Midwives

Midwife Training in Timor-Leste

By Dirce Sarmento

Maria in Training

Maria during the practical training session at the National Hospital, Dili.

It was her first midwife training session in more than 10 years, but Maria de Fatima Moniz made it clear she was up for the challenge. She seized a valuable opportunity this past June and participated in a two-week midwife training facilitated by ChildFund Timor-Leste and Instituto Nacional de Saude (National Institute of Health) in the Covalima district.

During her first week, Maria, 38, learned the “55 Steps” — guidelines used by midwives to ensure the safe delivery of newborns and appropriate care for pregnant women. The second week of training, based in Dili’s National Hospital, gave the group of 17 midwives the opportunity to use their practical skills while under close supervision.

“During this training, I felt very fortunate to be able to learn new knowledge about the 55 steps and safe deliveries,” Maria says.

With more than 15 years of experience caring for mothers and newborns, Maria will use the information she learned to improve the delivery process she practices in her community. She is the only midwife for five sucos (villages) in Covalima — a community of approximately 7,500 people — and works at the Tilomar clinic. Tilomar has no running water, so she has to ask families to bring their own to use during and after delivery.

“The problem we have now in our community is that we don’t have any materials for delivery, like baby napkins, and no sterile delivery set,” Maria says. Despite these challenges, Maria has successfully delivered countless babies at the clinic. She hopes that conditions will improve.

As a mother of four children, Maria understands how important it is to support pregnant women at each stage of their delivery. “After this training, I hope what I learned will help local women have clean and safe deliveries and that [maternal and infant] mortality in Timor-Leste will be reduced.” Since she began working at the clinic in 2000, she says, eight women have been taken to Suai hospital for caesareans, and two babies have died.

Tilomar Clinic

The Tilomar clinic was repaired by ChildFund’s local partner, Graca, in 2011.

In Maudemo suco, where Tilomar clinic is located, 48.7 percent of births from 2005 to 2010 were assisted by a skilled health provider. Comparing this to Timor-Leste’s countrywide average of 33.5 percent highlights how Maria’s hard work is making a real difference to women and children in her community.

With new skills and support through ChildFund Timor-Leste’s project, Improving Health Outcomes for Children in Covalima District, Maria can improve the level of care for pregnant women and newborns in Tilomar. “I am grateful for ChildFund helping us in Covalima. I hope we can improve the future of this cooperation, because we still confront problems implementing the safe delivery,” says Maria. “I hope next year ChildFund can support us to give us refresher training on safe motherhood and supervision.”

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