of maternal deaths caused by their late arrival in healthcare centres
children had heart surgery in 2015
Women and children
The Island’s overall health situation has deteriorated since the political crisis in 2009. Women are the first to suffer. By failing to arrive on time in healthcare centres, many of them die during childbirth. Whilst use of contraception has increased, access to modern, effective methods is very difficult and the rate of abortions is estimated at 1 in 10 births. In addition, mortality amongst infants and young children remains high, and is often caused by nutrition problems.
Childhood heart disease
As everywhere else, some children in Madagascar suffer from heart disease. But on the island, where the health system is very fragile, their care is more difficult than elsewhere. There are only two hospitals in the capital which are capable of making an accurate diagnosis and carrying out closed heart interventions .But, owing to the high cost of treatment (screening, diagnosis, treatment, and surgery), only some families are able to obtain treatment for their children suffering from heart disease. The rest are condemned to living with their illness, or to dying from it.
What we do
We have helped:
Doctors of the World is working on improving emergency obstetric and neo-natal care in Madagascar, in order to limit the number of deaths of infants and women in childbirth. The study of community relationships with healthcare centres has given us a better understanding of the needs and enabled us to consider appropriate solutions. Thus the teams lobby for basic healthcare centres to integrate mother and infant care into their activities. For this reason, medical staff are trained specifically in this type of care and the centres are refurbished and equipped to receive women and children in good conditions. Almost 200 community health workers have undergone awareness training on issues around mother and infant health.
Did you know?
The PASMI consortium (Project on access to mother-child healthcare) is made up of six international NGOs: Doctors of the World (consortium leader), ACF (Action against Hunger), GRET, Handicap International, MFPF (French movement for family planning) and Santé Sud (Health South).
For 20 years, Doctors of the World has organised for a surgical team from Reunion to come and work with Madagascan teams at Antananarivo on infant cardiac surgery. The association provides equipment for the new operating theatre at CENHOSOA hospital so that it suitable for this type of intervention and trains Madagascan practioners so that in future they will be able to operate alone. Doctors of the World also takes care of the transfer of patients requiring open heart surgery to Reunion or mainland France.
In addition, the heads of health centres in several areas of the island were trained in the detection of tell-tale signs of paediatric heart disease, so that the children can be referred to the hospital.
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