THE HEALTH FIELDS

Since many years, to the time that the delicateness of the life conditions of pygmy peoples, a grand part of population pygmy have not the access to the health cares of quality. This population still stay in the misery and to treat themselve they use a grand part of traditional medicine to heal the patients even though the sanitary politic in our country knows the use of the health services as a national priority. Untill now, the sexual health and reproductive (the delivery and planning familial)to pygmy still stay a serious problem. The delivery still take place at home assisted by the traditional midwife in useing the old technics makeing in danger no only the pygmy woman life but also his child. In a hard miserable life that pass the pygmy, the planning familial is an unfamiliar subject and bad interpreted by the pygmy couple, where, the necessity to teach and reinforce the sensitization. The prevention of the maternal mortality and chaldish in this specific group seem to be an accessory problem in the interventions of public health that would be a priority first appart from their vulnerability degree. In the purpose to promote the maternal health and infantile of pygmy peoples, PPSDR come to make the activities of sensitization and framing of pygmy traditional midwifeto favor the pregnant pygmy women to join the prenatal consultation and maternity service at last to favour the delivery assisted even though a lot of obstacles those still prevent the pygmy to accede to health service. It’s about the :  Socio- cultural obstacles ;  Economic obstacles and  Geographic obstacles. In the launching of this activity, two interferings exposed about two different topics : the first about the dangers of delivery at home to the baby and the mother, the role of pygmy traditional delivery in the promotion of the maternal health, and the second exposed about the planning familial and the prevention of the maternal mortality and infantile.

The traditional midwife and the couples pygmy before the traning room about the mortality prevention and the planning familial.

The activity was moderated by Mr Hénoc, the Coordinator of PPSDR and the facilitation was to two collaborators : Dr Papy Coordinator of PHS ONG Mr Jacques of PHS ONG.

The participants are 49 matrons pygmy and pygmy couples plus 11 girls in procreate age, that is in total 130 participants minus the organizers.

The pygmy agree and well sensitized to join the health services ; but that constitute the obstacle it’s the lack of financing to honor the hospital bill.

SENSITIZATION OF PYGMY TRADITIONAL MIDWIFE.

Expose of the first Orator : Clovis NYAMURARA, professional in public health, frame of the PPSDR/IDJWI Antenna.

After the report of the first topic presented by Clovis NYAMURARA, about the dangers of delivery at home to the baby and the mother, the role of pygmy traditional midwife in the promotion of the maternal health, the Orator look for to discover the technics that the pygmy traditional midwife use to help the others to give birth at last to allow us to well convince and discourage the matrons pygmy to lead the delivery at home but first to orient the case toward the health structures those are near. To well understand that the pygmy midwife have to lead the delivery at home, the Orator turned the microphone to matrons to explain to public that they do really

Microphone turned to matrons to explain that they do to lead the delivery in the pygmy tradition.

