Ellen will answer but let me say that we have been asked about this for many years. We even had a student from Michigan State University who interned and that is what mothers asked her. Nyaka has been in this village for 14 years, our nurses and all staff are trusted and community members are our greatest stakeholders.
Great conversation here. Ellen great responses. Nyaka was and continue to rely on local people. I started Nyaka in a village where I grew up and we pride ourselves in being the org that relies on local experts. We have several programs because of the need and this idea is one of those needs. My own mother was a birth attendant when she was able to move around. She had no training but local women and men trusted her to care, love, and deliver babies. She is it for free. With few incentives, improved technology, and great ideas as suggested we will have a healthier community and healthy babies and mothers. My mother also did something many people don't do, she used to feed her children before feeding adults. Kale, and other greens can easily grow in this area. Nyaka village is over populated and so we must find ways to grow small gardens and vegetables are the best solution.
Anne, the other reason women don't get to hospitals is cost. Cost sharing is huge. With Nyaka's existing micro finance women are able to earn money and save for their hospital visits. Nyaka is also increasingly raising awareness of health and food security. Through granny groups we will be able to reach more women. Radio programs and use of cellphones will be applied.