Welcome Back!

You have Gifts for Good in your basket.

Welcome Back!

Last time you were here, you were looking to help vulnerable children and families. Your support can save and change lives.

I was born in the small coastal village of Kivori, in Papua New Guinea’s Central Province. With no healthcare centre nearby, my mother gave birth to me at home, with the help of several traditional birth attendants as well as a traditional healer.

Instead of a delivery bed, an empty rice bag was spread on the ground for my mother to use during childbirth, and my umbilical cord would have been cut with a sharpened stick of a sago palm.

With no access to an ambulance and the nearest hospital – and doctor – a four-hour drive to Port Moresby, my mother would have been praying that there were no complications.

More than 30 years later, little has changed for the mothers of Kivori. Globally, and within the Asia-Pacific region, PNG has some of the worst maternal and child health indicators. At least one woman loses her life in childbirth every day. Most of these deaths are preventable.

It was on a visit to Brisbane last year that I was reminded how shocking the conditions are for mothers and their newborns in PNG. We may be Australia’s closest neighbour, with just 400km separating us, but the differences in our healthcare systems are like night and day.

The Royal Brisbane Women’s Hospital has over 400 doctors. This is only one of many hospitals servicing the city of Brisbane. The whole of PNG has fewer than 400 doctors, and my home province of Central Province has just one doctor servicing almost a quarter of a million people.

In fact, the entire healthcare system in PNG is beset by shortages – in doctors, nurses, midwives as well as facilities, medicine and equipment to make childbirth safer.

My village used to have a small aid post, but government funding cuts and a lack of trained staff saw it close in 2013.

So mothers wanting to give birth in a healthcare facility must now walk 10kms to a health sub-centre. Here, they will find a building without electricity or running water, without mattresses for the consulting beds, and a severe shortage of proper medical equipment.

It is not uncommon for the clinic to run out of medicines – even paracetamol. There are only two staff working here – with the same skills as a nursing assistant in Australia – so clinic times are office hours only.

If anything should go wrong, the closest ambulance is a 45-minute drive away and patients must pay 200 Kina (more than a month’s salary) to travel to Port Moresby to go to hospital. If transport can even be found.

This dire lack of professional, accessible healthcare is why so many women from my village will choose to instead give birth at home. In Central Province, four out of five women do not have the support of a skilled birth attendant during childbirth.

And while homebirths are increasing in popularity in Australian, fewer than 1 per cent of Australian women will give birth without the care of qualified health professionals.

The mortality rates underline the terrible impact of this enormous disparity. Mothers in PNG are 35 times more likely to die during pregnancy and their newborns are 10 times more likely to die during the first month of life.

Almost three decades ago, traditional birth attendant Jullian delivered her first baby.

In her village in Central Province, the closest health centre is a two-hour walk so, with the woman already experiencing severe labour pains, Jullian had been summoned to help the expectant mother give birth at home.

More than 24 hours later, the baby was born healthy, the mother had survived an agonising ordeal, and Jullian could breathe a sigh of relief. It was an intense and emotionally overwhelming introduction to her new role as a traditional birth attendant, one which she began with no formal training.

In those early days, Jullian’s arsenal of midwifery equipment was rudimentary at best. “There were no hand gloves, so I would put on plastic bags on my hands. To cut the cord I would use a type of bamboo as a knife. I used whatever I could find.”

Nor was her working environment any better. “It’s a long walk to the clinic, and sometimes women can’t wait, especially in times of emergency. Women worry that they might give birth on the road, so they decide to stay at home instead.

“I would spread old clothes or 50kg produce bags underneath the women during their labour. The string from the bags could also be used to tie the umbilical cord.”

For the approximately 3,000 women who live in the villages of Kivori, the delivery options are extremely limited, if non-existent. A basic clinic can only be reached by a long journey on foot, and the district health centre is over an hour’s drive on a poorly maintained road.

Public motor vehicles – the only form of transport available and equivalent to travelling on a large and overcrowded produce truck – do not travel this road on a daily basis. The cost of using this service is also prohibitive.

There are no doctors available in Central province, so to reach a hospital for more specialist care means a five-hour journey to Port Moresby.

For these reasons, women like Jullian perform a vital and sometimes life-saving service. For the majority of pregnant women, they are the only childbirth support available.

During the early years of her work, Jullian was fortunate to learn some additional midwifery skills by shadowing the Community Health Worker – the equivalent of a basic nurse in Australia in terms of qualifications.