Having the fortune of living in Europe I am used to the regular notes from my doctor reminding me that I need to go for a smear test or a some other kind of check-up. I am sure that if I were pregnant the number of reminders for appointments, tests, scans would quadruple at the very least. This is the reality and the standards that I am (and I guess also you are) accustomed to. This is my right as a woman.In Afghanistan, you are lucky if you survive child birth (1 in 8 women die during child birth). Smear tests? what are those? the women are likely to demand. In a country where women are largely considered second class citizens, their health is naturally also considered as being off the scale of priorities. Pregnancy and above all child birth is like playing Russian roulette; a dangerous game to play in country where on average women have 6.8 children.
The human cost of almost thirty years war is evident not only in terms of the numbers of people who have lost their lives, but also in terms of the numbers of people who continue to do so. Lack of infrastructure for health care in general, and in particular for women lead to an unnecessarily high mortality rate.
EMERGENCY (an Italian NGO) has been in Afghanistan since 1999. Having seen the number of easily preventable deaths resulting from child birth, EMERGENCY decided to do something for the women of the Panjshir Valley – a mountainous region in the north of the country. After a long period of negotiations with the local health authorities, the go ahead was given to EMERGENCY to construct the Maternity Centre in Anabah within the same compound as the EMERGENCY Medical Centre. The Maternity Centre has been open since June 2003 and has seen over 27,000 women at its clinic and assisted in the birth of 4,300 babies.
The very existence of the Maternity Centre is a bold statement. It shows the community that women have medical needs and above all that they deserve high quality free of charge care. Mothers of post-war nations play a fundamental role in rebuilding the community as they are often the main care giver. The men are often injured or broken by the fighting; it is the women that hold the fabric of society together and strengthen it. Playing Russian roulette with their lives in child birth is negligent and has longer term consequences more far-reaching than evident at first sight.
The Maternity Centre not only provides free of charge high quality medical care to mothers and their new born babies, but also offers on-the -job training to the Afghan national staff who work along side an all-female team of expatriate staff. The Centre is making headway in building capacity in female health care in the region.
I hope that the advent of EMERGENCY’s bold statement that is the Anabah Maternity Centre, marks the beginning of a journey for Afghan women that leads to frequent polite reminders from doctor’s surgeries – their right.
For more information on EMERGENCY please visit www.emergency.it
A note about EMERGENCY
EMERGENCY is an Italian not-for-profit organisation that works in conflict and post-conflict areas. It was founded in Milan in 1994, by Dr. Gino Strada, Teresa Sarti and other friends. The activity of the organisation is predominantly financed by private donors in Italy. In 14 years, only 6.01% of all money raised has been used to cover administrative costs. Since its inception EMERGENCY has treated over 2.75 million people around the world. In Afghanistan EMERGENCY also runs Surgical Centre in Kabul, a Surgical Centre in Anabah and a Surgical Centre for War Victims in Lashkar-Gah along with series of First Aid Posts and Primary Health Centres.
Sobana Nallaiah