Friday, November 07, 2008

From Doctors without Borders

Press Release

November 6, 2008
Pregnant Women Desperate for Free Emergency Care in Haiti
Doctors Without Borders Struggling to Provide Care

Haiti 2007 © Julie Rémy

The prepartum ward at Jude Anne Hospital in Port-au-Prince, Haiti.

Port-au-Prince, November 6, 2008

Teams from the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières’ (MSF) are struggling to provide free, quality emergency care to pregnant women and their babies in Port-au-Prince, the capital of Haiti.

Over the last month, hundreds of women have desperately sought emergency obstetric care at Jude-Anne hospital in Port-au-Prince. In October, hospital staff assisted a record high of 56 women giving birth in one day and received 160 women waiting for hospitalization. The hospital has been so overwhelmed by demand that mothers have given birth in the hospital’s waiting room, the staircases, and in the washrooms, essentially anywhere they could find space. For this 60-bed emergency hospital (including five delivery beds), with an average rate of 35 births per day, this is an untenable situation.

Haiti 2007 © Julie Rémy

A patient waits for an available bed five hours after being admitted to the hospital.

The overwhelming number of patients at Jude-Anne Hospital is the result of several factors, the most critical being repeated hospital strikes in the capital. For example, the government’s central hospital in Port-au-Prince, an important referral center for pregnant women who do not have complications in their pregnancies, has been on strike for the past three weeks, with no end in sight.

“If the situation continues I am afraid women and children will die as a result,” said MSF Head of Mission Hans van Dillen. “Hospitals must accept patients and give free maternal care immediately or the situation will become catastrophic. I urge the government and its donors to reinforce the implementation of free obstetric services without delay.”

Haiti has the highest maternal mortality rate in the Western Hemisphere. Despite the Ministry of Health receiving funding in February 2008 to implement a free obstetric care program in the country, a system of cost recovery continues. Babies and mothers are dying unnecessarily, partially because authorities are too slow to apply the free program and some hospitals are too reluctant to implement it.

MSF is extremely worried by the impact of the strikes on access to care for pregnant women, and urges the Ministry of Health to immediately implement the promised free obstetric care program to help save the lives of mothers and babies.

In Port-au-Prince, MSF provides emergency obstetric care in Jude Anne hospital, organizes mobile clinics in the slums of Martissant, Pelé Simon, La Saline, and Solino, offers emergency and stabilization care in Martissant hospital, and provides trauma care and physiotherapy in La Trinité and Pacot hospitals, including counseling for victims of sexual violence. In response to the destruction caused by tropical storms and hurricanes north of the capital, in Gonaives, MSF has set up a water and sanitation program, conducts mobile clinics, and manages an 80-bed hospital to provide emergency, maternity, and pediatric care.

This is one reason Beth McHoul is working hard in the D.R. (there for two weeks) to further her midwifery training, many pregnant women are unable to find help when they need it.