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| Tragic child death rate | |
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AT the risk of being accused of
focusing on “negative” news, we feel compelled to comment upon the
latest figures on child mortality in our region. A recently released Unicef report titled The State of Asia Pacific’s Children 2008, shows that our country has the highest level of under five-year-old deaths in the South Pacific. The figures are, in this day and age, alarming; Unicef quotes 73 deaths per 1,000 births as the current Papua New Guinea level. Given that PNG has now passed the halfway time span towards meeting the United Nations Millennium Development Goal of 2015 to cut the child death rate by two thirds, the challenge appears almost non-achievable. There is no mystery about the cause of these deaths. A burgeoning child birth rate adds extra stress to an already inadequate system of child birth facilities, particularly in more inaccessible and remote areas. The long-established threats to the survival of the young PNG child remain depressingly the same – pneumonia, diarrhoea and malnutrition. On top of these familiar negatives, we can add vast inequalities in income, in geography, gender and ethnicity. PNG is a land of many environments – the world’s largest ocean washes our shores with many of our people in isolated island communities. Towering mountains dot the backbone of the country; some areas are inhospitably cold and subsistence crops can be hard to sustain. Other regions have extensive savannah grasslands whose borders are often flooded by the many rivers that snake through their midst. Childbirth in such circumstances is never easy. A woman about to deliver in a remote Sepik or an isolated Highlands community has little to depend upon when ready to give birth except the traditions of her people. In a hard season, with food at a minimum, such a woman is already at risk. Add the scarcity of accessible transport, the poorly maintained or non-existent roads, the often neglected airstrips or the difficulties of getting a mother experiencing a troubled birth to medical assistance many kilometres down a flooded river, the miracle is that the total of child deaths is not significantly higher. Even in urban and peri-urban areas, the young child is at considerable risk. Despite valiant attempts to educate young mothers, the sight of infants with soft drink bottles forced into their tiny mouths, or being offered totally unsuitable take-away food to eat, is all too familiar. Nor is there widespread recognition that the state of the mother’s health is crucial to the successful birth and early survival of the child. Underweight mothers, mothers who prove to be diabetic, women who suffer during pregnancy from domestic violence, and women who simply have no concept of the child-birth process other than that proffered from within the village are at high risk of losing their children. Cultural practices that see the mother as merely a part of a process that gifts the father with another child also add to the maternal death rate. The idea that the pregnant mother deserves exceptional care in order to successfully give birth and nurture the child through the early years has yet to take root in the bulk of the country. We are all aware of the parlous state of our rural health services, of the low regard such facilities attract from warring tribesmen who seem determined to stay mired in the past and of the ignorance of young women about the processes their bodies are going through during pregnancy and childbirth. It is easy enough to blame an uncaring Government – easy and false. To wave a magic wand and populate the country with a satisfactory level of medical facilities and with properly trained staff would require the allocation of huge sums of money simply not available to any one sector of our economy. Yet, we must make the attempt to carve inroads into those tragic figures. This calls for not only the injection of all possible funds into the health sector, but the speedy development of trained staff with a level of dedication and commitment not always seen on the ground. Both governments and communities must join to achieve the millennium development health goals in the name of our mothers and the next generation. |
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Teaching less to learn more
By SEAH CHIANG NEE | |
| Editorial | |
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