Kampong Speu is the poorest province in Cambodia where there is only very limited access to medical care, especially obstetric and neonatal care. The referral hospital to accommodate pregnancies with complications is more than 100 km from the remotest village. Health services lack staff and equipment.
In 2010, the maternal mortality rate in the province of Kampong Speu was 206 per 100,000 births and the neonatal mortality rate was 31 per 1,000 live births, with significant disparities between urban and rural areas.
This project aims to reduce maternal and neonatal mortality by stepping up care services, especially in obstetric and neonatal emergencies, and provide better resources for communities. It is based on two complementary actions: training midwives to improve the quality of services in hospitals and health centers, and training village doulas to inform and support women during pregnancy and the first months of their babies’ lives.
The project will build a sustainable network of collaboration between midwives and doulas. It will also work with the government to ensure recognition for doula training.
The doula system was launched in Cambodia in 2010 by Enfants & Développement. Doulas provide women with information and support for their sexual and reproductive health, while educating them about their rights. They accompany them during their pregnancy and the first months of their child’s life. Without providing strictly medical care, they act as the interface between pregnant women and the public health services - particularly midwives.
|Location||East Asia and Pacific, Cambodia|