Young Afghan women train as midwives for out-of-reach villages
FOLADI VALLEY, Afghanistan — In a small village circled by velvety white snowtopped mountains in Afghanistan’s Bamiyan province, Aziza Rahimi mourns the baby son she lost last year after a harrowing birth with no medical care.
“It was too hard for me when I lost my baby. As a mother, I nurtured the baby in my womb for nine months but then I lost him, it is too painful,” said Ms Rahimi, 35.
The village’s rugged and remote beauty in Bamiyan’s Foladi Valley comes with deadly barriers for pregnant mothers. A narrow road to the village with few vehicles is sometimes cut off by snow, severing a lifeline to hospitals, clinics and trained health workers.
However, a potentially life-saving improvement is on the way. Rahimi’s village is one of several around Bamiyan that have sent 40 young women to train for two years as midwives in the provincial capital, after which they will return home.
Isolation can become a death sentence in any difficult birth, doctors and aid workers say, contributing to Afghanistan’s extremely high maternal and infant mortality rates, among the worst in the world.
The United Nations estimates an Afghan woman dies every two hours during pregnancy and childbirth, making Afghanistan’s maternal mortality rate the highest in Asia.
The trainee midwife program has been spearheaded by the UN refugee agency (UNHCR) with the Watan Social and Technical Services Association, a local charity. They hope to expand the program,
“When the roads are blocked of course there is no means of transportation, people even use donkeys to move patients to the clinic centres, but sometimes there is not even the opportunity for that,” said Mohammad Ashraf Niazi, the head of UNHCR’s Bamiyan office.
Ms Rahimi, who has five other children, said riding a donkey was out of the question when she was jolted by pain while nine months’ pregnant in the middle of the night four months ago. Stumbling, bleeding, for two hours to her in-laws’ house after her husband was unable to find a car or ambulance to take them to hospital, she gave birth there.
The baby died shortly after. Too late, an ambulance arrived.
Women giving birth experience a very different situation in Bamiyan’s main city hospital where the trainee midwives work alongside staff, and with the help of a trainer learn how to assess and guide pregnant women, deliver babies and provide post-partum care.
“We want to learn and serve the people of our village,” said one 23-year-old trainee, who walks two hours each day to the hospital. UNHCR asked the trainees not be named for safety.