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CARE spouští iniciativu na podporu zdravotnic, zejména těch v odlehlých venkovských oblastech

Od 3 června, 202414 června, 2024Žádné komentáře

3. června 2024 

Na Světovém zdravotnickém shromáždění CARE zahájila šestiletou iniciativu She Heals the World (Ona léčí svět), jejímž cílem je řešit problémy, kterým čelí „komunitní zdravotnice a zdravotníci v první linii “ při poskytování péče ve svých komunitách. Jde například o zdravotní sestry, porodní asistentky, venkovské lékaře a lékařky či asistenty, kteří působí tam, kde je to nejvíce potřeba, hlavně ve špatně dostupných odlehlých rurálních oblastech. Zároveň je její snahou posílit hlas žen ve vedoucích zdravotnických pozicích, což povede k pozitivnímu dopadu na zdravotnické systémy po celém světě. 

CARE plánuje spolupráci s vládami, místními partnery, poskytovateli finančních prostředků a dalšími klíčovými aktéry, aby zajistila, že 1,2 milionu zdravotnic a zdravotníků bude dostatečně vyškoleno, vybaveno a zaplaceno za svou práci, která zachraňuje životy. Tím se zvýší rovný přístup ke zdravotní péči na celém světě. 

„Zdravotnický personál v první linii – z nichž 70 % na celém světě tvoří ženy – je klíčem k zajištění toho, aby se komunitám dostalo základních zdravotnických služeb. Práce těchto pracovnic a pracovníků ale příliš často zůstává nedoceněná,“ uvedla Michelle Nunn, prezidentka a generální ředitelka organizace CARE. „Naléhavě potřebujeme větší podporu a investice, abychom zajistili, že budou moci efektivně a bezpečně pokračovat ve své práci, která zachraňuje životy, a rozšířit ji po celém světě.“ 

Zdravotnice a zdravotníci pomáhají nejzranitelnějším skupinám, přináší jim zdravotní osvětu, koordinují péči, poskytují zdravotnické potřeby a pomáhají pacientům převzít odpovědnost za jejich vlastní zdraví. Často se však setkávají s překážkami, jako je velká pracovní zátěž, nízký plat, nedostatečné vyškolení a omezené zdroje, což vede k nebezpečným pracovním podmínkám i vyhoření. 

Iniciativa She Heals the World vyzývá k naléhavým opatřením ve třech klíčových oblastech: 

Financování: Vlády a dárci jsou vyzýváni, aby investovali a podporovali tyto zdravotnice a zdravotníky, měli snahu o rozšíření a zpřístupnění péče v obtížně dostupných komunitách a zabývali se tématy týkajícími se odolné a genderově citlivé zdravotnické služby. 

Realizace: Je třeba zavést opatření k zajištění odpovědnosti za plnění klíčových závazků na úrovni jednotlivých zemí. 

Integrace: Komunitní zdravotnice a zdravotníci musí být plně uznáni jako součást zdravotnického systému a začleněni do globálních politických rozhovorů a rozhodovacích procesů. 

Při plnění těchto cílů se CARE snaží zajistit, aby byly zejména ženy ve zdravotnictví posíleny, doceněny a upřednostněny jako klíčové aktérky pro tvorbu odolných, spravedlivých a udržitelných zdravotnických systémů. A to v souladu s cílem udržitelného rozvoje OSN č. 3, který je zaměřen na zajištění zdravého života a podporu blahobytu lidí všech věkových kategorií. 

Posílení postavení žen a dívek je ústředním cílem poslání CARE. Iniciativa She Heals the World je jedním z mnoha kroků k tomu, aby mohly ženy a dívky sebevědomě vést a měly přístup k rovným právům a příležitostem. 

