"Ua manaʻo wau e nalowale ana kaʻu pēpē a make i ka huakaʻi i ka haukapila."
ʻO nā ʻōlelo hauʻoli a Samueline Razafindravao, ʻo ia ka mea i hele i ka halemaʻi kūikawā kokoke loa i ke kūlanakauhale ʻo Ambovombe ma ka ʻāina ʻo Androy o ka hema o Madagascar ma hope o ka maopopo ʻana e nalowale ana kāna keiki inā ʻaʻole ʻo ia e ʻimi i ka lāʻau lapaʻau wikiwiki.
Ua kamaʻilio ʻo Ms. Razafindravao iā Nūhou UN mamua o La Ola Ola Honua, hōʻailona ʻia i kēlā me kēia makahiki ma ka lā 7 ʻApelila.
Ma kahi ʻāina i hānau ʻia ai nā pēpē he nui ma ka home a kahi e uku ʻia ai ka pale keiki maʻamau i kahi moa e hānau ai i ke pēpē, he mea koʻikoʻi kāna hoʻoholo.
"Ua ho'āʻo wau e hānau ma ka home no ka mea hopohopo wau i ka uku o ka hele ʻana i ka haukapila," i ʻōlelo ai ʻo ia, "akā ua ʻike wau ua loaʻa iaʻu nā pilikia he nui, no laila ua hele au i ke kikowaena olakino kūloko."
Ua ʻike ka poʻe mālama ola ma laila ua pono ʻo ia i kahi pae o ka mālama ʻoi aku ka maikaʻi a kāhea aku i kahi kaʻa kaʻa mai ka Androy Regional Referral Hospital, kahi huakaʻi ma kahi ʻāina i hoʻopaʻa ʻia me nā alanui paʻa ʻole.
"Ke hoʻoikaika nui nei ka pēpē a laila ʻaʻole i neʻe koke. Ua manaʻo wau e make ana au a nalowale ke keiki.
Ka nele o nā kaʻa kaʻa
He mea hoʻolaʻa ola ʻole ia a he manawa kūpono ʻole e hiki ai ke kāhea i kahi kaʻa kaʻa ma Madagascar. Akā, ʻaʻole paha he haukapila maʻamau ka Androy Regional Referral Hospital ma kahi o nā wahi ʻilihune loa i kekahi o nā ʻāina ʻilihune o ʻApelika.
Ua hoʻomohala ʻia i hale haukapila kūikawā no ka nui o nā lawelawe, me ke olakino makuahine, mahalo ʻia i ke kākoʻo ʻana o nā hui o United Nations e hana nei ma ka ʻāina. ʻO ka United Nations sexual and reproductive health agency, UNFPA, hāʻawi ʻia kekahi o nā ambulances ʻelua i loaʻa i ka haukapila.
Kākoʻo pū ke keʻena i ke kauka lapaʻau nāna e hoʻokō i nā ʻāpana Caesarean a me ke ʻoki ʻana i ka fistula obstetric a me ʻelua mau palekeiki e kōkua ana i ka hānau ʻana i nā pēpē a me ka hoʻolālā ʻohana. Ua hoʻolako pū ʻia i nā incubators no nā pēpē premature a me nā pahu hānau no nā makuahine.
Hāʻawi nā panela lā i kumu hilinaʻi o ka uila i ka haukapila.
UNFPAʻO Kauka Sadoscar Hakizimana, he kauka lapaʻau nāna i hāʻawi i nā pēpē he ʻumi ma ka ʻāpana Caesarian ma ka haukapila, ke manaʻoʻiʻo nei ʻo ka mālama ʻana i nā lawelawe olakino makuahine ke kī e hoʻopakele ai i nā ola hou aʻe.
"He nui nā wāhine hāpai, ma kahi o 60 a 70 pākēneka paha, ka poʻe i hōʻea i ʻaneʻi ua nalowale kā lākou pēpē no ka mea ua lōʻihi ka ʻimi ʻana i ke kōkua lapaʻau," i ʻōlelo ai ʻo ia, "akā, he 100 pākēneka ka holomua o nā hānau hānau olakino, kūlohelohe a i ʻole. Caesarian, no kēlā mau makuahine i hiki mai i ka manawa, no ka mea he nui nā koho mālama hiki iā mākou ke hāʻawi iā lākou.
He manuahi ka mālama ʻana a hoʻokō ʻia e nā lawelawe ʻē aʻe i hāʻawi ʻia e nā hui UN. ʻO ka UN Children's Fund (UNICEF) ke hāʻawi nei i nā meaʻai a me nā mālama olakino no nā keiki e loaʻa ana i ka maʻi ʻai nui a me nā hālāwai ʻike e pili ana i nā hana meaʻai maikaʻi no nā mākua.
