maternal child health

Photo by Andrea Bruce

Twin newborns in MSF’s hospital in Khost, Afghanistan. The postnatal period is the most dangerous time for mothers and babies: 75% of all neonatal deaths and more than 35% of maternal deaths occur during the first week after birth. Read stories from the field about the challenges to providing pre and postnatal care in Because Tomorrow Needs Her:



by mio_baby0818

母子健康手帳 boshi kenko techo (maternity passbook) is originated in japan in 1942.

it is a small notebook to keep a record of pregnancy/child-related facts.

such as, the mother’s health, the progress of pregnancy and childbirth conditions, and also of the newborn’s condition.

even until the child reaches school age, it will include the child’s health, growth development and vaccination history.

母子健康手帳 boshi kenko techo (maternity passbook)  were officially legislated under the japanese maternal and child health act in 1947.

japan spread that throughout the world.

父子健康手帳 fushi kenko techo (paternity passbook) also appeared recently.

this is a small notebook to be able to write in freely for father and child handed to an applicant.

What, where and why

As described in the first blog post, Chimalaya Charity is a voluntary organization/NGO aiming to improve child and maternal health here in Nepal. Malnutrition is a factor leading to many child deaths in this country and the chronic malnutrition have also led to a high occurrence of stunting (low hight for age) and nutrition related diseases. There are a lot of challenges to face on the way to a better health for the people in general and Chimalaya Charity is focusing on mothers and children. 

The staff of CC (in Nepal) is consisting of two doctors (Ph.D. Ram Krishna Chandyo and dr. Manjeswori Ulak), two nurses (Asha, one of the nurses is also the coordinator) and one fieldworker. There are also volunteers working for the organization.

Chimalaya Charity supports a mother/child clinic where they arrange mother groups to provide important information about nutrition for both mothers and for the babies. They also teach about basic hygiene and have cooking classes. Liv-Unni and I will join some of the mother groups and probably lead a cooking class one or two times during our stay. Teaching how to cook nutritious weaning food is very relevant to our studies. 

In addition to the mother groups, the staff of CC go on home visits to new mothers. During a visit they do a health check of the newborn, assess length and weight, check the mother’s blood pressure and teach about good breastfeeding teqhnique and hygiene. The nurse also tries to explain why the old food taboos are making the breastmilk less nutrition packed (such as not eating fruit and green vegetables for months after giving birth). After the first home visit, there are two follow-up-visits to repeat information, assess length and weight and to inform about the mother groups. We have already joined three home visits. The visits will be one of our priorities down here as the information gathered in these visits is valuable to our bachelor thesis. 

The last ongoing project is outreach camps. CC typically visit local brick factories or carpet factories to teach about hygiene and do health checks. They have also visited schools or put up a base somewhere in a community to do health checks and provide health education. We are hopefully joining an outreach camp while we are here. 

Today we were also introduced to the charity´s newest project, a pilot project actually, that I will write more about later. 

Tag Game!!

tagged by: @starlitembers (thanks for tagging me, you’re a real pal <3) tagging: @worldsubmerge and anyone else that wants to do this (no pressure if you don’t want to do it!!)

How old are you: 21

What is your dream job: I want to become a public health worker either concentrating in maternal/child health or LGBTQ+ health! I just want to help people!

What is a big goal that you want to achieve: *stealing this from you, starlitembers* but I really want to be content with myself. To one day not hate who I am or who I’ve become. I want to be able to embrace my flaws and one day think “I deserve to be happy.”

What is your aesthetic: Watching the stars at night, watching the ocean waves come crashing down, anything to do with the color pink, the moon is pretty rad too!

Do you collect anything: My mom thinks I collect boxes (ya know the ones you get in the mail after you order books or something else) because I just keep these boxes in my room and do nothing with them (also its for the cats). But to be completely honest, I don’t really collect anything lol

What is a topic you’re always up to talk about : SAILOR MOON!!! Also any other anime because anime is awesome! I like to talk about cats, DISNEY (please talk to me about disney i could talk about it for hours oops). Health stuff keeps me intrigued. Politics? Nope! I may be passionate about some things, but politics is something that I care about but do not care about enough to talk about it 24/7.. ya feel me?

What is a pet peeve of yours? liars!!! when I’m talking to someone or see someone talking to someone and that I/they are trying to talk to is on their phone… talk about rude. Chewing with your mouth open (with food or with gum), not pushing your chair into a table.

Good advice to give: Give me a hug, I need it… jk (kinda) umm seriously if you don’t have something nice to say, don’t say it at all! ;)

OH SNAP THREE RECOMMENDED SONGS (I have awful taste in music but whatever)

1. Outer senshi theme song- Sailor moon (my jam)

2. London Bridge- Fergie (oh snap)

3. Bring me to Life- Evanescence


Hi from Bhaktapur, Nepal. I have finally arrived in Nepal and I am so exited!

My name is Andrea and I am a public health nutrition student about to finish my bachelor degree. As a part of the degree, we have to complete an internship relevant to nutrition and this blog will function as a diary during my internship here in Nepal.

For the next two months I am going to work with the registered NGO, Chimalaya Charity. I am going take part in their work with improving maternal and child health. I believe this will be an amazing experience and I hope that it will add a lot of important knowledge and new skills to my education. 

Stay tuned if you would like to follow my journey and maybe learn a thing or two about Nepal and Chimalaya Charity´s work to improve maternal and child health.

Watch on

Maternal Health by the Numbers: 20 From ‘20/20’

(From ABC)

The Maternal Child Health (MCH) Center in Balligubadle, Somaliland has recently undergone some dramatic improvements thanks to the hard work of Edna Adan, Nimco Cabdilahi and staff. The health outpost once lacked 24-hour electricity, had cracks in the roof and the delivery room was so small it could only allow for one patient at a time. 

Adan and colleagues used funds from a Half the Sky/ Students Rebuild grant to make a series of renovations that included expanding the delivery room space to accomodate multiple deliveries at once and installing new solar panels for full electricity. They also made the very important purchase of a new oxygen concentrator, which will help save the lives of premature babies. 

Read more about the Balligubalde MCH Center improvements at