Hi everyone!
Just about two months left until I conclude my time here and all is going well.
One of the projects I am most proud of from my Peace Corps
service is the mobile antenatal care clinic, or “pregnancy school” which
myself, Osei and some of the local nurses implemented. The concept was to bring
some of the antenatal care to the pregnant women in my clinic-less village, as well as educate women about various health topics that affect their
pregnancy, unborn child, and family as a whole.
Over the course of seven monthly sessions, we educated 43 pregnant
women and 15 mothers of newborns about topics including the importance of
antenatal care, the baby’s growth in the womb, nutrition, malaria, family
planning, HIV/AIDS, protecting and caring for the body during pregnancy,
preventing and treating diarrheal diseases, and use of the locally grown super
food moringa.
Women came on a regular basis, active and engaged, until
their children were born. Some mothers even came with their newborns to learn
more about nutrition, moringa and malaria!
I am incredibly proud of this program and thankful for the
hard work and dedication of my counterpart, Osei, who often went house-to-house
encouraging women to attend, and the nursing staff, who came in every month on a moto on
treacherous roads to share their expertise.
I recently wrote a vignette about one of the success stories
of the pregnancy school. Here is Eunice’s story:
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Sharing a one-room house with five children and her husband,
Eunice Daboa struggles to make ends meet. Money is tight even after selling the
cocoa crop for the year. The debt from the funeral costs for her eldest child
have made this even tighter, and her husband’s grief is still visible a
full year after the accident in the river.
It us up to Eunice to keep the family together – to cook,
clean, help tend to the farm, and care to their everyday needs. Eunice’s own
pregnancy, in its second trimester, does not change this. Though Ghana offers free health care for pregnant women,
Eunice can’t afford to spend the five cedis round trip to the clinic, so she
does not go.
The second trimester of a pregnancy is crucial in all
pregnancies, but especially in Ghana. Eunice should be receiving Intermittent
Preventative Treatment in pregnancy (IPTp) to rid her body and the placenta of
malaria parasites that kill so may pregnant women and unborn children here. She should be having
her first scan (or ultrasound) to make sure the baby is developing normally.
And though she has already raised six children, there is
still much for her to learn about how to best care for herself, her family, and her
unborn child. She may regularly give her husband all the stew that contains the
meat and vegetables necessary for her and her baby to be healthy, and she still
does not sleep under a mosquito net to help prevent malaria.
After her first attendance at the pregnancy school, we visit her house and discuss the importance of her seeking care at
the local clinic. She has already taken the first step by coming to our
program, but with limited resources, our nurses cannot perform all the tests
and provide the scope of care necessary at this stage of her pregnancy.
Understanding that her poverty is more extreme than most in
this “cash crop” village, I give her the money necessary for her transportation
and maternal health book. The next day I see Eunice in a car on the way back
from the clinic – the nurses have provided her with additional care and a clean
bill of health. Despite an exhausting list of responsibilities, Eunice looks radiant.
Without the intervention of the antenatal care clinic, or pregnancy school, we
may not have been able to detect and help women like Eunice. She displayed
willingness to learn and better the health of her family – hanging the bed nets
she received during the distribution and requesting moringa seeds to plant so
she may fortify her family’s food.
In January 2014, Eunice and her family welcomed a health
baby girl. Mother and baby are both doing well.
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