Mother and Child Rights

Comprehensive and appropriate development for effective results

Solutions (Opportunities)

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This page lists the various issues that contribute to poverty.

Needs, stresses and considerations in rural Malawi.

Water – increasing droughts;  Food- scanty and limited land. Sanitation and Good Hygiene; often unavailable facilities

 Education till 16-18 years; it requires money from parents.

 Roads inadequate;

 IT Communications and Radio; very promising.

 Energy for Heat and Light: solar required

 Infectious diseases ;(bacterial, viral, and parasitic); Insufficient medical care

 Mosquito nets; availability is insufficient.

 Aflotoxins; (sorgum, cassava, maize, groundnuts); produced by overuse of pesticides

 Drought and flooding, incl. climate change.

 Immunisations incomplete

 Medicines: not available

 Education for Sexual and Reproductive Health with Rights, (SRHR) could be very valuable in many ways.

 Midwifery Education – expansion

 Homes: inadequate in heavy monsoon rains.

 Avoidance of Slavery unassessed.

 Have you thought of the illnesses women might have related to pregnancy yet they have survived?

 Morbidity that follows pregnancy has been examined but I know of no publications.

 

 

  Cultural issues. Superstition among rural subsistence farming communities is not confined to Africa, Asia nor south America, but often reflects a lack of education coupled with cultural traditions that sometimes exacerbate a high levels of maternal and child mortality. Many people in regions have a poor understanding of their anatomy and physiology of reproduction, whereas in Europe, such issues are accepted by lay people in society, although not understood in detail. This will be addressed in the first instance, by community education in SRHR, which can be undertaken by “Health Workers”, midwives, doctors or teachers appropriately trained.

 Range of Development. We will encourage discussions with Malawian people and indeed Scottish residents, and in one-to-one education, that the Malawian people who show interest and talent for teaching can show also how to build capacity among their communities. That will aid capable teachers and midwives in future. Such citizens could become funded for local Malawian learning courses. Malawian trained midwives, ie post graduates might benefit for UWS degree or diploma education. 

 Nutritional improvement. Some Communities of the Malawian population require nutritional intervention, children, adolescent girls and sexually active women. We intend to a) encourage an understanding of a good diet, and b) enlist the services of organisations with experience and funding for dietary interventions. This will have beneficial effects on their health and that of their children.

 Mobile Clinics. We are aware of the introduction of mobile health clinics, staffed by  “Health workers”, whose training and skills are not known to us. But vaccinations and paediatric care are performed. We intend to encourage and supply midwives to each mobile clinic within our area of operations. Such health workers will also be afforded SRHR education where possible.

 Essential communications, pre; intra; post events. Prior to direct involvement with schools, it is important to ensure that all the principal actors are aware of the process and possible outcomes, which hopefully will all be positive. Already, as a result of discussions, we have relevant connections with Scotland- Malawi Partnership (SMP), and in Malawi with AGLIT, Chancellor College, and Blantyre Synod. We are registered with the Office of Scottish Charity Register as a SCIO, no. SC044961. We are preparing an IT system for data collection which can communicate with all principal actors in Malawi, with findings of midwives and teachers, in selected classrooms in the involved schools and villages. Confidentiality will be ensured with absolute clinical standards and numbered subjects.

VSO Malawi will be approached so that appropriate volunteers can be recruited for basic farming or other domestic work, so allowing girls to continue their education.

 ‘Riders for Health’. This “not for profit” organisation has had success providing motor cycles with side cars, for rural deprived communities. In addition they provide training of local men in maintenance and engineering of the bike to allow more prompt access to hospital.

Micro finance. This remains an option following the basic education protocols, curricula and mothers’ clinics being established.

 Birth, Marriage, Death and Pregnancy statistics. This essential information, including vaccination immunization, school attendance and child “milestones” of development, will be recorded and linked confidentially to the IT system, in code.

 Monitoring and Evaluation. It is our intention to seek cooperation for multidisciplinary evaluation. Academic achievement should be able to produce publications, to which donors will be encouraged to review. It is hoped for a significant reduction in Maternal mortality as a contribution towards Millennium Development Goals (MDG), and subsequently Global Sustainable health.

Miscellaneous advice

Education in Scotland.
  Should we invite certain African citizens to be educated in UK, this branch of the process will depend on Malawian interest in the topics of health and rights hen they return home, which would be best taught together as advised by the related agencies.

British Council advice is required to ensure that visiting personnel have safety in UK, plans are as stated, and visa conditions are regarded honestly in the interests of the Malawian visitors to Scotland and Malawian development.

 Budgets. Travel, international and UK accommodation, hire of transport and drivers will all be considered in the course of our work. Our work in part depends on adequate funding, wise management highly motivated colleagues in both communities.

  Exit strategy. As this initiative is for the long term, pending capacity improvement, satisfactory reduction in Maternal and Perinatal mortality, and successful partnerships, the duration is for foreseeable future. Guidance will be with the villagers and their understanding of the need for gradual change and continuing assessment throughout. 
The partnerships developed are expected to be mutually advantageous to both the donor and recipient communities.