Tuesday, 1 July 2008

Cambodia Needs Many Midwives to Guarantee the Safety of Mothers and Infants during Childbirth

Posted on 30 June 2008
The Mirror, Vol. 12, No. 567

“Experts of the World Health Organization and experts of maternal and infant health said that the health of mothers and infants during childbirth in Cambodia causes much concern, and this is the result mainly of the shortage of midwives.

“Dr. Cheang Konitha, an official of the World Health Organization in Cambodia, said that the health of mothers and infants is a major issue to which Cambodia should pay attention, because there are many maternal and infants’ deaths every year. She said, ‘It is estimated that about 2,000 Cambodian women and infants died every year during pregnancy or during childbirth.’

“Dr. Kum Kanal [Director of National Mother and Child Health Center] said that maternal and infants’ deaths during pregnancy and until 42 days after childbirth are higher than in other countries in the region. He said, ‘The number of maternal and infants’ deaths in our country is a bit better than that of Burma, and it is comparable to that of Laos; but if compared to that of Vietnam and Thailand, we are much worse.’

“He continued that there are three major reasons that makes the death rate in Cambodia so high, which include the late detection and control of illnesses, and the late referring to special care. As for other countries, their services are faster. He added that the delays are because there is a shortage of midwives, and most Cambodian citizens do not understand the importance of health centers.

“Dr. Cheang Konitha said that according to the national health statistics in 2007 in Cambodia, there were only 3,184 midwives, and this number is not enough to guarantee the safety of mothers and infants during childbirth.

“She said that there are more than 100 health centers that have no midwife at all, and 78% of women give birth to their children at home, 55% of whom give birth assisted by traditional midwives who have not obtained training in midwifery skills.

“Mr. Kum Kanal denied the numbers describing the shortage mentioned above, claiming that because of the efforts of the government, so far, among all of the more than 900 health centers in Cambodia, only 72 or 73 centers do not have a midwife. However, he admitted that Cambodia still lacks thousands of midwives, but he is not sure about the real number of the shortage.

“Officials of the Human Resource Development Department of the Ministry of Health could not be reached for comment on 28 June 2008.

“Ms. Cheang Konitha said that as a national standard, each health center needs one to two midwives. As for hospitals that have three sections, some need six to eight midwives, or seven to ten or fifteen to twenty; and areas without health centers also need midwives.

“Regarding the shortage of midwives in Cambodia, regional experts of the World Health Organization said in a workshop organized in Hanoi that the reason for the shortage of midwives in Cambodia is an economic problem.

“Mr. Kum Kanal mentioned that this is the true reason; the low salary is the major reason, and the shortage of encouragement is also a cause. Young people of the next generation in their teens are not very much interested in this skill.

“He asserted, ‘We have five midwife training schools, but there are only 200 midwives graduating from those schools each year. He went on to say that according to this number, we need up to ten more years to have enough midwives.’

Rasmei Kampuchea, Vol.16, #4528, 29-30.6.2008

No comments: