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Health

Community midwives for remote Bamyan

Working with the provincial health department, we trained 24 midwives from remote districts and placed them in health posts close to their own villages.

A wall mural in Bamyan showing a mother breastfeeding her baby
Location
Waras, Panjab and Yakawlang districts, Bamyan
Duration
Sep 1, 2020 - Mar 31, 2022
People reached
9,800
Budget
$212,000

Why this project

In the remote districts of Bamyan, most women gave birth at home without a trained attendant. The nearest hospital was hours away by road, and in winter many roads closed completely.

What we did

Communities nominated young women from their own villages to train as midwives. The course combined classroom teaching with supervised practice at the provincial hospital. We covered tuition, housing and a monthly stipend, so that students from poor families could take part.

After graduation, each midwife was placed at a health post near her village, with a delivery room, equipment and a supply of essential medicines. A senior midwife from our team visits every health post each month.

What we learned

Midwives who came from the same villages were trusted quickly, and women came to them early in pregnancy. Keeping senior supervision in place after graduation has been the key to quality care.

  • Mothers and children resting on beds in a hospital recovery room in Kabul
  • Children in bright clothes stand in a row at a community health workers' event

$25 keeps a child in class for a whole term

That pays for books, a slate and a share of a local teacher's salary. Give once or every month.