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action for maternal health
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Motherhood is undoubtedly one of the
most life-altering and fulfilling experiences
in a womans life, however for thousands
of women in developing countries it is
associated with poor health and extreme risk.
When routine checkups and essential
medication are not available, minor
complications during pregnancy can lead to
death for both mother and child.
Today, over 99% of global deaths arising from
pregnancy and complications occur in the
developing world, where giving birth is one of
the most serious health risks for women.
Almost all of these deaths are preventable
through low-cost interventions - like pre- and
post-natal care - which can save thousands
of lives.
Motherkind focuses on providing maternal
health provision for the most vulnerable
women worldwide. Expectant mothers benefit
from life-saving interventions, such as pre-
natal care, skilled birth attendants and proper
hygiene. Women can also access advice on
newborn health and receive post-natal care.
Help bring the topic of maternal health
out in the open and prevent the silent
tragedy of maternal death worldwide
inshaAllah.
help give life to those who give life
Youre going to have a baby!
Your heart fills with joy. The joy is tinged with anxiety.
Then anxiety turns to dread...
and we have enjoined unto mankindness to his parents.
In pain did his mother bear him and
in pain did she give him birth
Surah Al Ahqaf: 15
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04 06
08
CONTENTS
in numbers: maternal
death around the world
many faces of maternal
health care
a global effort
10the forgottenmothers of
Afghanistan
a silent tragedy plays outFacts on the true extent omaternal death around theworld
protecting mother
and baby
The diferent approaches todelivering maternal healthprovisions
a united global approachMotherkind works ormothers in communitiesaround the world
forgotten mothersWith one o the highest rateso maternal death, we standto support Aghan mothers
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06
08
10
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APPROXIMATELY 99% OF MATERNAL DEATHS OCCUR INTHE DEVELOPING WORLD, WHERE GIVING BI RTH REMAINS
AMONG THE MOST SERIOUS HEALTH RISKS FOR WOMEN
a silent tragedy plays out
In Afghanistan, 1 in 11 women will die during
the course of childbirth. This means mothers in
Afghanistan are over 600 times more likely to die
in childbirth than those in developed countries
such as the UK.
ACTION HOT SPOTS
Afghanistan 1 in 11
Niger 1 in 16 Tanzania 1 in 23
Nepal 1 in 80
Bangladesh 1 in 110
India 1 in 140
Indonesia 1 in 190
Iraq 1 in 300
Sri Lanka 1 in 1100
UK 1 in 6700
Muslim Hands (MH) is active in all these countries
and, with your support, will extend our projects to
even more mothers around the world inshaAllah.
risk of dying in childbirth
1 in 20 or more
1 in 20 to 49
1 in 50 to 499
1 in 500 to 4999
1 in 5000 or less
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60 secondsEvery minute a woman dies during labour or delivery
1 mill ionOne million children are left motherless each year. These
children are 10 times more likely to die within two years
1 dead: 20 disabledFor every woman who dies, another 20 suffer illnesses or
injury from childbirth
80 %A total of 80% of maternal deaths are from preventable causes
such as severe bleeding and infections after childbirth, high
blood pressure and obstructed labour
15 49 years oldIn Afghanistan, for women of reproductive age (between
15-49) the biggest risk to a womans life is having a baby
facts on maternal death
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PRE-NATAL CARE AND ADVICE
Maternal difficulties such as pregnancy
diabetes, insufficient weight gain, and highblood pressure, if left untreated, can be
harmful to the foetus. A doctor can monitor
the babys wellbeing directly by listening
to the foetal heartbeat, checking the size
and positioning of the uterus and foetus,
and testing for various abnormalities. Early
detection can allow the proper medical
assistance to be present at the time of birth,
greatly reducing risk to mother and baby. MH
provides pre-natal care at maternal health
clinics such as the Well Mother Clinic in Sri
Lanka.
SKILLED BIRTH ATTENDANTS
All women need access to skilled care during
childbirth and it is particularly importantthat all births are attended by health
professionals, as timely management of
complications and simple interventions can
make the difference between life and death
at this critical time. Sadly, few women in
developing countries benefit from this kind
of support during childbirth. This means
that millions of births are not assisted by a
midwife, a doctor or a trained nurse. Over
15,000 women have been helped through
childbirth by Muslim Hands.
The biggest killers of mothers are also the
most preventable. So what does it actually
take to save a mothers life? For such a
widespread problem you would assume quite
a lot. However, the truth is that having a small
number of key interventions in place would
drastically alter the high maternal death rates.
OF THE 1000 WOMEN WHO DIE EVERY
DAY DURING PREGNANCY AND
CHILDBIRTH, 8 OUT OF 10 COULD BE
SAVED IF THEY HAD ACCESS TO BASIC
HEALTHCARE SUCH AS A HOSPITAL,
ROUTINE MEDICATION, OR TRAINED
HEALTH WORKERS
This is not expensive or difficult to provide.
