Sub-Saharan Africa has experienced little improvement in maternity outcomes in recent years (World Health Organization[WHO], 2014) and yet, in an informal settlement in Nairobi, where the urban poor suffer the greatest losses of mothers and babies (Ndirangu, 2015; Ziraba, Madise, Mills, Kyobutungi, & Ezeh, 2009), one place stands out.
“An equal chance at life and love”.
This phrase is embedded into the vision of the not-for-profit, privately-run Fremo Birth Centre(FBC).
Although under-staffed and under-resourced, the FreMo Birth Centre provides
o free/small cost maternity care focusing on normal birth, including breech, twins, VBAC.
o well baby/well woman/family planning/post abortion care.
o zero maternal mortality or serious injury (including no 3rddegree tears or beyond)
o neonatal morbidity/mortality far below national figures.
(Fremo Medical and Birth Centre, 2011-2017; WHO, 2014).
On behalf of those heroes who run the centre on a day-to-day basis, I am honoured to tell their story. Vicki Chan
Learning Objectives:
Objective 1: Describe what qualifies a ‘low resource centre.'
Objective 2: Explain the role of midwifery in a low-resource centre; and
Objective 3: List the methods one can take to value/promote/build/sustain normalcy in the maternity care system.
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