Contacts

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thepascal@mail.com

+1 800 123 456 789

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You Can Make a Difference, one Delivery at a Time

Our vision is to promote maternal and child health through education, global community participation and providing resources for the nursing and midwifery force. Each year millions of women and children die from preventable causes. I know you’ve heard it all before, these are not empty words.

They are people with names and faces.

I want to meet these people, hold these babies and in that embrace know we are making a small difference. There is something powerful about being part of something that is bigger than yourself, a place to give love and connect.

This site is for Midwives who want to make a difference & are not sure where to start. It will have suggestions for education, training courses, and upgrading your skills within a scope of practice like you have probably never been in before when working in Third world environments. I hope it is also a good go to place for Midwives to share their suggested training courses, article to research, professional development courses that are free and many that are paid but gold in terms, of preparation for remote and third world situations.

This site is also for those in the community who want to make a difference, to touch the lives of those they want to help by knitting beanies, baby socks, rugs, making up Birthing kits, and to be part of something that is meaningful and makes a huge difference in the lives of our fellow sisters mothers, and women around the world.

“An idea that is developed and put into action is more important than an idea that exists only as an idea.”- Buddha – See more at: http://quotesnsmiles.com/quotes/calming-buddha-quotes/#sthash.BVnmOcLI.dpuf

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Tanzania – Only 1 Day to go!

Tanzania – I wanted to give an update again only one day to go!

I feel like Chase & I have lived a lifetime in 20 days.

There have been many hilarious moments – so many laughs and tears and a wonderfully fulfilling bucket list moments – followed by moments of sheer desperation, sadness and despair that we do so little – does it make a difference???

But then enter “Lucky” a baby involved in a full resuscitation, this baby was the 23rd to be delivered and it was only 1140 am! Mother had long labour – first baby – long second stage (the part where you push the baby out) and baby was born stunned and unhappy! We rescued this little tacker – his heart rate was 40 and falling – and with compressions and Positive pressure ventilation that little guy was a champion.

We had 29 deliveries by 1140 am (since 8 am) and we had no foetal or maternal deaths that day. Chase and I were almost on a high – it was such a great day.

This is lucky dressed in your blanket Angie and Wendy –
your hat Barbara (1 A) and he was happy!!! Hell of a first hour of life!

These little socks went all the way up his legs- he was full of life

How cute is this guy – he was born to a young frightened mum who was adorable and he was a wee cutie pie – only small but what a personality. These little socks went all the way up his legs- he was full of life
This little guy was is so skinny, pre term and this little guy was growing …..slwoly …..but they are nursed through what they call Kangaroo care-
An Australian care plan – these little babies are nursed close to their mothers they believe the warmth embrace and breath fed- its quite beautiful…

Little babies are nursed close to their mothers

New born babies sharing two to a cot

These babies getting IV Antibiotics and IV glucose

Chase counting out the heart rate

for a baby we had performed a full resuscitation.

Chase was the baby catching nurse – Chase set up the delivery kits draw up the oxytocins ( a drug that helps to stop bleeding) and all the equipment required – she then does the full assessment – Chase weighed them, did their observations Temperature Heart rate | weight and general well being – meanwhile 8 more babies per hour being born…..
It was funny I was doing a delivery and asking a midwife to see to the women next door ( a bed next to me – to check her) and I’m calling out “Chasey – baby “ which was code for another little tacker coming – she’d have to leave her little gaggle of babies on the baby bench & come across – as I was calling ‘I’d hear across the delivery room – Chasey come – we have baby ….it was a very proud and quite emotional moment for me …I was so proud of Chase- it’s been very Raw for an 18 years old…..

Today is July 3rd…..By 1140 is July 2nd they had 107 deliveries in July since midnight July 1st……
I have seen things here that I would wait a whole career to manage back home.

This is lucky’s mum – she was so wonderful – I gave her a big hug and she cried and said Assante sana – thank you very much ( in Tanzanian) over and over.
I wasn’t at his delivery – I was at another delivery on the bed over – but this little guy he had the cord tight around his neck – born very poorly – this was the baby who had a failing heart rate of 40 when I was involved in his resuscitation – in case you are wondering the midwife took over my delivery whilst I took over Lucky’s resuscitation ……

Angie and Wendy your wrap on this little guy

and two hats cos he was cold – plus the singlets Barbara & little socks …

Chase in postnatal ward giving out the knitted beanies and baby gear!

How cute does this little guy look!!

One ward we went to and couldn’t take any photos cos it was so busy and intense – was Post operative Caesarean section- we gave out about 200 singlets, hats, gloves and little suits – I am sorry for those who knitted those little outfits – at times it just so hard to get photos’ cos so much is happening …. They were so happy and so many gave big hugs…

This is labour ward – no power – no lights – no oxygen – no suction
power cuts are common place !!!

Another cutie pie
power cuts are common place !!!

Well I’ll leave it here – I have so many tales to tell – but I am tired and wanted to get these photos to you all.
Today Becker Helicopters bought $6,500 of hospital equipment at some out of the way shop in Dar es Salaam – delivered Monday – came to $10 million shillings – Delivery beds, foetal Doppler’s, stethoscope, ambu bags for resuscitation – suction catheters, Oxygen tubing, digital skin no touch; thermometers, 20 pairs of scissors – 20 pats of suturing forceps ( they give you better control when suturing), Automatics BP machines, IV poles, Cord clamps, kidney dishes, fetoscopes, etc.

Assaante Sana to Mark from Work then World who helped us buy all this equipment and Joseph who drove us around.

From Tanzania  Jan and Chase X

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Tanzania (Day 5) Little Angel here are your Wings

A CHALLENGING DAY…

I had to include this picture – This was a particularly challenging day, Breech delivery ( Bottom First) stillborn baby, Successful Resuscitations X 4 – One unsuccessful, one baby died about and hour later after resus, obstructed labour and 6 caesarean sections for various reasons, eclampsiai ( fitting in pregnancy) and after a normal delivery

Washing day at Amana Hospital

I look down at my feet – they are swilling in water…my first thought was – oh great burst water main….but no its cleaning day!

On day four – they usually just mop but today is water and scrubber day, electrical cords lying in the water….broom, meanwhile we still have no soap at the sinks to wash our hands – I bought Sapoderm soap at the Duka la Dawa (Pharmacy) and placed the at all the hand basins – amazingly there is this fantastic poster on how to wash your hands etc BUT no soap, no pump pack, but they provide one 100 ml Sanitizer gel per week!!!!

GLOVES, GLOVES, WHERE ARE THE GLOVES!?

It’s gone in the first 5 minutes. We wear gloves for everything – double glove for deliveries, and Chase and I bought 20 packets of gloves with 100 gloves per pack – but 10 am every day they are gone – we share with all the midwifes as well. The hospital does an amazing job providing what they can in such an under resourced environment.

Chase and I stuff our scrub pants pockets with gloves so we have enough for the day.

Chase favorite baby – he was a wee cutie pie.

Chase second favourite baby

 

Chase second favourite baby – this baby was a successful resuscitation – so many babies are so tired at both – the mothers have often walked long distances and are very under nourished.

This wee baby was quite flat at delivery – we gave him positive pressure ventilation via bag and mask and he picked up really well.

He actually had a lusty cry which is very rare here.

 

Check out the fabulous Osh Kosh Hat!! Best dressed baby that day!

 


This little man was being checked after a few resus

 

This little man was being checked after a few resus – some unsuccessful – it’s so frustrating because the mothers arrive after long labours – sometime we have no idea how long they have been in labour – foetal, distress is common place and it’s such a race to save so many babies – this little man was being checked cos we had so many tired babies – this is just me checking him after ten minutes – he was so exhausted as was his mum – see the poster in the background – fantastic posters from US AID and the Help Babies breath program http://www.helpingbabiesbreathe.org/

HELPING BABIES BREATHE

Helping Babies Breathe (HBB) is an evidence-based educational program to teach neonatal resuscitation techniques in resource-limited areas. It is an initiative of the American Academy of Pediatrics (AAP) in collaboration with the World Health Organization (WHO), US Agency for International Development (USAID), Save the Children’s Saving Newborn Lives program, the National Institute of Child Health and Development (NICHD), and a number of other global health stakeholders.

THE GOLDEN MINUTE

The Golden Minute: A key concept of HBB is The Golden Minute. Within one minute of birth, a baby should be breathing well or should be ventilated with a bag and mask. The Golden Minute identifies the steps that a birth attendant must take immediately after birth to evaluate the baby and stimulate breathing.

