Jean Marc Dejode, médecin et président de l'association Hopital Marguerite Marie. En 2007, un enfant sur 10 meurt à sa naissance au Cambodge (un enfant sur 100 dans les pays riches). Le bilan est catastrophique. LA SITUATION MEDICALE AU CAMBODGE EST INTOLERABLE :
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La population du Cambodge est de 13 millions d'habitants. L'espérance de vie est de 52 ans, 56 ans pour les femmes et 49 ans pour les hommes. Cette population est jeune. 52 % de la population a moins de 18 ans, et 16 % moins de 5 ans.
476 000 enfants naissent chaque année. Un nouveau-né sur 10 a un retard de croissance intra-utérin. Un enfant sur 10 meurt à sa naissance au Cambodge (un enfant sur 100 dans les pays riches).
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US VERSION :
Doctor Jean Marc Dejode,
president of the Marguerite-Marie's Hospital. In 2007, one child on 10 dies at his birth in Cambodia, which is very high compared to our rich countries where only one child on 100 dies at his birth. Marguerite Mary's Hospital is a non- profit organisation to help childs in Cambodia.
The population of Cambodia is 13 millions of inhabitants. The life expectancy at birth is 52 years, 56 years for the females and 49 years for the males. This population is young. 52% of the population is less than 18 years old, and 16% less than 5 years.
476 000 children are born every year. One newborn on 10 has an intra-uterine growth delay. One child on 10 dies at his birth in Cambodia, which is very high compared to our rich countries where only one child on 100 dies at his birth.
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Prematurity is responsible for 30% of neonatal deaths, and for 30% of the complications occurring to the birth such as respiratory distresses.
On these 476 000 births, 13,5% will be died before reaching the age of 5 years.
There is around one maternal death for 100 births (0,9%), that means 100 times more than in the rich countries.
In only 21% of cases, a competent person such as a physician or a midwife is present at the childbitrh which is few compared to 99% in the rich countries. Two women on three have not a prenatal consultation. Because of the prenatal exam shortage, a lot of women are transferred to the stadium of weariness, and admissions in the specialized centres are too belated.
Moreover, in these specialized centres, bank of blood doesn't exist and mums die of haemorrhages. The teams on duty at night are sometimes absent or incomplete. Sittings of technical's retraining are understaffed. In these centres, 75% of the maternal deaths take place less than 24 hours after the admission, it proves that the equipment and means of resuscitation are insufficient or absent.
The rate of fertility for one woman is 5,1 children. The probability for a woman during her fertilizable period, to die of the followings' childbirth, is 6% ; that is to say 200 times more than a woman living in a rich country.
These statistical numbers essentially come from the Cambodian centres of Maternal and Infantile Protection. Nobody knows exactly what happens in countryside out of these centres, but unfortunately everybody can fear that this hidden part will make heavier this sad balance.
In conclusion, this alarming statistics pleads the emergency in the realization of our Mother-Child's project corresponding with a pilot structure and its role of formation.
Why did we choose the Hospital Marguerite-Marie ?
Hospital Marguerite-Marie is a Mother-Child Hospital which will be especially concerned by the Woman's gynaecology and it will concern the medical domain (contraception, menopause, genital infection) as well as the surgical domain (uterine fibroid, pathology of the breast, bladder incontinence). Our Hospital will also take care of obstetrics, that is to say to the follow-up of pregnancy and the induced maternal pathologies by pregnancy (arterial hypertension, diabetes, infection). It will concern the childbirth (struggle against the pain, haemorrhages, Caesarean for lifesaving of the mom or the baby). It will be interested in the pathology of the future baby (blood incompatibility, delay of growth, malformations). Finally, our Hospital will take care of newborns until the age of 28 days in the domain of the surgery (treatment of malformations), and in the domain of medicine (infection, meningitis, respiratory distress, cardiovascular distress).
The cares will be free. " That's all pie in the sky ! ", will you think. Not really ! How can we imagine an humanitarian action where patients will have to pay? So, what shall we do? Certainly grants facts to our association will participate in this financing, but these grants won't be sufficient. To find its financing, Hospital Marguerite-Marie will use a project putting in stage the Cambodian staff of Hospital Marguerite-Marie (see T.D.H.). It will be futher explained you in pages of our website.Other innovating and original ideas are in project for the financing of our Hospital, such as : the Humanitarian Opera, the Humanitarian Football. To know more, click on this link.
To conclude, Hospital Marguerite-Marie will have a teaching's role adapted to the local situation, that is to say a teaching made on places and with the means of our Hospital. This teaching will concern all branches of hospital profession : physicians, nurses, midwives, nurse's aids, etc…
Our project is ambitious, some will say impossible. Never mind ! We believe in our magic dream. Perhaps, we'll need 1 year, 5 years or 10 years, but one day Hospital Marguerite-Marie will be lighted and full of life.HMM