Ka Honua Health World (WHO) ke hāʻawi nei i nā lawelawe no ka poʻe me ke kino kīnā a me nā pilikia olakino.
A me ka UN Development Program (UNDP) ua hana pū me ka haukapila no ka hoʻokomo ʻana i nā panela lā e hōʻoia ai ʻaʻole hiki ke hoʻohana ʻia nā mea pono no ka mālama ʻana i ke ola o ka poʻe e ka lako uila i kekahi manawa.
Kōkua ʻo Kauka Germaine Retofa i ka makuahine hou e hānai i ka umauma.
Ua mālama ʻo Kauka Germaine Retofa, ka Luna Hoʻokele ʻĀpana no ka Public Health ma Androy, i ka hoʻohui ʻana o nā lawelawe ma ka haukapila i alakaʻi ai, ma waena o nā mea hou aʻe, i ka hōʻemi ʻana i ka make o nā makuahine a me nā pēpē a me ka hoʻonui ʻana i ka lāʻau lapaʻau kamaliʻi.
"He mea maʻalahi ka hoʻohui ʻana i kēia mau lawelawe āpau, no ka mea hiki iā mākou ke hāʻawi i kahi ala holistic ʻoi aku ka nui o ka mālama ola kino e komo pū ana i nā lawelawe olakino makuahine me ka ʻōlelo aʻo meaʻai a me ka mālama ʻana i nā keiki malnourished," wahi āna. "ʻOi aku ka maʻalahi o ka hoʻohui ʻana i nā lawelawe ʻē aʻe ke loaʻa iā mākou kēia hale."
Ke hoʻomau nei ka UN ma Madagascar i kāna mau kumuwaiwai i ka mea i kapa ʻia ʻo "convergence zones", e hiki ai i nā UN humanitarian and development-focused agencies e hoʻonohonoho i nā hana lōʻihi.
Hoʻihoʻi hou ʻia nā makuahine ʻōpio i loko o ka hale hānai o ka Hale Hōʻikeʻike ʻĀina o Androy.
"Ma kēia mau ʻāpana convergence, he mea nui e hoʻomaopopo i ka hana ʻana o ka hoʻomohala ʻana a me nā mea hana kōkua kanaka," wahi a Natasha van Rijn, ka Lunamakaʻāinana Noho no ka UNDP ma Madagascar.
"Inā ʻae mākou iā mākou iho e nānā i ke kūlana ma Madagascar me nā paʻakikī āpau e pono ai, a laila loaʻa iā mākou kahi manawa e hoʻoponopono ai i nā pono i kā lākou mau ʻāpana multisectoral paʻakikī," i hoʻohui ai ʻo ia.
Ma hope o Androy Regional Referral Hospital, ʻo Ms. Razafindravao a me kāna pēpē pēpē ʻehā lā i kēia manawa, ka mea i hānau hope ʻia e ka ʻāpana Caesarean, ke hana maikaʻi nei lākou ma ka hale hānai. Ma ke ʻano he makuahine ʻōpio, ke aʻo nei ʻo ia i ka hānai ʻana i kāna pēpē, ka mea āna i kapa ai ʻo Fandresena, a ʻaʻole i liʻuliʻu, e hana ʻo ia i ka huakaʻi lōʻihi 200 km e hoʻi i ka home, akā i kēia manawa ʻaʻole i loko o kahi ambulance i kāhea ʻia i kahi pilikia.
- E hoʻoikaika i ke kūpaʻa a me ka hoʻololi ʻana i nā pōʻino pili i ke aniau a me nā pōʻino kūlohelohe
- E hoʻohui i nā ana hoʻololi ea i loko o nā kulekele aupuni, nā hoʻolālā a me ka hoʻolālā
- E hoʻomaikaʻi i ka hoʻonaʻauao, hoʻonui i ka ʻike a me ke kanaka a me ka ʻoihana e pili ana i ka hoʻēmi ʻana i ke aniau, ka hoʻololi ʻana, ka hōʻemi ʻana i ka hopena a me ka ʻōlelo aʻo mua.
- E hoʻonui i ka mana no ka hoʻolālā a me ka hoʻokele kūpono e pili ana i ka hoʻololi ʻana i ke aniau nā ʻāina kūkulu liʻiliʻi
ʻO ka UN Framework Convention on Climate Change (UNFCCC) ʻo ia ka hui mua o ka honua, waena o ke aupuni no ke kūkākūkā ʻana i ka pane honua i ka hoʻololi ʻana i ke aniau.