One part of newborn care: The HBB curriculum is designed for use as part of a coordinated educational approach to early neonatal care and can be effectively combined with other curricula. It is much more than a classroom-based educational program. Its system-based focus is designed to change clinical practice across systems of care.

Helping Babies Breathe

Challenge: An estimated 717,000 newborns die each year from intrapartum-related causes and the inability to breathe immediately after delivery.

Mission: To train birth attendants in developing countries the essential skills of newborn resuscitation, with the goal of having at least one person who is skilled in neonatal resuscitation at the birth of every baby.

These twins were born to mum who had polyhydramnios ( lots of fluid around the babies ) she was very big – the mum had a Caesarean section and they were big babies 4.2 kg and 4.6 kg –which is extraordinary.

Jeanette see your knitted beanies on the babies! Hey Kasey …Go BDO our accountants – this little guy was very snuggy ! Tiz & Kim’s head beanie – BDO bootees !!!

 

Jeanette see your knitted beanies on the babies!

HEART-BREAKING.

Chase comforting a young mum who lost her baby this morning – this was her second still born baby.

 

 

It was heart breaking – There is so little time for the comfort because in the other room mothers are pouring in the door delivering ….I hugged this mum and cried with her whilst I watched the midwifes manage to deliver another 4 babies in the 10 minutes I gave this mum…it was such a small time to say sorry (pole – pronounced Polay)

We gave this mum a beanie, booties and a little one-zy ( Barbara – they were your gifts and I said to the mum they will bring her luck for her next baby)

The midwife counselling consist of saying to the mum when they get home …and ask god to help you and at next pregnancy you must come every month and be at the hospital early…..there are no tissues to dry their eyes and so Chase and I bring in a small packet each day and they always get used.

Chase & I go into postnatal ward every day and give beanies to those mothers who birthed over night and touch base to those we looked after that morning to the day before – it’s always so rewarding to re connect and I love the continuity of care being part of their after care.

 

Me in the cleaning room

This is me in the cleaning room – we soak the baby resus bags and masks, nasal prongs ( there are only two sets) and the penguin suckers – soak for 10 minutes in chlorine solution, then wash in soapy water then rinse in clean water – then dry on an old no sterile sheet.

The nasal prongs are hung on an old hook by the open window – so I wrap the prongs in a sterile glove – at least its clean …ish.

In a busy day the babies can be sucked out by a bulb syringe used on several babies – I simple wash then in soapy water if we are out of time and believe I am making a difference – I have had at least 4 sisters have come to me and say I am very good  trying to stop cross contamination.

In front of me is a wee baby that had died that morning …this is where they are placed.

THE LUCKY ONES

I say a little prayer when I go into that room and often go in that room several times so the babies are not alone – and know I am watching over them at least while they are with us in labour ward – I say a prayer for these little babies …all the while pretending to clean equipment that I have already cleaned…..these wee angels I pray god will give wings…..

We have in Australia so many things we don’t realise.

We may complain about tax but we enjoy education for our kids, roads without pot holes the size of trucks, warm beds at night, good food, and healthcare should we choose to seek it – and for our babies ( and ourselves) we have the best chance and we can find no excuse not to give our babies the best start.

We think our lives are difficult at times – we complain and stress over minor things… One thing I take from this experience personally is there is still much to be done….it’s not enough to enjoy career, family, friends and life without giving back to someone, somewhere, and for me in every mothers eyes I see hope & dreams no different from yours or mine – except they were born into a nation crippled by poverty, poor health, failing infrastructure.

Aunty Glenny’s Hat

 

THE GENEROSITY

The generosity of you all in what you have donated, given and knitted may seem so small to many of you, maybe even trivial but it’s a truly honest gift of generosity and giving – these mothers love to know someone cared 1000’s of miles away –that someone cared enough to knit, purchase or donate – that they are not forgotten and invisible – they are cherished no matter how briefly, no matter how fleeting – the human touch, a smile, a look and your gifts gift are full of meaning, humanity and love.

For strangers we don’t know ….. but sisters in humanity. I leave you with this poem tonight

Love Chase & Jan XX

Go to www.midwifevision.org
To improve the health of mothers and babies through community support, education and getting involved
Dar es Salaam
Tanzania

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Tanzania

Update from Jan and Chase – June 2014

Tanzania, Dar es Salaam (Oyster Bay) – June 2014

Dearest Mikey, Micheala, Family, Friends, the team back at work, midwife colleagues in 1A and fellow midwives at Amana,

Its late and I’m tired, and jetlaged,  but I wanted you all to know we gave out some the beanies today (and the baby socks) it was such a moving and beautiful (mnzori in Swahili) privilege and the mothers were so grateful and so humble – they have so little it was received with tears, laughter ….lots of hugs and mostly of all the joy on their faces when they showed us the wee babies. But I am getting ahead of myself.

