Yesterday Flora had visited one of the 20 birthing centres in Nawalparasi, the district where the THET training takes place. Flora was very humbled by the experiences of the community-based maternity care workers in the light of many constrains. She said: “I have seen pictures of such birthing centres and read about them in the literature, but it is not until you see them first hand that you realise how staff have to work with such limited resources.
The attendees, who are nearly ANMs (auxiliary nurse midwives) were highly enthusiastic and very keen to discuss and learn. They shared some very personal and touching stories about their practice. Flora added: “I am very struck by their understanding of the importance of the social and cultural determinants of both psychical and mental health.” Many found they had learnt something in previous THET sessions in 2016 about communication with women and counselling family members about mental health, and perhaps most importantly, listening more to women. Last, but not least, Flora commented on the dedication of the participants: “At least two of the participants told me they travelled ten hours to get here for our one-day workshop. This really shocked me, particularly having seen the quality of the roads and public transport!”
Prof. Edwin van Teijlingen