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Fight for life; Afghanistan

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Subido el 26 de junio de 2007 por EducaMadrid

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From the fall of the Taliban to the rebuilding of a shattered nation, Afghanistan is a country undergoing extraordinary change. But when it comes to pregnancy and childbirth, mothers and their babies are still fighting for their lives.

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From the fall of the Taliban to the rebuilding of a shattered nation, 00:00:00
Afghanistan is a country undergoing extraordinary change. 00:00:03
But when it comes to pregnancy and childbirth, 00:00:07
mothers and their babies are still fighting for their lives. 00:00:10
The city of Talikhan, northeastern Afghanistan, 00:00:18
is facing a new challenge. 00:00:21
A mother here is 200 times more likely to die in childbirth than her sisters in Europe. 00:00:23
Outside the city, in the remote villages, 00:00:43
pregnancy is a death sentence for one mother in three. 00:00:46
According to official figures, 00:00:52
the maternal mortality rate in Afghanistan is now the worst in the world. 00:00:54
In this strict culture, women are confined to their homes for most of their lives. 00:01:00
They can't even go to the hospital to give birth without their husband's permission. 00:01:06
And permission is often denied. 00:01:11
Most of the women who come to the district hospital here come in an emergency, 00:01:14
the last resort when a pregnancy goes wrong. 00:01:20
Dr. Bari Yusayeva is a gynecologist in Talikhan. 00:01:25
They're not allowed to open their face. 00:01:44
They're not allowed to go anywhere without permission, husbands or mother-in-law. 00:01:46
Her name is Chiringi. 00:01:56
She's 20 years old, maybe younger, and she's carrying her first baby. 00:01:57
To get here, she's traveled nine hours by jeep along rocky mountain tracks. 00:02:04
It emerges that a woman in her village, a traditional birth attendant, 00:02:10
gave her injections of oxytocin, the drug used to induce labor. 00:02:14
The contractions began three days ago. 00:02:20
But her pelvis is too small, and now the baby's heart is failing. 00:02:23
They wheel her to the operating theater. 00:02:30
If the baby is not delivered immediately, it will die. 00:02:35
She, too, is in great danger. 00:02:40
There is a risk that her womb will rupture. 00:02:42
But doctors decide on an emergency caesarean. 00:02:47
She's still in her day clothes as she's helped onto the operating table. 00:02:53
So, 00:03:10
less than a quarter of an hour later, they deliver her baby. 00:03:25
She makes no sound, but she is still alive. 00:03:31
They give the baby oxygen. 00:03:36
The baby's heart is not so good. 00:03:39
She cannot hear the baby's heart. 00:03:47
The appalling death rate among mothers 00:03:56
is one of the priority areas in the reconstruction of Afghanistan. 00:03:58
In a cornerstone effort, the World Health Organization 00:04:03
has set up a project to train 1,000 midwives in the country. 00:04:06
At the age of 18, 00:04:12
Manijar Abdullah Halik is one of the youngest on the midwife training course. 00:04:14
I'm studying in Taleghan. 00:04:24
This is important for our people because after 25 years of war, 00:04:25
we have lost a lot of people, 00:04:30
and we have a very high level of maternal mortality, 00:04:32
and we need midwives and doctors, 00:04:35
and we need a health clinic to treat our people. 00:04:37
Recruiting women from remote, conservative communities like Barak was difficult. 00:04:46
Dr. Bari from the midwife school in Taleghan 00:04:53
says it takes a long time for men to get to the hospital. 00:04:56
It takes a long time for women to come around. 00:05:00
Here is a lot of challenges in Afghanistan, 00:05:03
but step by step, slowly, slowly, 00:05:05
and just now we are a big family, 00:05:08
and when their fathers allow them, 00:05:11
just now they say, 00:05:13
go to the school because Bahri is your mother. 00:05:15
Riding a donkey is not so easy when you're wearing a burqa. 00:05:22
Her father helps. 00:05:26
Bani Zha must not show her face to men outside her village. 00:05:28
Once she's a midwife, this will be her sole form of transport, 00:05:34
and the clinic where she'll work is an hour's ride away. 00:05:38
Once she reaches the clinic, she's permitted to show her face again. 00:05:48
Simply by giving these women access to skilled medical care, 00:05:52
the number of deaths in childbirth could be cut by three-quarters, 00:05:56
according to World Bank estimates. 00:06:00
Her name is Bakhdagal. 00:06:06
She tells Bani Zha she's ridden three hours on a donkey to get to the clinic. 00:06:09
She's 30 weeks pregnant, and she is in great pain. 00:06:14
This is her 12th child. 00:06:21
All were born at home without help. 00:06:24
Bani Zha tells her her baby is OK and that she has a month to go. 00:06:27
Don't worry. You should use family planning. 00:06:37
Enough is enough. 00:06:40
A year from now, if all goes well, 00:06:45
Bani Zha will be one of the new midwives saving lives of mothers and children 00:06:48
in the remote communities around Talakhan. 00:06:53
As for Chiringui, she will live, but it was too late to save her baby. 00:07:00
Had there been a trained midwife in her village 00:07:05
instead of the woman who induced labor before her body was ready? 00:07:07
Had she been educated? 00:07:12
Had she known even a day earlier that she needed help? 00:07:14
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Idioma/s:
en
Niveles educativos:
▼ Mostrar / ocultar niveles
      • Nivel Intermedio
Autor/es:
United Nations (Naciones Unidas)
Subido por:
EducaMadrid
Licencia:
Reconocimiento - No comercial - Sin obra derivada
Visualizaciones:
1155
Fecha:
26 de junio de 2007 - 17:31
Visibilidad:
Público
Enlace Relacionado:
21st Century Television Series
Duración:
07′ 35″
Relación de aspecto:
4:3 Hasta 2009 fue el estándar utilizado en la televisión PAL; muchas pantallas de ordenador y televisores usan este estándar, erróneamente llamado cuadrado, cuando en la realidad es rectangular o wide.
Resolución:
320x240 píxeles
Tamaño:
43.33 MBytes

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