I’ll add pictures to let you experience the moments.

Where does one start with such an amazing experience both culturally and professionally and all the while with Chase in her first year of study and soaking up what is an intense experience. The trip took us a long time – we had 9 bags

Let’s start with Dar as Salaam, we are staying in any area called Oyster Bay – diplomatic and western area in a house with security, a cook and 36 other people…mostly 22 year olds, all women but one guy Jack! Layout – Shared bunks, bathrooms, cold showers, hand washing clothes in buckets, power outages, local food for dinner –the chef is sweet guy …eating a lot of rice and fruit.

Swahili lesson three nights a week which is hilarious but a must to really immerse yourself in the language is to know a people, they are wonderfully generous of spirit and very we had have some laughs.

First two days we took the dala dala which is the name for bus in Swahili  for bus – but really the bus resembles an overcrowded, standing room only, death-trap, crammed in with locals with babies, food, baskets and an intensity of heat, smells – true three day old sweat, flies, dust and roads that would make 4 WD safari look like a walk in the park…..two hours from the house to the hospital  and then two hours back…did that for two days and gave that away  – we now have taxi guy who takes us in 20 minutes in a car with windows and seat belts – and we can sit with our bags and enjoy the view. – all for $10 – the dala dala is only 80 cents !!!! but in balance $10 seems cheap!

Mothers all in labour waiting for a bed

Every day we have so much stuff to carry to the hospital it was almost impossible to carry it in the dala dala.

We take our own gloves, masks, alcohol wipes, hand sanitiser our scrubs to change into water, and of course all the baby beanies …

Chase is with me on labour ward…it’s not called birth suite here because one cannot in any shape for form call it as suite.

It’s a room with 8 delivery beds plus two  high risk beds – Eclampsia,(fitting due to pregnancy induced hypertension – high Blood Pressure) obstructed labour, APH, etc

There is an antenatal pre – labour ward which is effectively a booking place and you assess the patient – start a partogram (special chart for labour and delivery) – it’s a very busy ward.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

There is 80-120 babies born every day, which I know defies belief but its true- the mothers travel far and wide because they are encouraged to have  safe delivery – they have very little but are wonderfully happy and I have fallen in love with many of them.

The sisters on the ward – Midwives – they are highly skilled and care for a great deal of women every day and see every imaginable pregnancy outcome, and boy do they have full days.

There is no tea room or break room , because they never seem to have a break on shift – there are few lulls in the constant stream of mothers.

Post resuscitation…good outcome…

So day One – we arrive at the hospital – change into scrubs – get our ID badges – go to the ward – and the sister comes in to greet us and says please come we will show you orientation later….. We are busy – please bring your gloves.

We  walked into the labour ward and was immediately involved in a delivery of a women on the floor – managed to get her on the bed …she delivered quickly – lady next door pushing – delivered…within 20 minutes 7 babies had been born.. We were in the zone….by one o clock Chase & I lost count after number 26 deliveries, 2 full resuscitation’s…with great outcomes   80 % meconium liquor ……Sister Rose was fantastic and I worked with her all, day, she taught me so much and it was Sister Rose who gave such encouragement to me that I could be of help here.

One lost …..at 28 weeks…C section for APH – ( haemorrhage)  the baby died …wee angel…..the wee 28 week baby – I placed it next to lusty crying babies …I wanted him to have company in his passing…..

It was hot – 32 degrees, no fans, no fly screen so flies everywhere – the sweat is dripping down my back – no breaks, no time to eat – going to the toilet is like a major expedition.

There is no tea room or break room, because they never have a break on shift – there are few lulls in the constant stream of mothers.

After being supervised and trained, Chase is now giving injections of oxytocins, we need the help because there are so many deliveries going on – draws up the drug &  checks with another RM and gives it IM – sets up delivery packs, weighs and records the babies – helps at resus. In fact I have come to rely on Chase being beside me in a Neonatal Resuscitation.