The matrons pygmy explain that, to lead a delivery in the pygmy tradition, they must be four midwife every one with his specific role :  One midwife sit or kneel down on the chest of the gravid to help her to push,(this gravid might exclusively be in sleep position) ;  Others two keep to the two sides to hold the legs ;  Another one keep the way before to watch the expulsion of the baby. This last observe the presentation: siege or cephalic. After the presentation, the matron specially aim to the cephalic presentation, to hold the shelter of the baby because, according to him the problem is to pass the shelters; that’s why, when the matron hold th shelter of the baby in the bass way, they turn him to facilit his way out. After expulsion, the Umbilical cord is divide up with a piece of bamboo or reed. Specific case according to matrons pygmy:  When the matrons observe the breaking contraction, they have a traditional ointment that they put on the belly of the gestant to stimulate the contractions ;  In a case of a big baby, the matron think about two things : 1. To lubricate the way before with a traditional oil to reinforce the elasticity of the vaginal cavity to allow to the way out of the baby in the gliding of that oil ; 2. Besides, the matron can think about the episiotomie in the case where this first technic fail. This episiotomy is done by the razor blade. But the pityl is that the treatment to this wound constitute a serious problem. The matron will never go out but to submit the deliver a traditional bath that can or not make well the membranes as underline the matrons,  When the baby come out very tired : to test the APGAR, the matron use a piece of metal or a sheet metal that they slowly on the baby to stimulate him . in the contrary case, the matron pour out some water on the baby so that he make a call. In the words bring foward the matrons pygmy about the traditional delivery technics lead at home, they underline that is the Divine force that the pygmy woman give birth because they don’t provide a lot of intelligence to help the gestants to give birth their babies. They signal that many children die in the first month that come after the delivery, that we qualified, neonatal death. To those who give birth, certains women die after delivery by hemorrhage, that we qualify maternal death and others untill now present the Fistule Ano-Genital and Prolapsus uterin by the poor pick-up charge of the one who give birth. Unfortunately these cases are not nowhere notified because this point is almost forgoten about the chain of priority in the interventions in public health.

The matron pygmy show the piece of reed that they use to divide up the umbilical cord .they give back the reed to the orator to his appreciation. The Orator, took the advantage to show to matrons and pygmy couples present in room that is this practice that bring the tetanos to their children causing an infatile surmortality . The pygmy, persuaded to the sensitization, gave off their opinion toward the responsibility of cares factures those are the propositions addressed to partners. They propose that: 1. That the partners help the pygmy to joint hem to the health mutual to favor them to give birth before a personal qualified without being afraid of the facture; 2. On 100% of the maternity facture and others care may be divided by three and responsible THE MENUS OF PPSDR SITE.docxonly un tiers au pygmée ; 3. On 100% of the maternity facture and others care may be divided by two and responsible 50% to pygmy ; 4. At last, the pygmy propose that they can try to find 5$ even though the facture ca be above because they say that the degree of vulnerability doesn’t allow them to honor the facture of the hospital but they know that they can pay something according to their capacity.

CHAPITER II. FORMATION OF PYGMY COUPLES ABOUT THE PLANNING FAMILIAL AND THE PREVENTION OF MATERNAL MORTALITY.

In his speech, the Orator show to participants pygmy the consequences of undesirable birth at home. with the wording of the ruler of 4trop, the pygmy couples agree that the non-respect of the planning familial is the origin of many problems that the children meet in the pygmy house and specially that’s about a very vulnerable group without economic power to the children needs. The principal topic of the second orator centred about the dangers of 4TROP( Too precocious pregnancy, Too neared pregnancy, Too largers pregnancy and the too delayed pregnancy), the purpose was to the orator to allow to every pygmy couple to be situated face up to danger and the rest will have to follow with intensification the formative seances. To prove the assimilation of the lesson, the participants pygmy show a woman who gave birth in under 14 years old that’s means the Too precocious pregnancy, and who was in the room.

There, is about one of mother with his child. This woman doesn’t yet realize 14 years until this moment (2017) as you can constate it. She was pregnant in the age of 13years. But, by chance she gave birth before the matrons pygmy. Another factor of risk met to pygmy is that for the precocious marriages that are the free unions to most of them. This woman is in his house.

The Moderator passed the microphone to this young woman to give evidence his sage and his matrimonial status. After give evidence, the moderator profit to call back to public the necessary age to the mariage according to the congolese constitution that recommand this last in the age of 18years, in discourageing them to precocious marriage because of dangers.

The topic of the planning familial didn’t only interest the women pygmy. The husbands are curious to understand better that they would do to have the children desired and how to space out the birth. The principal curiosity of husbands pygmy is to know if there is the gamut in the intrants that they can use to prevent the fertilization.  

THE POLITIC OF PPSDR TO THE SUCCESS OF THE PROGRAM OF SEXUAL HEALT AND REPRODUCTIVE TO PYGMY.