There is a need for the government at all three levels to spread awareness and expand facilities regarding the age of marriage and child bearing, nutrition during pregnancy, aspects to be considered.
Complications during pregnancy and childbirth are a sensitive issue, and it is a matter of satisfaction that women in remote areas receive timely rescue and treatment. The fact that 808 women in 44 districts, including Karnali and Sudurpaschim, were rescued by free air after the implementation of the free air rescue service program for pregnant and post-partum women whose lives are at risk in remote areas, explains the justification of such a program.
The statistics show that this program, which has been running since 2075/76, has saved the lives of many women who were on the brink of death, targeting pregnant and post-partum women in remote areas whose economic conditions are weak. This program is commendable at a time when health facilities are not being constructed and operated in all remote areas. In order to increase the effectiveness of this program, it is necessary to convey information to the common people, to develop easy means of communication, and to improve the shortcomings from the experience so far.
The data on the rescue and treatment of pregnant and postpartum women is not just a blank number. It is also evident from examples that it is the protection of precious life. 21-year-old Junu Vick of Thuliveri Municipality-10 Rahgaon in Dolpa suffered from profuse bleeding when the baby was born. 15-year-old Jamuna Budhamgar of Tripurasundari Municipality-3 in Dolpa also suffered from excessive bleeding. 23-year-old Lalshova Singh of Mahabai rural municipality-4 Paibada in Kalikot had high blood pressure during pregnancy.
22-year-old Yakkan Kami of Dolpa Kaike Rural Municipality-4 Riwa gave birth for the third time last January after losing her first and second child. But after Betha was taken to the district hospital, she was 'referred' to the state hospital. Similarly, 16-year-old midwife Vasanthi Pariyar of Mugu's Khatyad rural municipality-2 Seri developed high blood pressure six days after giving birth. But thankfully, they all survived as they were able to get air rescue services. References to these characters confirm the importance of air rescue services in remote areas.
Pregnancy is a sensitive time for couples, both emotionally and physically. Lack of information and facilities from health institutions about the natural or unnatural changes in the body of pregnant women, lack of information, awareness and financial strength about preparation add complications during childbirth. Although it is recognized that a qualified doctor should be consulted at least eight times during pregnancy, pregnant women in remote areas hardly get such facilities. Because of this, even the common problems of pregnancy cannot be tested on time. This can make the problem more complicated and cause problems during childbirth. As a result, the health of both mother and child is at risk.
The fundamental right of Nepal's constitution states that 'every citizen shall have the right to equal access to health services'. But even after a decade of the declaration of the constitution, no fundamental rights laws have been made. Especially in remote areas, due to the lack of health facilities, patients are not able to get treatment even if they are suffering from common diseases. Even if it is difficult for a pregnant woman, she has to risk her life as it takes hours to reach the health facility due to the difficult geography, which is not practical. Or you have to reach a convenient place by very expensive means. Therefore, the government should prioritize the issue of opening health institutions in remote areas. It should be ensured that there is no shortage of
ing technology, skilled manpower and equipment. In that case, everyone can get health services according to their needs, from pregnant to delivery. Many lives are saved. When KP Sharma Oli was the Prime Minister for the second time, the foundation stone of 396 local level hospitals was laid at one time on 15th November 2077. At that time, three dozen hospitals were built out of the 5, 10 and 15-bed hospitals that were laid with the purpose, but the rest are still standing. Their construction should be completed as soon as possible to create an environment that provides health services.
There is a problem of getting pregnant at a young age in remote areas where health services are not available. Similarly, there are problems such as not getting enough nutrition and care during pregnancy, not getting medical advice about changes in this condition, and not being able to undergo health tests as needed. There is a need for the government at all three levels to spread awareness and expand facilities regarding the age of marriage and child bearing, nutrition during pregnancy, aspects to be considered.
Federal government, state government and local level and related wards can bring programs about this. The government should be more sensitive to reduce the maternal mortality rate not only in urban areas but also in remote areas. For that, it is necessary to spread public awareness and health facilities to those areas.