Chase will tap out the heart rate of the baby, I usually give bag and mask if required (mostly it is required) – If I needed to start cardiac compression, Chase could take over the bag and mask. Its wonderful having Chase beside me and we work well together. Routine during the day is – Restock the limited supplies – constantly through the day run out of drug we use post delivery to actively manage the delivery of the placenta and also to prevent the mothers bleeding, its a drug called oxytocis – IV bottles are rigid plastic – IV running sets – having to count drips for – augmented labour it’s a whole new skill (we use pumps) in Australia – no soap at the basins – hand sanitizer you have to provide.

Lignocaine in large bottles – methylated spirits to swab tops.

A room with 8 delivery beds plus two observational beds or high risk beds – Eclampsia

The set up in the mothers must buy their delivery pack which consist of 10 IU of Oxytocins ( a drug that helps contract the uterus after delivery), two pairs of sterile gloves one for delivery &  one to take the baby after you deliver it and cut the cord, a package of sterile suture material in case they require stitches after delivery, a cord clamp, and a large roll of cotton wool wadding.

They must bring three kanga’s large colourful cotton sarongs.

We place one Kanga under them on top of a plastic sheet about 3 feet square – (which the hospital kindly provides) they are soaked in vats of chlorine and hung out to dry. See below in the picture .

A plastic sheet about 3 feet square – (which the hospital kindly provides)
they are soaked in vats of chlorine and hung out to dry.

The other kanga we place on their chest and deliver the baby to the chest – then upon clamping the cord (delayed clamping of the cord) the baby is placed into a clean dry kanga – taken to be weighed and antibiotic ointment in each eye – wrapped and placed under a two bar heater on the wall – a piece of tape in placed on the chest with name of mother, and sex and weight.

Meanwhile back at the mother – Oxytocins given at cord clamping – the third state ( delivery for placenta) very very quickly after that.

Beanies and Baby Socks

Check if she requires any repair – repair then with 5 mls local anaesthetic – suture using the same clamps you used to clamp the cord.

There are no scissors – only scalpel blades with no handles for all cutting of cords and suture material. Suture material is cat gut – dissolvable but it’s very stiff.

The sharps bins are thin card board  overflowing – all placentas go into the other bin, all equipment used in delivery is washed and re – sterilized immediately by an old man who runs this autoclave all day long.

The mother is asked to get up and we walk her to the sitting area – a wooden bench where she immediately breast feeds her baby – along with all the other mothers.

We wash down the bed – place a new plastic sheet on the bed and receive the next mother.

If the mother wants to eat she must wait for her family to bring her food – she must provide it all.

The kanga she delivers on is given to her still soiled in a plastic bag which she must provide and she gives it to her relatives to clean. There is no fuss – no carry on.

During labour there is no pain relief, no gas, no epidural – there is nothing – the hospital often has no blood for transfusions; women are often anaemic due to malaria and malnutrition. The mother’s birth plan is survival of herself and her baby – some young mothers would  say as they labour “I don’t want to die….”

The midwifes are incredible and they deal with many many difficult cases – there is a ward round twice a day during the morning shift and about 2.30 – 3.00 pm – decisions are made on progress and they follow the partogram “Alert line” and “Action line” with times placed next to the times based on the initial examination and labor progress.

One of the doctors is a quiet mannered man who has a constant look of intensity as he deals with so many mothers and babies. Yesterday they had to transfer two women to another hospital, because they ran out of sterile instruments for C sections. They rarely do LUSC.

Today I delivered three babies – 4.2, kg, 4.3, kg, 4.1, kg – in the delivery beds and one which we nicknamed “floor baby” – I delivered it on the floor – darling wee things with Apgars of 9, 9 – the mother a young 16 year old – first baby and she did well – head on view – push baby delivered as she sat down – Chase asked to draw up synocinin – – find the cord clamp in the bag  – clamp cord – cut cord – show mum the sex of the baby – hand over baby to Chase ( named floor baby as didn’t get time to get to  know the mother name at this stage)  – deliver the placenta – check fundus – check perineum – all good, help mother up – tell her to go to the toilet and pass water- she come back sits on the bench and breast feeds – just cleaned up the floor and Sister Rose (midwife  with whom I’d worked with yesterday – and is in antenatal) brings another women in and says  to me “Sister Mamma Jenny  – “fully and on view “– which means for the non- midwifes –  baby is on its way.

Chase said my G string hanging out the back of my scrubs was not a good look …but I must say I wasn’t planning in delivering on the floor – bare floor!

