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Goga with her two-year-old
daughter in Khetasar village of Jodhpur district. She took
especial care during the birth of her third child, a daughter
who is five and a half months old.
(Photo:
Ranjana Narayan) |
Jodhpur: Will the
baby live? Will the mother survive childbirth? Not very long ago,
it was left to fate to decide how a pregnant woman and her unborn
child would fare, but a slow change towards birth preparedness is
taking place in some villages of Rajasthan's Jodhpur district.
Now women like Mamta, Goga, Pushpa and Ganga care. Hiding their
faces behind colourful, pink and red odhnis or veils, and laughing
shyly over the discussion on pregnancy and birth, these women are
becoming aware of the need to eat properly, check blood pressure
and weight regularly and write down the phone number of the local
jeep or van driver to call when birth pains begin or in case of
any emergency.
Rajasthan has among the highest maternal mortality ratio in India
at 335 per 100,000 live births.
But in a project coordinated by SUMA-Rajasthan White Ribbon
Alliance for Safe Motherhood, in partnership with White Ribbon
Alliance India and GRAVIS (Gramin Vikas Vigyan Samiti) in 10
villages of Osian block of Jodhpur district, the results have
begun to show.
When Goga, in her mid 20s, had her first child, a son, nine years
ago and her daughter, who is now two years old, she wasn't aware
of the need to have iron tablets, or get herself weighed every
month to ensure she and her baby were fine or get her BP checked.
But when she was carrying her newest addition, a daughter who is
now five and a half months old, she paid attention to her diet.
"I ate greens, bajra rotis, iron tablets, took tetanus injections.
The jaapa (birth) went off well," Goga, smiling shyly, told IANS
in Khetasar village of Osian bloc.
Goga, whose husband is a carpenter in Surat, Gujarat, managed to
save Rs.5,000 by putting aside some money for her delivery every
month. But she didn't have to spend a paisa. In fact, under the
Janani Suraksha Yojana of the National Rural Health Mission of the
central government, Goga got a cheque for Rs.1,400 a fortnight
after the birth and was also compensated for the Rs.300 she spent
on the vehicle to reach the primary health centre at Osian, some
27 km away.
In between her first and second child, Goga had three
miscarriages, which is a common story among the women here. She
underwent medical treatment at Umaid Hospital in Jodhpur for nine
months at a cost of Rs.10,000, she said.
"Attitudes (to birth preparedness) have begun to change, and that
is a big thing," Smita Bajpai, programme officer of Chetna, an
NGO, told the visiting IANS correspondent.
"In our initial phase of work here, we had to deal with a lot of
hostility from family elders. The in-laws would tear up our
posters and other material we would bring to educate women, and
tell us to go away. It took us some persistence to break through."
Ganga, who has four daughters, gave birth to a little boy a few
months ago. Her eldest daughter is 12. A resident of Khabada
hamlet, set among the sand dunes, Ganga had three miscarriages
before the birth of her fifth child. All her babies were born at
home. In the case of the last child, Ganga registered with the
primary health centre, took her injections on time, and wrote down
the important numbers on the calendar.
One major change among the women now is that they go for birthing
at hospitals, either the primary heath centre or the nearest
facility that is equipped to handle births. Earlier, births would
take place at home as a norm, assisted by the dais or midwives.
Have the Safe Motherhood measures helped reduce the maternal
mortality rates in the villages?
Aparajita Gogoi, country director CEDPA (the Centre for
Development and Population Activities), which helped form the
White Ribbon Alliance India, says the measures may not lead to
direct prevention of maternal mortality but are extremely
important "in preventing delays which lead to maternal deaths".
"Women alone cannot take the key steps for birth preparedness, and
they need their husband's support and families support in
preparing for steps like locating the nearest health centre,
arranging transportation and money and blood donors and having
emergency numbers handy," Gogoi told IANS on e-mail.
As Ganga's mother-in-law said, "We followed all the instructions
to see that nothing goes wrong for the jaapa this time."
(Ranjana Narayan can be contacted at ranjana.n@ians.in)
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