To: Mr. Palau who wrote (695544 ) 8/5/2005 1:41:23 PM From: Hope Praytochange Read Replies (1) | Respond to of 769670 Midwives graduate from Nangarhar University -------------------------------------------------------------------------------- JALALABAD, Afghanistan - Graduating midwives at the University of Nanagarhar from the provinces of Laghman, Konar, Nuristan represent the potential for better health care and infant survivability. The graduates and medical professionals removed their burka's for the baccalaureate ceremony. (Photo by U.S. Army Sgt. 1st Class Curtis Matsushige, 117th Public Affairs Detachment) -------------------------------------------------------------------------------- Story and photos by Sgt. 1st Class Curtis Matsushige 117th Public Affairs Detachment JALALABAD, Afghanistan - Afghanistan has one of the world’s highest rates of maternal and infant mortality. According to International Medical Corps statistics, one in 10 Afghan women die during child birth, and 25 percent of the children do not live to see their fifth birthday. Midwives represent a new hope for the survivability of infants and mothers. Many rural communities in Afghanistan rely on midwives as the only professional care provider for pregnant women. The Medical College of the University of Nangarhar in eastern Afghanistan, graduated 61 midwives and about 200 other students in other medical professions so far. This class of graduating midwives comes from Nangarhar, Konar, Laghman and Nuristan provinces. The school thanked the Jalalabad Provincial Reconstruction Team, the U.S. Agency for International Development, and the other agencies for helping to graduate such a large number of midwives. “These agencies and the Jalalabad PRT provided supplies, instructors and facilities for the university and students,” said Capt. Mike Weber, a physician’s assistant with the PRT and one of the speakers at the graduation. Amanda Rickman is a program manager for the midwife training. She works for the International Health Center, a subsidiary of International Medical Corps, a U.S. non-profit organization providing health care and training in Afghanistan. Rickman instituted more standards into the program. From this revamp 26 different competencies were identified. Each area must be tested and students must score a 70 percent to pass the class. Tasks such as handling a breach birth, positive identification of conditions that exist in the mother or unborn infant, and surgical techniques such as suturing are among the competencies. After Rickman arrived in February and settled in to her new duties, she extended the daily course work to a full day so competencies could be completed in a timely manner. After putting the standards-based evaluation in place, she worked closely with the local hospital to give practical clinical time to these future midwives. Before the training was over, the class helped deliver a healthy baby and made sure the mother was fine. Nearly all of the midwives are scheduled to return to their villages and use the practical skills and knowledge learned in this program. That newfound skill will greatly increase the survivability rate of Afghan children and mothers which has ranked as one of the lowest in the world.