Download press release as PDF: Press Release Arusha Rotary July 2018
Figure 1Golden Sunrise Rotarian DR. NANYOKYE NASIRA KIDOKO hands over a Cradle blood pressure device to TIFFANY MAHON, a volunteer nurse at Flying Medical Service, while MELANIE FINN of the Natron Healthcare project looks on
The small state of Vermont might be on the other side of the world, but thanks to the global community of Rotary, International, a group of Vermonters is able to improve maternal health in remote areas of Longido District, Tanzania. The St. Johnsbury Rotary of Vermont, USA, donated $1000 to the Natron Healthcare Project for the purchase of 20 Maternova Cradle blood pressure devices to be used in clinics and bomas throughout Longido. These hardy, easy-to-use sphygmomanometers will be used by midwives, clinical officers and others on the front line of maternal care to monitor the blood pressure of mothers-to-be.
The Golden Sunrise Rotary Club of Arusha helped facilitate the donation. The Cradles are donated by NHP to the District Medical Office of Longido.
The Natron Healthcare Project operates in two remote villages near Lake Natron, and has piloted the use of the Cradles with 12 illiterate traditional birth attendants. “We were hearing about many deaths from pre-eclampsia,” says co-founder and co-director, Dr. Penny Aeberhard. “Increasing blood pressure in the third trimester is a strong indicator that things are going wrong, and the mother needs to be taken quickly to primary care. As there are no health services near these villages, pregnant women are almost wholly dependent on their TBAs for antenatal care.”
The Cradles give numeric digital readings, but also simple lights indicating whether a blood pressure is normal, in a warning zone, or dangerously high. NHP trained TBAs in Magadini and Wosiwosi have already referred several pregnant women to primary care.
“We train the TBAs to take blood pressure throughout the pregnancy, but with particular care in the third trimester,” says Dr. Aeberhard. “The lights are green for a normal systolic pressure below 130, then amber until 149, then red. Because these communities are extremely remote, we teach the TBAs to refer immediately on amber, because it will take time to organize transport. If they wait until red, this is often too late, especially for pre-eclampsia and hemorrhage.”
TBAs then work with other community members to evacuate the mother. Without reliable transport – and, during the rainy season, without roads – the villages often rely on the Flying Medical Service to fly in for evacuations. FMS has also received several of the Cradles from Dr. Aeberhard’s organization, and finds they are quick, accurate and easy to use at the outreach clinics they provide throughout some of northern Tanzanian’s remotest areas.
“Ideally, every woman gives birth in primary care,” says Melanie Finn, Dr. Aeberhard’s partner at NHP. “But if we want to save lives, right now, in these very distance places, we need to be practical.” Finn lives in Vermont and was approached by the St. Johnsbury Rotary when Rotarians heard about her work with predominantly Masai communities in Natron. Improving antenatal care is deeply personal for her. She lived in Magadini for three years, witnessing the difficulties local people – especially mothers and children – had in accessing healthcare and understanding their healthcare issues. She and Dr. Aeberhard founded NHP in 2008.
“Rotary is such an amazing organization of individuals from all backgrounds and professionals who are committed to making the world a better place,” Finn adds. “We have really enjoyed connecting these two Rotaries, across thousands of miles. Thank you, Rotarians, for your gift trough us to the DMO and the people of Longido. This will save lives!”