Delivery on the bare floor.  Where are all the other midwifes you may ask-?? Delivering babies as well – even student nurses delivering.

Marian delivered within 6 minutes, third stage shortly after…..and so it goes on…..there was a lull of about an hour when we only had 8 women in labour and no deliveries for 67 minutes ( I counted) lost count at 33 babies and that was at 3 pm ….

Today we also had cord prolapse – good outcome, I delivered a baby of a young mother who had been sadly circumcised, other cases today were pre term labour, obstructed labour , PPH, failed vantouse then delivered in swat position.

Communications can be a challenge with broken English and Swahili all mixed in together – –  my Swahili is limited to words like Push = Sakuma….stop (acha) , breath good  relax, darling, beautiful baby, sorry, slowly slowly – etc etc.

But let me tell you all the best part of today…

Mother and healthy new born baby

So the baby’s beanies and baby sox’s…..

I am not sure I can convey in words the generosity and love you all gave in your gifts of money, equipment – baby clothes, knitted beanies, it was a beautiful and very moving privilege today  – they soaked up today the love and Golden strands of love infused into every stitch knitted or crocheted for them….the mothers….  given by you all as total strangers 1000’s of miles away –

Each stitch infused with love and these gifts for me were just a breath away from being one of the moments in one’s life when you are glad your own dreams came true – that I have a profession that allows me to connect to my fellow midwifes a world away from home –

Being a helicopter pilot – pure freedom and professional growth – and our business which is a sum of stunning people who work within its whole mechanism ….without the success of so many of our team in making the company what it is today – I would have been able to be here …

It feel wonderful to be part of something that is bigger than yourself …..its refreshing to be embraced so generously by these midwives, the mothers and privileged to be make a small contribution to some of these little tackers first moments of live.

The girls in the postnatal ward are 4-5 to a bed – they share and sleep together.

Bucks wife Lilly – and her baby socks  a big big hit ….they loved them so will have to get the pattern specs – with one of my mother’s whom I delivered her baby.

With one of my mother’s whom I delivered her baby

The popular beanies – these ones from Kayla and Granny Helen

Chase and I to a tonne of medical equipment which they have lapped up and the single use equipment came into its own ad they run out all the time – so please my midwife colleagues back in 1A please save the single use equipment including single use resus bags – suture kits, delivery packs- they are just desperate here and I feel so very guilty about how much we use once and throw away….in fact at one point today I just wished I could have bought more – contributed more …..We are so very blessed in Australia, NZ, UK, Europe…..

Chase with new born baby

One thing I  bought that Becker Helicopters donated was educational material in Swahili and resus babies for practise, booklets.

It was amazing as we went through the golden minute – the babies first minute of life – and it’s a Helping Baby’s Breath program to assist health care workers ….the charge sister (they still call them that here)  she ran a teaching session with all her staff during the lull we had that day – then the teaching flip charts were put up on the resus machine  that no one uses and can’t work because of power cuts all the time and no wall suction and no oxygen cylinders) ….the posters were placed on the walls, student were trained during the day by their tutors…I was very moved and proud to have provided this training material all from a USA sponsored initiative and was so involved in the teaching of these students because there are so many resus everyday.

Golden Minute – the babies first minute of life – and it’s a helping baby’s breathe program to assist health care workers

Its back to our roots as midwives – when it matters what we have as core skills and core anchors in our profession…..to be able to pass that torch to the next generation of midwifes.

Pass that torch to the next generation of midwives

 ….anyway I must away….internet is woeful here – staying at a local hotel on weekend to catch up on work back home and hope to get this email out before then but they don’t have hotspot or free Wi-Fi here.

With Much love and heartfelt thanks,

Jan & Chase

(Dar es Salaam, Tanzania)

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9 Days to Tanzania!

Dearest Colleagues | Staff | Family | and Chase Tanzania trip update – only 9 days to go before we leave.

Chase sits her final semester University exam the day we leave so she is focused right now on study. Equipment update: I am trying to get as much single use disposable medical equipment from GP’s | Doctors surgeries | Hospitals as Tanzania Amana Hospital can use as much equipment as possible.

Coolum 7 day Medical Practice have been the first to come to the fore with manual BP machines – something that is almost a dying art. The Coolum 7 days Surgery has them store away so they might as well make a difference somewhere in the world. I have my pinnards which is manual device used to listen to babies heart rates – I used to use in PNG 100 years ago – have dusted it off !! I have also ordered from Coolum 7 day two Doppler’s small manual Fetal Heart rate monitors for the Hospital to keep.

