Berhane's 20 minute-old son, wrapped in a warm blanket after being delivered by nurse Adau Mengistu in Mekaneselam's Health Centre, South Wollo Zone, Amahara Region, Ethiopia. Carried on a stretcher by family members and neighbours, Berhane arrived at 5:00 am to the health centre and half an hour later gave birth to her third child. In Ethiopia many women don't have access to skilled delivery care, only 6% of women give birth in a medical institution. Mekaneselam Health Centre has no capacity to handle complications during labour and refers these cases to the nearest District Hospital, which is a four-hour-drive away.  When an expectant mother is referred to the District Hospital, families have to pay in advance 1,230 Birr (approx. £50) to cover the costs of transportation.  Transport problems, the cost of getting to a health centre and the convenience of travelling are among the major causes for women not accessing skilled assistance during childbirth.  (image by Caroline Trutmann)
Berhane's 20 minute-old son, wrapped in a warm blanket after being delivered by nurse Adau Mengistu in Mekaneselam's Health Centre, South Wollo Zone, Amahara Region, Ethiopia. Carried on a stretcher by family members and neighbours, Berhane arrived at 5:00 am to the health centre and half an hour later gave birth to her third child. In Ethiopia many women don't have access to skilled delivery care, only 6% of women give birth in a medical institution. Mekaneselam Health Centre has no capacity to handle complications during labour and refers these cases to the nearest District Hospital, which is a four-hour-drive away. When an expectant mother is referred to the District Hospital, families have to pay in advance 1,230 Birr (approx. £50) to cover the costs of transportation. Transport problems, the cost of getting to a health centre and the convenience of travelling are among the major causes for women not accessing skilled assistance during childbirth.
©Caroline Trutmann
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