V případě dotazů se obracejte na: usa.media@care.org

CARE print and online use ONLY (exhibitions, posters, flyers and online and social media channels). Media and partners can purchase a license: www.ostkreuz.de, Christian Pankratz, c.pankratz@ostkreuz.de, +49 (0) 30 - 473 73 930.    Shorash Abdullah Khalaf, born in Damascus, is one of over 5.6 million men, women and children who were forced to flee their home country Syria over the past ten years of ongoing conflict. While Shorash’s husband started his journey towards Europe, Shorash fled to Domiz refugee camp in Northern Iraq.   When COVID-19 broke out in Iraq in 2020, the country’s already strained health system was hit extremely hard. Hospitals were lacking medical oxygen and personal protective equipment, health staff needed training. CARE immediately adapted its programs and distributed hygiene items such as masks and soap, trained health staff and hygiene promoters to protect people by distributing messages on how to prevent COVID-19.   When Shorash saw the job opportunity to work as hygiene promoter for CARE, she immediately applied and quickly became head of the CARE hygiene team. They worked around the clock to support and protect the community in Mam Rashan camp for internally displaced people.   “Being a refugee makes you act like a hero. My sisters always tell me that I am their role model”, she explains. “To me, it has always been especially important to help refugee women and girls to understand their bodies and to take care of their hygiene. Women and girls are on their period every month, despite the many difficulties they face while being a refugee. I am very proud that I can support them and at the same time can also help my family with this income.”   Despite her fulfilling work as a CARE hygiene promoter, Shorash has been longing for the moment to reunite with her husband ever since they left Syria. In April 2021, she finally received the letter she has been waiting for so long allowing her to join him in Bregenz, Austria. She recently arrived in Austria and is now doing a lot of paperwork while getting used to her new life. She is eager to celebrate her 30th birthday which happens to be on World Refugee Day, June 20.   CARE supports people living in Mam Rashan camp with safe drinking water, the maintenance of sanitation facilities and waste management. To prevent the spread of COVID-19, CARE organizes hygiene awareness raising sessions and distributes hygiene kits. With a special focus on women and girls, CARE also distributes sanitary pads and other hygiene items.    To date, CARE has reached over 520,000 people in Iraq.
CARE print and online use ONLY (exhibitions, posters, flyers and online and social media channels). Media and partners can purchase a license: www.ostkreuz.de, Christian Pankratz, c.pankratz@ostkreuz.de, +49 (0) 30 - 473 73 930.    Shorash Abdullah Khalaf, born in Damascus, is one of over 5.6 million men, women and children who were forced to flee their home country Syria over the past ten years of ongoing conflict. While Shorash’s husband started his journey towards Europe, Shorash fled to Domiz refugee camp in Northern Iraq.   When COVID-19 broke out in Iraq in 2020, the country’s already strained health system was hit extremely hard. Hospitals were lacking medical oxygen and personal protective equipment, health staff needed training. CARE immediately adapted its programs and distributed hygiene items such as masks and soap, trained health staff and hygiene promoters to protect people by distributing messages on how to prevent COVID-19.   When Shorash saw the job opportunity to work as hygiene promoter for CARE, she immediately applied and quickly became head of the CARE hygiene team. They worked around the clock to support and protect the community in Mam Rashan camp for internally displaced people.   “Being a refugee makes you act like a hero. My sisters always tell me that I am their role model”, she explains. “To me, it has always been especially important to help refugee women and girls to understand their bodies and to take care of their hygiene. Women and girls are on their period every month, despite the many difficulties they face while being a refugee. I am very proud that I can support them and at the same time can also help my family with this income.”   Despite her fulfilling work as a CARE hygiene promoter, Shorash has been longing for the moment to reunite with her husband ever since they left Syria. In April 2021, she finally received the letter she has been waiting for so long allowing her to join him in Bregenz, Austria. She recently arrived in Austria and is now doing a lot of paperwork while getting used to her new life. She is eager to celebrate her 30th birthday which happens to be on World Refugee Day, June 20.   CARE supports people living in Mam Rashan camp with safe drinking water, the maintenance of sanitation facilities and waste management. To prevent the spread of COVID-19, CARE organizes hygiene awareness raising sessions and distributes hygiene kits. With a special focus on women and girls, CARE also distributes sanitary pads and other hygiene items.    To date, CARE has reached over 520,000 people in Iraq.
Fatema Mobin along with the other private CSBA of Care GSK project visiting Ratargaon High School at Sunamganj for growing the awareness of adolescence and menstrual management knowledge with girl student of those isolated zone of Sunamganj. People from those areas are deprived from proper education of health care and other basic rights. Date: 24/06/2019    
Selina Begum, a private CSBA of care GSK project visiting the rural community of outskirts of Sunamganj. During the visit at Jalalpur with her husband Mr. Mohammad Ali also accompanied her. According the statement of Selina Begum, her husband is supportive and respects her profession that’s why she can smoothly do the duty. And they also maintain a pharmacy for providing basic health care. Date: 23/06/2019    
