulgaria
$19,006 raised of $70,000 goal
118 donations
$50,994 to go
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