There are many different and successful
approaches to tackling maternal mortality.
standing to protect
mother and babyMANY FACES OF MATERNAL HEALTH
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MEDICATION AND HYGIENE
Infection after childbirth can be eliminated
altogether if good hygiene is practised, orcan be easily treated if the early signs are
recognised. Education programmes provide
health messages in an accessible and
culturally-sensitive manner.
During childbirth, administering drugs such
as magnesium sulfate can lower a womans
risk of developing eclampsia, one of the most
common causes of death. Medication and
good hygiene practice has been provided for
women across Sudan, Indonesia and China.
ACCESSIBLE MATERNAL CLINICS
A well equipped, accessible hospital can
provide a variety of facilities which contributeto a safer, smoother and less traumatic
process of delivery. This includes medical
professionals such as doctors, midwives and
birth attendants who can successfully handle
high-risk pregnancies.
Maternal hospitals have the correct
equipment and procedures for post-natal
care and ongoing support in case of
complications. Muslim Hands maternity units
operate in Sri Lanka and Afghanistan.
POST-BIRTH CARE AND ADVICE
Post-natal care is necessary to ensure that
no complications have developed in thewoman after childbirth. This will include an
examination of the stomach and pelvis to see
that the pelvic organs have returned to their
pre-pregnancy state.
New mothers can address any deviation from
expected recovery after birth and receive
advice on other concerns such as diet,
development, breast-feeding and post-natal
depression.
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a united global effortALL WOMEN NEED ACCESS TO ANTE-NATAL CARE IN PRE GNANCY, SKILLED CARE
DURING CHILDBIRTH, AND SUPPORT IN THE WEEKS AFTER GIVING BIRTH
Motherkind is our commitment to protectingmothers and children at their most critical time.
Muslim Hands has taken the campaign to some
of the most vulnerable communities across
Sudan, Indonesia, Kashmir and China.
So far, our work has extended to reach over
15,000 women. Infants have received pre-
and post-natal checkups, and we have given
essential pre- and post-birth training to nurses,
childminders and non-medical specialists who
continue educating mothers on caring for
themselves and their infants.
Supporting the mothers of post-TsunamiIndonesia, MH has supported over 1000
expectant mothers and 2000 babies across 7
provinces. Women and infants in Aceh, North
Sumatra, West Sumatra, West Java, Jakarta,
Yogyakarta and East Java have been provided
with regular medical care, essential nutritional
food and vitamin supplements designed for
breast-feeding mothers.
how does a woman dying impact her child?
The health of the mother and that of her baby are inextricably bound. Babies born tomothers who die in childbirth are less likely to survive. One study found seven out of
ten of the babies born to mothers who died, died themselves in infancy. In fact, even
older children are up to ten times more likely to die within two years of
their mothers death than those with living mothers.
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Pregnancy can be a nervous time for anyexpectant mother, but in countries like Sri
Lanka particularly, many women are left
vulnerable as social taboos prevent them
seeking treatment for routine conditions
associated with pregnancy.
WITH EXPERIENCE IN INFANT
MORTALITY REDUCTION IN
AFGHANISTAN, INDONESIA, INDIA
AND BANGLADESH, MH SRI LANKA
SET UP A WELL MOTHER CLINIC
IN ORDER TO PROVIDE QUALITY
MATERNITY AND POST-NATAL
CARE FOR WOMEN WHO WOULD
OTHERWISE NOT BE ABLE TO
AFFORD TREATMENT
The clinic offers qualified obstetricians and
gynaecologists to examine and perform
regular checkups for expectant mothers.
The clinic also has staff to advise womenon the nutritional levels they need to
maintain during pregnancy. Counselling is
also offered to new mothers suffering from
conditions like post-natal depression.
Now inshaAllah mothers and children can
look forward to healthy futures.
reducing baby death in rural Sri LankaFAR FROM SUCCESSFUL URBAN CITIES, MOTHERS IN RURAL
COMMUNITIES STILL REQUIRE ESSENTIAL SUPPORT
the story of HiflaIn the mosquito-infested streets of Puttalam
in Sri Lanka, locals sarcastically call their
neighbourhood Malaria Lane because of
the prevalence of this contagious disease.
Hifla lives right in the middle of Malaria
Lane. Upon discovering she was pregnant,
Hifla and her husband immediately became
anxious over the health of their unborn
child.
Hifla tells us: I felt my body changing
and started experiencing symptoms I
had never known about before. It was
just another morning when I heard
the announcement that a free clinic
was opening for women like me. I was
absolutely overjoyed! My husband and
I went to the Well Mother Clinic and
received an immediate pregnancy check
up. The female doctor listened intently
before providing me with the advice I
needed. It was such a relief...
Since then, Ive been registered as a mum
to be and can now see out my pregnancy
in confidence and with support
inshaAllah.
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the forgotten mothers of AfghanistanMATERNAL HEALTH CLINIC FOR A NATION TORN BY WAR, CONFLICT AND CHRON IC POVERT Y
Afghanistan regularly features in our headlinesas a scene of conflict and instability, however
there is a silent crisis playing out far from the
media headlines. Women in Afghanistan face
the prospect of motherhood in a country
where 1 in 11 women die in childbirth.
