Home | Opinions | Social | Maternal Mortality Rate and Geography: Faulty roads, Low Traffic Vehicles, and Insecurity, Challenges in Afganistan depend on Afghanistan!

Maternal Mortality Rate and Geography: Faulty roads, Low Traffic Vehicles, and Insecurity, Challenges in Afganistan depend on Afghanistan!

Font size: Decrease font Enlarge font
Maternal Mortality Rate and Geography: Faulty roads, Low Traffic Vehicles, and Insecurity, Challenges in Afganistan depend on Afghanistan!
Afghanistan is located in Central Asia. It borders on Turkmenistan, Uzbekistan, and Tajikistan in the North, in the West - on Iran, and on Pakistan in the East. Afghanistan also shares borders with a narrow branch of China in the North-East.
Tall mountains of Afghanistan, plains, valleys and lakes are the harsh ways of forbidden land. The majority of Afghanistan's prospects are among  challenges of providing health services in the remote area.
For several decades, Afghanistan has been facing wars, droughts, famine and civil instability which have destroyed the infrastructure required for healthy, sustainability  and productive society. When a society faces such challenges, it inevitably has a negative impact on human's life, affecting in the first place.
Mother's deaths in Afghanistan are the main cause of the death of women of reproductive age, due to their limited access to health care, hence, they are particularly vulnerable, the risk of death is very high with maternal complications, about 1600-1800. There were 100,000 live births in 2002. 
In Afghanistan, mainly in towns, births take place at houses, owing to the fact that because,  following  long standing traditions, people prefer to keep patients at home. In a similar way, delivery to hospitals takes place by unqualified traditional birth attendance (TBA). 
Moreover, households with low income in remote provinces can not afford  proper transportation due to  geographical location of the villages, especially in winter time. Poor families often can not afford transportation and access to health centers or emergency delivery to the hospital due to high costs.
Pregnancy-related complications are unpredictable. Getting health care in time is crucial for women, but many of them spend a lot of time  reaching  health facility. Complications from midwifery or baby caused by bad conditions are often not treated there what represents  signufucant problem. 
Afghanistan, Central Asia, maternal mortality risk
The purpose of  the article
There are several factors in maternal mortality which include illiteracy, poverty, traditional and cultural beliefs, lack of awareness, reduced number of female health care providers and their skills and capacity, lack of health care facilities, especially in remote areas that affect women, as well as transportation and geographic features of rural areas in the country.
Research methods: 
Since Mujahedin until the fall of the Taliban regime in Afghanistan (1992-2002), significant efforts have been made in Afghanistan to rehabilitate health centers and establish systems that provide access to primary health services and hospital services, but still the quality of services and their quantity are not sufficient to meet the needs of women and children. Transport and road infrastructure is one of the main factors in maternal health services and referral system, which plays an important role in preserving lives of pregnant women in rural areas and reducing deaths of women and infants.
Referral is a vital component of the BHP strategy (Basic Health Package). In this strategy, referral is an important component, but is threatened in a village where transportation services have their practical difficulties. 
The Ministry of Public Health is committed to providing patients, particularly women, with specialized care, and improving health and well-being of mothers and children. A community health worker is also required to take special care of patients who need more support and assistance. However, where family members do not have enough money to support the patient or the challenge, most references are not overlooked and health work can not be done. The transfer of patients problem arises in such cases as snow security issues   or lack of local transportation. Apart from the complications associated with pregnancy, which are a matter of life and death, some people try to use existing local resources for the transmission of patients, such as bicycles or even shopping bags. 
As a result, pregnant women use hazardous methods such as bicycles, motorbikes, donkeys and horses, or remotely accessed midwifery health care services before reaching health centers. 
In general, an effective transport service is considered as a bridge between rural communities and health centers to transfer patients from their homes to health centers. 
In the long run, the major problems viewed in this article affecting  both women and children cannot be solved, as we opine, without  help of the international community. Especially NATO and the United States present in the current situation in Afghanistan can contribute to solution of these problems. 
Moreover, the United States and each Member-country of NATO has taken a province in our jurisdiction in terms of building hospitals and clinics, and  construction of roads and transport arrangements in each province, which is the basis of health for women and children and, in general, for Afghan people. This partnership, surely, will never be forgotten. 
1 - MoPH ( Ministry of Public Health Afghan )
2 - CDC ( center for Disease Control and Prevention. 
3 - Nations Children's Fund) 
4 - CDC ( center for Disease Control and Prevention)