Finbarr O'Reilly/Reuters
The Bill & Melinda Gates Foundation has given a $5 million grant to a Massachusetts nonprofit group to work on a very specific problem: how to get new mothers in Ghana to hospitals.
Child mortality is very high in Ghana, but many newborns can be saved if the mother gives birth with someone trained, even rudimentarily, in Western medicine and if the baby is seen within two days by a doctor or nurse.
But in rural Ghana, explained Dr. Pierre M. Barker, vice president of the Institute for Healthcare Improvement, which received the Gates grant, there are many obstacles. Besides the obvious, like rutted roads, there are prejudices against wives or newborns leaving the house.
Sending expert committees to visit village chiefs, he said, has turned many into advocates for getting women to clinics instead of giving birth with untrained local midwives who may be unable to diagnose pneumonia or who have habits that cause tetanus, like cutting umbilical cords with dirty blades.
Dr. Barker described how his agency helped set up a village meeting that produced a way to get women in labor to hospitals when they had no money. He expected villagers to donate funds. Instead, local minibus-taxi drivers proposed a deal: They would carry the women at no charge if, once they arrived, they were allowed to jump the line for paying passengers headed back home.
This article has been revised to reflect the following correction:
Correction: November 1, 2012
An article on Tuesday about efforts to get pregnant women in rural Ghana to clinics to give birth misstated, at one point, the surname of the vice president of the Institute for Healthcare Improvement, which received a grant to organize the efforts. As the report correctly noted elsewhere, he is Dr. Pierre M. Barker — not Parker.
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