Female doctors are rare and even basic access
to pre-natal care is hard to find.
In fact, maternal mortality in Afghanistan
is the leading cause of death amongst
women of reproductive age. Most expectant
mothers are not able to access a doctor to
help with the birth and women dying in
childbirth severely impacts the survival ratesof newborns.
Puleh Charkhi is a mountainous area of east
Kabul, within vast valleys which are often
both inaccessible by road and blocked by
floods and avalanches during harsh winters.
Therefore there is rarely access to healthcare
for residents inside of the region.
Although, there are over 20,000 households
in Puleh Charkhi and 1800 babies are born
every year, there is only one female doctor in
the district.
MH Afghanistan will build a custom Maternal
Health Clinic in Puleh Charkhi to deliver
pre-natal, post-natal and ante-natal care to
approximately 2000 expectant mothers every
month.
THE MILLENIUM DEVELOPMENT
PROJECT HOPES TO ACHIEVE A 75%
REDUCTION OF MATERNAL MORTALITY
IN AFGHANISTAN BY 2015. AS IT
STANDS THEY HAVE YET TO REACH
EVEN HALF OF THIS TARGET
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It is no understatement to say the majorityof pregnant mothers in Afghanistan never
receive any pre-natal care and deliver their
babies without any help.
The primary complications of childbirth
are bleeding, infection, hypertension, and
obstructed labour. The most tragic part is
most of these deaths could be preventedwith increased access to maternal health
services.
Following a needs assessment of households
in Puleh Charkhi, the maternal health
clinic will have on-site doctors, midwives,
dispensers, nurses, lab assistants, birthattendants and also an ultrasound technician.
In the clinic, pregnant women will have
access to checkups, essential vitamins,
personal advice and support.
During childbirth, women will benefit from
assisted child delivery, ante-natal check
ups and a baby pack containing the basicessentials to see a child through their early,
most vulnerable weeks.
The clinic will be used as an equipped site
to hold training for midwives and traditional
birth attendants as well as weekly and
monthly classes to educate and advise on
labour.
fact: the most common causes of
death are also the most preventable
ON AVERAGE, IN RURAL AREAS, THERE
ARE FEWER THAN SIX DOCTORS,
SEVEN NURSES AND FOUR MIDWIVES
AVAILABLE FOR EVERY 100,000
WOMEN
the broken heart oAghan mothers
One of the highest rates of
maternal deaths in the world
Years of confl ict have devastated
health systems
Only 11% of chi ldbirths take
place in a health faci l i ty
Over 87% of maternal deathswere considered preventable
When mothers die, there is a
25% likelihood that their baby
will also die in the first month
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New mothers pack 160
Typical Pack includes items such as:
1. Nutritional supplements for 1 month (for mother) 60
2. Folic acid for use throughout pregnancy 10
3. Essential vitamins for use throughout pregnancy
and up to 3 months after 30
4. Clothing for use at time of delivery and a suit to go home in 20
5. Reusable nappies, baby towel and wipes 20
6. Skin care lotions & oils for baby 3 months supply 20
New born / baby pack 85
Typical Pack includes items such as:
1. Baby milk powder for three months including milk bottle 40
2. Blanket 10
3. Clothes including, hat, suit, socks 15
4. Basic medicine (gripe water, vaccinations after 1 and 3 months) 10
5. Toys 10
Midwife pack 35
Typical Pack includes items such as:
Sterilised disposable gloves Bedding set
Soap, antiseptic solution Umbilical cord clamp
Gauze swabs Sterilised razor blade
Sanitary towels Weighing scales/sling
Train a health worker 240
Pay for the training of a health worker
(birth attendant, midwife, health visitor)
Help purchase baby incubator for premature births 2000
Your donations can help provide:
________________________________________
________________________________________
________________________________________
________________________________________
Gift Aid Declaration:
I am a UK tax payer & I wish Muslim Hands to reclaim tax on all donations I havemade or the 4 years prior to this year, and all uture donations I make rom the dateo this declaration untill I notiy you otherwise. I understand that I must pay incometax at least equal to the amount reclaimed in the appropriate tax year.
Signed _______________________ Date ______________________
YES! I WILL HELP SUPPORT MOTHERS
Name & Address: (Please use BLOCK CAPS )
Postcode: Tel:email address:
50n 100n 250n 500n Other_______
Amount zakah _______ New mother Pack nSadaqah _______ New born Pack n
Total enclosed _______ Midwie pack n
Where most needed nCredit / Debit Card No:
nnnnnnnnnnnnnnnnnnnnExpiry date:nnnnIssue number:nn
Make all cheques & P.O.s payable to MUSLIM HANDS and send to:
Muslim Hands. 148 Gregory Boulevard, Nottingham. NG7 5JE (UK)
www.muslimhands.org | 0115 9117222MuslimH
andsCharit
yNo.
1105056.