Sunshine Coast Private Hospital Maternity Unit Health | Ward 1 A (Uniting Health) have also donated some little baby clothes and we are trying to gather as much single use equipment as we can.

Becker Helicopters have also donated some medical equipment, some of which is for teaching and training over there. One is a baby model for teaching neonatal resuscitation– they have a training program in the hospital but don’t have enough baby models to teach. So Becker Helicopters are donating the little models that are sold at a very reduced price to countries that are part of the

United Nations Millennium goals. It’s great to see large companies getting behind the lack of resources. http://www.laerdalglobalhealth.com/ Chase & I have to take our own gloves if we want to wear gloves for any procedures and deliveries.

Thanks to Peregian Springs Medical Practise and Coolum 7 day medical practise we have been immunized for Rabies, Cholera, Typhoid, Hep A & B, Tetanus, Yellow Fever, etc etc We are partially packed with all the extra equipment we are taking for the hospital. Beanies update: My mum has sent off her knitted beanies from NZ, Aunty Glenny is still knitting (Go Aunty Glenny) and Granny going well with Kayla lagging behind (Chase sister)

Will have photos of these wee babies wearing these gifts of love. What a fabulous response ……it’s overwhelming | Thankyou ….

Chase & I have been hand washing and drying all, the booties and hats and singlet to make sure they are all fresh and clean. Just gorgeous detail in some of the little wee hats….. I cannot thank you all enough. How privileged to be part of something that is so infused with love for these little babies.

I take my hat off to you all cos I can’t knit to save myself. See below Perry’s mum has some great photos of all these women knitting away …..it brings tears to your eyes such generosity of time, energy, wool and love

Just sent the courier parcel and this morning took a photo of Judith Chapman ( on the right in the red- she was the one who organised the knitters) and Mary Busch.

They were the only ones who could turn up for the photo at the RSA. Only a few of the beanies on the table the rest still in the box. The 62 were knitted in 4 days and the man in the wheelchair from Oxford had done 22 of them!!!!!!! NZ Couriers take the consignment to Auckland today.

We have done all the Custom forms and sent with the box. Fedex Auckland receive the consignment and send it on to Backers. Don’t have consignment number but could get if required. Love Dad and Mum.

Keep sending the babies beanies, email me to pick up any equipment etc and I’ll be right along. Post beanies to

Attention: Capt. Jan Becker

PO BOX 9165

Pacific Paradise

QLD 4564 AUSTRALIA

If you want to be removed from the email updates I won’t be offended- just put remove on the subject line Hospital in Tanzania The new maternity Block – perhaps I should take a pot of paint to brighten it up a bit!

Jan

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Tanzania

Start of a Journey

Dear family, friends and colleagues

Chase and I are travelling to Dar as Salaam, Tanzania on June 19th to volunteer as a student Nurse (Chase) and Midwife ( Jan)

In Africa one in 22 women die in childbirth

In the United Nations Millennium Declaration, many nations committed their nations to a new global partnership to reduce extreme poverty and setting out a series of time-bound targets — with a deadline of 2015 — that have become known as the Millennium Development Goals.

The eight MDGs form a blueprint agreed to by all the world’s countries and all the world’s leading development institutions. They have galvanized unprecedented efforts to meet the needs of the worlds poorest.

I am keen on the Goal 4 & 5 the Millennium Development Goals

  • Goal 4: Reduce child mortality
  • Goal 5: Improve maternal health

It’s been on my radar for a long time and now is the time. It’s time to give back!

For many of you you know I worked in PNG and Outback. My love for nursing in areas of extreme need has always pulled me. How cool would it be to actually fly in the helicopter – give vaccinations and then fly out?

That dream is a little way off ……but I will fulfil that one day.

So after months of research ….Chase and I are travelling to Dar as Salaam, Tanzania where we are working in a hospital that has 100 deliveries per day. The hospital is Armana IN Dar es Salaam. http://amanahospital.go.tz/

They are very under resourced.

Now this is  where you all come in…….I know many of you can knit. ……

So here the challenge ………………………..Chase & I leave June 19th

We need the knitted beanies to arrive about 16th June

We want to take 1300 beanies!!!!!

One for every baby born every day that we are there.