I first met Akech in August last year when she was only about two weeks old. Her mother had died in childbirth and her grandmother brought her to the opening day of the Emmanuel Children’s Centre at Marialbai asking if Akech could be included in the program along with the other 240 children who had lost parents. These decisions are made by the Program Coordinator Paulino Malou in consultation with the Chief and the rest of the management committee. They decided that Akech could be brought regularly to the program and would be given some milk and biscuits.
When I returned to Marialbai with a team in July this year I recognised the grandmother as she joined the children and staff in greeting us. She was holding a baby and I asked through an interpreter “Is this Akech?”. Her answer was simply to take the child and hand her to me. Akech snuggled in close for a few moments… and then began to scream. I handed her back to the grandma, and was amazed to see her put Akech on her breast. It is common here for surrogate mothers to breast-feed their fostered children, but in other cases it is comfort, rather than milk, which is being provided.
Akech has given me a personal insight into an issue which is prevalent in South Sudan. Infant and maternal mortality rates in South Sudan are amongst the highest in the world[1]. It is estimated that one in ten women die in childbirth.
We deliver birthing kits (provided by Zonta and the Birthing Kit Foundation of Australia), medical equipment, and desperately needed training to maternal health care workers in the region surrounding Aweil in an attempt to address the horrific number of deaths through childbirth. In fact Akech’s mother was a recipient of one of our birthing kits. Sadly that couldn’t help with the complications she experienced in labour. Miraculously Akech survived and motivates us to do more to assist those who have so little when it comes to maternal health care.
[1], The South Sudan head of UNFPA, Dragudi Buwa reported in 2007 that [maternal mortality] "Rates are actually at 2,030 per 100,000 births, the worst in the world."
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