Selina Begum is a community skilled birth attendants (CSBA). She lives and serves in the community in Jalalpur in the district of Sunamganj which is in North-west Bangladesh. Besides providing door-to-door maternal services, she also runs a pharmacy for providing basic health care to her community. Amidst the recent COVID-19 outbreak, she told us the following:   Yes I have heard about the virus. It is a disease that spreads very quickly. I use mask when I go outside and visit my patients.   I am still providing door to door service for the community. I aware people about this disease when I visit them. I tell them about the symptoms and preventive measures. My shop is still open. Pregnant mothers are getting very worried about the situation; I try to ease them and calm them and tell them not to worry.  I try to keep my household clean. I have kept water and soap for hand washing. To continue our services, we need protective gears to be able to serve the community. ---- Saving lives through providing instrumental services  Such devotion to work earned her a unique identity in the locality. In August 2017, 22 years old housewife Habiba was suffering from delivery complications. She was lucky to have Selina by her side, who being a trained birth attendant—checked her partograph and reported that she would not have a normal delivery. Selina soon took Habiba to the Sunamganj General Hospital, and her delivery was successfully done at 3am. Recalling that night, Habiba’s husband says, “If Selina Apa hadn’t taken her to the hospital at the right time, my wife and baby would have died.” Lovely from Fatehpur village was equally grateful to her. When Selina took Lovely to the Maternal and Child Welfare Center (MCWC) at the district town, it was already 4am. She had to undergo a cesarean delivery due to complications. Such devotion to work earned her a unique identity in the locality. With her willpower and hard-work, she has secured a respectable place in society. Selina was married to a sales representative in 2009, and they faced a lot of financial hardship as she gave birth to two children. Her husband’s income source was not a permanent one. She realized that she would have to earn besides her husband to make the family a well-running one. But nothing attracted her attention like the Private Community Skilled Birth Attendant (Private CSBA) program, conducted by CARE GSK Community Health Workers Initiative. The goal of this project was to reduce death rates of pregnant women and newborn babies in the remotest locations, while also encouraging women to be self-sufficient by being a sustainable health entrepreneur. Selina started her training quite late in 2016. As she began providing maternal and child health services as a Private CSBA, she turned out to be a problem for the local traditional birth attendants. They did not want her to work in their area fearing that, in the presence of a skilled birth attendant, their acceptability and income would be reduced. Many clients thought of her as a government birth attendant, so they refused to pay. She was worried, whether she will be able to continue her work in such situation.  Soon she chalked out a new plan and stayed with patients for the whole night and accompanied the complicated cases up to higher facilities at district level as part of referral, a strategy that no government health worker would follow. By then she was on good terms with Sunamganj Sadar Hospital staffs and health volunteers as she referred patients regularly to this hospital. Her efforts changed perceptions about her services in the locality. The service recipients started showing gratefulness for her dedication as a skilled health service provider. Besides she has established a good linkage with the community health system, therefore she is conducting deliveries at community clinics and family welfare centers at union level. Now she works as an adviser to local people on pregnancy related issues. She is also a community sales agent of SMC’s (Social Marketing Company) healthcare products at a competitive price. Of all the people who helped her on this journey, she is most grateful to her husband. Her husband advertises her services out of his marketing experiences, takes care of the children when she is at work, buys medicines for her business from a local bazaar and at night he accompanies her to her client’s house. Happy with her husband’s cooperation, Selina has bought him a mobile phone. Their married life had never been more functional with mutual respect, now suffusing their home.  ---- About project:  Since 2012, CARE Bangladesh has been implementing an innovative public private partnership to address the shortage of health human resource issues in a remote areas with funding from GSK’s 20% profit reinvestment policy. To address the above issue, the project has developed 300 Skilled Health Entrepreneurs (SHE) in Sunamganj and 110 SHE in Netrokona district supported by communities, public health system, and Local Government bodies. The private providers are accredited by Bangladesh Nursing Council with six months’ community skilled birth attendant training complemented by community based integrated management of childhood illness (C-IMCI), FP, nutrition and social entrepreneurship training. Each provider has a market size of about 7500 population and is supported by 10 community health workers (CHWs).  
Life2Live: Every woman deserves to give birth safely Caption - Portrait of midwife Arti Sah in the maternity clinic in the village of Ambote, Nepal Midwife Art Sah works in Aambote health facility. Arti was part of the same batch of midwifes as Pramila- trained by CARE, funded by GSK. “I felt very lucky to be part of CARE’s SBA (skilled birth attendant) training. It’s a very big thing to get the training. It gave me in-depth insight and practical skills, and it has given me confidence. I’ve delivered 20 babies since I began working here in March. I feel very lucky, very happy and thankful. Arti recently saved the life of a local woman, Sabita, who was stretchered to the facility with her baby, with a retained placenta. She was shocked at the sight of Sabita’s baby, which was placed between her legs, still attached to Sabita, and covered in mud. Arti knows she saved Sabita’s life. “I feel very proud. I feel very happy when I get a successful case – there is nothing bigger than that. Than the happiness I feel when a healthy mother leaves the facility with a healthy baby.” It’s not all happy for Arti, though. While she loves her job, the health facility is desperately understaffed. Arti says she is only able to see her family once a year, for four days. Her family scold her for “being married only to her job.” But Arti knows how vital her role is in the community of Aambote, especially during monsoon season. If Arti isn’t there, and a pregnant woman needs urgent healthcare, she would need to be stretchered for 15km to the nearest market village, and then catch a public bus for 40km to the district hospital. The last bus leaves at 3pm, so if they miss the bus they would be stuck overnight. Since Arti arrived in Aambote, there have been no maternal or infant deaths.

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