Top, an Afghan nurse checks <strong>the</strong> blood pressure <strong>of</strong> a pregnant woman at <strong>the</strong> Malalay Maternity Hospital in Kabul. Center left, Zulma Lisenia Ramos reached <strong>the</strong> desired weight <strong>for</strong> her age through USAID’s Integrated Nutrition Care Program in El Salvador. Center right, <strong>the</strong>n U.S. Ambassador to Indonesia Ralph Boyce meets one <strong>of</strong> <strong>the</strong> women and children in a U.S.-supported feeding center in West Timor. Bottom left, one <strong>of</strong> <strong>the</strong> young patients in a cholera treatment center <strong>for</strong> displaced persons in Liberia. Bottom right, Well Family Clinic ownermanager Nazarina Daria, right, with her clients. 24
Success Story Healthier Babies Filipino Clinics Deliver a Better Way OThe U.S. commitment to women’s health and well-being is visible in its hundreds <strong>of</strong> programs that provide immunization services, nutrition, and maternal and neonatal care <strong>for</strong> millions <strong>of</strong> women and <strong>the</strong>ir families around <strong>the</strong> world. To decrease <strong>the</strong> risks associated with pregnancy and childbirth, <strong>the</strong>se programs emphasize improving <strong>the</strong> quality <strong>of</strong> and <strong>the</strong> access to health services, and equipping birth attendants with <strong>the</strong> knowledge, skills, and clinic instruments needed to deliver lifesaving care. Thanks to U.S. funding in <strong>the</strong> Philippines, <strong>for</strong> instance, more than 2,040 midwives are making family planning and maternal and child health services accessible to more lower- and middle-income families around <strong>the</strong> country. What’s more, <strong>the</strong>se midwives are earning a good income <strong>for</strong> <strong>the</strong>ir ef<strong>for</strong>ts at franchised, private-sector family planning, maternal, and childcare wellness centers throughout <strong>the</strong> country. One <strong>of</strong> <strong>the</strong>se trained midwife entrepreneurs is Nazarina “Baby” Daria, who, with her husband, had operated <strong>the</strong> small grocery store <strong>the</strong>y owned in Talisay, a small city in Central Philippines. She was looking <strong>for</strong> an opportunity to apply her special skills and talents to earn enough income to help raise a family. However, Nazarina did not know what opportunities existed in her husband’s hometown or how to get started. Her cousin told her about a U.S. governmentfunded program that could help: <strong>the</strong> Well Family Midwife Clinics. With her husband’s encouragement, she applied to <strong>the</strong> program. The wellness centers <strong>for</strong> <strong>the</strong> Philippines came about in 1997, when <strong>the</strong> U.S. Agency <strong>for</strong> International Development (USAID) launched <strong>the</strong>se projects in partnership with eight nongovernmental organizations. Midwives selected <strong>for</strong> <strong>the</strong> network receive basic clinic equipment and instruments, rigorous training that includes business management, and marketing assistance to promote <strong>the</strong> clinics and <strong>the</strong> services <strong>the</strong>y <strong>of</strong>fer. The renovated or newly constructed clinics are sustainable, because <strong>the</strong> midwives invest <strong>the</strong>ir own capital, increasing <strong>the</strong>ir stake in <strong>the</strong> clinics’ success. This sustainability is fur<strong>the</strong>r ensured through a support organization that will provide ongoing supervision and guidance to <strong>the</strong> midwives long after USAID ends its assistance. Through this program, family planning counseling, pre-natal and post-natal supervision, and <strong>the</strong> delivery <strong>of</strong> babies in a warm, caring environment have become attractive, accessible, and af<strong>for</strong>dable to more middle- and lower-income families in <strong>the</strong> Philippines. USAID reports that <strong>the</strong> clinics serve an estimated population <strong>of</strong> 1.6 million women <strong>of</strong> reproductive age nationwide, including families in some Muslim-populated municipalities <strong>of</strong> Mindanao. With <strong>the</strong> USAID program’s support, Nazarina converted <strong>the</strong> family store into a cheerful lying-in health facility, complete with a waiting room, an <strong>of</strong>fice, examining and delivery rooms, and a recovery room furnished with twin beds, a tiny crib, a kitchenette, and even a TV. On call 24 hours a day, Nazarina loves her work <strong>of</strong> delivering 10 to 18 babies per month. “I never thought I could reach like this,” says Nazarina, referring to her success as a businesswoman, “because I was just a plain housewife and storeowner. I always say, ‘Thank you, USAID,’ <strong>for</strong> giving <strong>the</strong> midwife a chance.” For more in<strong>for</strong>mation on <strong>the</strong> Well Family Midwife Clinics, see: http://www.wfmc.com.ph/. Z 25
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Prepared for the 10th Anniversary o