Community clinics earn confidence of poor mothers in Rangpur

RANGPUR, May 25, 2017 (BSS) - The community clinics have earned confidence of poor rural mothers, with providing them with safe delivery facilities and maternal and neonatal healthcare services in the district.

The Community Skilled Birth Attendants (CSBAs) have been conducting regular checkups of pregnant women, providing them with medicines, nutritional education and micro-nutrient supplements free of costs to ensure their safe deliveries.According to the Civil Surgeon Office sources, safe deliveries are currently being conducted at 43 out of 309 community clinics in all eight upazilas of the districts.

The CSBAs conducted safe deliveries of 234 rural mothers last year and more 35 deliveries till date this year at 43 community clinics.

Besides, 19,374 women received maternal healthcare services during pregnancy and neonatal healthcare services after delivery in 2016 while 6,555 women received the same services in all 309 community clinics so far this year.

"The community clinics have become trusted places for safe delivery of rural mothers and some other urgent healthcare services to women," said Civil Surgeon Dr. Abu Md Zakirul Islam.

CHCP Nazma Khatun at Gokulpur Community Clinic under Haridebpur union of Sadar upazila narrated as how the maternal and neonatal healthcare services are being provided to rural pregnant women.

"We review previous health conditions of a pregnant woman to give her the right services," Nazma said.

Each of the pregnant women gets 30 iron tablets, 30 vitamin B-complex tablets and 30 pieces of calcium lactate tablets for one month from community clinic soon after confirmation of her pregnancy.

"A pregnant woman comes at least four times to community clinic for regular checkups, or even more times if needed, during her 40-week pregnancy period," she said.

"If any complicacy is noticed during checkups, the CHCPs refer those women to Upazila Health Complex or nearby government hospitals," Nazma added.

Talking to BSS at Gokulpur Community Clinic, Alima Begum, 20, wife of day labourer Shahin Mian of village Chawrapara, said she safely gave birth to a daughter.

"I was scared after becoming pregnant due to financial hardship of my poor family. I, however, became happy after getting excellent services, medicines and counsel from CHCP staff when I first came to the community clinic," she said.

Like many others, Zannati, 21, wife of farm labourer Jahangir of the same village, also received maternal health care services during her pregnancy and neonatal healthcare services after delivery.

Kashmira, 19, wife of marginal farmer Mahidul Islam of village

Maddhyapara, said she safely gave birth to her first child at Gutirdanga Community Clinic under Kalurpara union in Badarganj upazila.

"My husband took me to the clinic where the CHCP gave me necessary healthcare services till my safe delivery," she said.

Similarly, Julekha, 20, wife of day-labourer Akhterul of village

Gutirdanga and Ruzina, 19, wife of poor Milan of village Kalurpara Amlidanga safely gave birth to a son and daughter respectively there.

Ziasmin, 20, wife of cart puller Alamin of village Chankuthi said she gave birth to a son at Uttar Mominpur Community Clinic in Mominpur union under Sadar upazila.

Similarly, Rabeya, 20, wife of marginal farmer Monir of village

Dangapara and Swapna Rani, 20, wife of day-labourer Bimal Chandra of village Baniyapara expressed satisfaction after giving birth to their sons there.

Like other CHCPs, Nazma regretted that 'brokers' of some 'business-oriented' private clinics are inspiring many rural poor women with no complexities to undergo costly cesarean operations for so called 'safe delivery'.

Former Divisional Director (Health) Dr Shahadat Hossain stressed on enhancing monitoring activities so that none could misguide rural women to go for costly cesarean operation at private clinics instead of coming to the community clinics for safe delivery.

Source: Bangladesh Sangbad Sangstha (BSS)