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As the midwives finish up and prepare to leave, Kumari Manel serves them a glass of cold, sweet, neon orange soda. “No one else will come to help us, only the midwives come,” she says.
At only three-days-old, her little boy doesn’t have a name yet. Her son is so thin that the bones in his chest protrude.‘An inspiring success’: Sri Lanka’s maternal mortality ratio The system is so successful that Sri Lanka has a maternal and child health record that is the envy of South Asia.Nowhere is this better reflected than in the maternal mortality ratio or MMR.The midwives will watch him closely until he is five years old, checking his growth and development and ensuring that he is up to date on critical vaccine shots.The attention and support provided by the midwives feels deeply personal, and it is free.They offer what he describes as “womb to tomb” coverage, with each public health midwife responsible on average for some 3,000 people.
According to officialestimates, nearly 15 million people come under the purview of the Family Health Programme.
Having plied his blue hacksaw blade enthusiastically, Ajith is taught how to manipulate the plunger so that finally he has in his hands a crude yet effective breast pump.
The midwives’ affordable, DIY solution is perfect for this corner of Colombo – a set of apartment blocks occupied by working-class families on low incomes.
This is an intimate relationship with the state that spans generations.
With kind eyes and gentle hands, Ari and Kumudini work with the young mother to check the flow of milk from her breasts and quickly determine that one is blocked.
Her baby is registered at this centre and will be carefully monitored until he turns five [Suda Shanmugaraja/Al Jazeera] ‘Womb to tomb’ healthcare Sri Lanka’s commitment to maternal and child health goes back more than a century.