The intervention part of the program to create awareness of the need for better health measures to promote better outcomes for pregnant women in isolated and remote villages in Nepal has come to an end. The post intervention data has been collected and it is very pleasing to note that of the 1,656 people who responded to the original data collection, only 50 were not recorded in the post intervention data… they were away from their area at the time. This is an incredible response rate and their responses should give a true indication of the way the program was received by the people. Binod is now back in Newcastle, Australia looking at all his data… and that should be a very interesting read.
But the other indication of success can be seen on the faces of women visited!
So, it seems, that a very good start has been made in working towards a change in these villages which, over the years, have experienced awful maternal mortality death rates.
But, now that the ‘entertainment’ of the singing and dancing and social interaction of the intense intervention program is over, will the momentum be continued ?
Binod had prepared for this and, before the end of the program, 1,000 laminated posters were distributed to all of the houses to help the women, and their families, remember the important steps to follow through the nine months of pregnancy. These are visual in content. They were highly prized and sought after by the families in the villages. Binod has translated them into English for us.
Months one to four.
Months five and six
You may wonder about the comment regarding carrying the woman on a man’s back to get the health post. As there are only tracks, often difficult and slippery, a pregnant woman, especially if not well, would find it difficult to walk down the hills… and up again. You begin to understand the reasons why they often don’t go to the health posts and why more local health posts are needed.
Months eight and nine.
And, if all goes well, a smiling Grandmother with her grandchild.
And a smiling, healthy mother!
And a healthy baby.
So, for the long term hope of better maternal health care, these women need to work together to help each other, and their families; checking the banners that will hang in their houses; reminding each other of the messages in the words of the songs… and, hopefully, the songs will become a part of their village tradition.
The older women have really embraced these messages, wishing Binod had come earlier when they were of child bearing age… they know only too well the consequences!
And teachers, mostly men, need to keep reinforcing the messages with their students.
This intervention is particularly important for the mothers of the future.
These teenage girls are taking intense interest in the messages.
And so are these young fellows… the fathers of the future.
Teenagers, like this young man, are the future of these villages.
We hope they remember these health messages and employ them throughout their lives.
Maybe, by the time these little ones are grown up, the messages of today’s intervention songs will be deeply etched into the culture of their villages and society. Let’s hope so.
And that’s all for our WordPress for the time being. It’s time for us to prepare video presentations to share with others here in Australia and back in Nepal. The goal is to develop this intervention as a model for other isolated communities.
On behalf of Annie, Roger, Binod and David (photo above), thank you to those who have joined them for the journey to these remote villages in Nepal on their important mission to help abate the maternal mortality rate. If you have enjoyed these armchair travel posts, please pass our site on to others. And for those just joining, there’s plenty to read and enjoy in past posts.
I will add more of David’s Nepal photos to our flickr site as and when I have the time… so pop in there from time to time and enjoy.
More anon when David takes on another travel adventure!
Jennie (on behalf of David and Binod)
Binod will be updating his project site from time to time as well:
Our other armchair travel site is