Many people in 3rd world countries do not have access to a doctor or medical care. They would need to travel or walk several hours, sometimes days, to reach a doctor. This results in people only going to the doctor in an extreme emergency or in many cases, not at all. While working with Siouxland Tanzania Educational Medical Ministries (STEMM) on a project just a couple of weeks ago, Abōd Shelters® learned that many expectant mothers prefer to deliver their babies in their own homes, which in most cases is a mud hut. The reason they choose their own home is that the medical facilities are too far away, are unsanitary and are not private. When expectant mom’s deliver in their own homes they usually have a family member, neighbor or friend assist who is not medically trained to handle even the simplest of complications.
It was communicated to us that the prevalence of Cerebral Palsy is higher in Africa and neurological damage occurs more frequently during home births because of complications such as birth asphyxia and neonatal infections which a trained medical person could prevent.
While the infant mortality rate has decreased in recent years in Tanzania maternal deaths related to childbirth have not. The fact that more than half of births in Tanzania occur at home also contributes to the elevated maternal mortality rate. Of all pregnant women, only 46 percent are assisted during childbirth by a doctor, clinical officer, nurse, midwife or maternal and child health aide.
“In 2005, the infant mortality rate was 68 deaths per 1000, a vast improvement from the 1999 figure of 99 deaths per 1000. The under-five mortality rate also decreased from 147 deaths per thousand in 1999 to 112 deaths per 1000 in 2005.”