An estimated 2.8 million people live in the Tibet Autonomous Region (TAR) of southwest China. For Tibetan women, pregnancy and childbirth are especially risky. A very weak rural health care system, is exacerbated by a lack of any tradition of birth attendants or midwives. As a result, maternal and perinatal mortality rates in Tibet are among the highest in the world. One in ten Tibetan babies die within their first month.
One HEART (Health, Education, and Research in Tibet) works to remedy this situation through midwife training to local physicians and by preparing women and their families for impending births. Working in Tibet since 1998, the organisation’s work has focused on Medor Gonkar County. In 2006, 90% of women in the county were assisted during childbirth by an attendant trained by One HEART, only one woman in the county died in childbirth and the county’s infant mortality rate was cut by half. According to the data collected at the Maternal Child Health Hospital in Lhasa, there were no maternal deaths in 2008 in the countries where One HEART operates.
The COMO Foundation is supporting One HEART's PAVOT (Pregnancy and Village Outreach Tibet) programme. Established in 2004, this community-level maternal and newborn health programme delivers basic health education, skills and essential resources directly to rural pregnant women and their families. PAVOT relies on a cadre of dedicated community members, both doctors and laypersons, to reach the women in remote rural communities. Beneficiaries learn about prenatal care, nutrition, birth planning, sanitary labor and delivery, recognition of danger signs of the mother and her baby, prevention of maternal hemorrhage, and good newborn care. They are also taught hands-on life saving skills such as uterine massage for the prevention of maternal hemorrhage and resuscitation of the newborn who is not breathing. Finally, they are given essential life saving resources, such as prenatal vitamins and iron, clean delivery kits, and newborn hats and blankets.
To find out more about One HEART, please visit www.onehearttibet.org