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UZBEKISTAN / RURAL HEALTHCARE
STORY: UZBEKISTAN / RURAL HEALTH CARE
TRT: 2:54
SOURCE: UNICEF
RESTRICTIONS: NONE
LANGUAGE: ENGLISH / UZBEK / NATS
DATELINE: 11 NOVEMBER 2011, TASHKENT, UZBEKISTAN
1. Wide shot, exterior of rural health clinic in village of Tara-Baz, in Khujayli district of Karkalpakstan in the Western Uzbekistan.
2. Various shots, Interior of clinic with UNICEF trained family doctor taking growth measurements of young child
3. Med shot, Mother and child departing at end of consultation
4. SOUNDBITE (Uzbek) Shakhnoza Djumaniyazova, General Practitioner:
“The main problem here has been children who are underweight and below normal height, but now we are taking regular checks on growth development and counseling the mothers on giving proper nutrition.”
5. Various shots, (Images under Soundbite) Shakhnoza Djumaniyazova with patietns
6. Various shots, highway and desert landscape around Aral Sea region.
7. Various shots, Family General Practitioner and nurse walking towards a family home for a visit
8. Various shots, Family GP and nurse entering the traditional yurt home of the Saparova family
9. Various shots, Interiors of the yurt, visiting health team greeting Saparova family
10. Close up, 8 month old baby Hurmiza
11. SOUNDBYTE (Uzbek) Bibizada Saparova, grandmother:
“They measure the growth of the child regularly, and depending on how the child is doing , they give advice on feeding and so on.”
12. Close up, examination of baby by health team
13. SOUNDBITE (English) Dr. Hari Krishna Banskota, Health Specialist, UNICEF:
“What is important is reaching the household level so that all children benefit. We go and talk about the importance of breast feeding, importance of quality child care, early recognition of danger signs, visiting the health facilities and regular immunization of the children, so that the children are benefited.”
14. Various shots (images under Soundbite), continuing physical examination of baby
15. Various shots, health team wraps up examination of baby as the grandmother comforts her
16. Wide shot, Interior corridor maternity unit of the District Hospital, Dr. Bibihadicha Isakova (centre) accompanied by nursing staff walking down corridor
17. SOUNDBITE (Uzbek) Dr. Bibihadicha Isakova, Obstetrician:
“I’ve been working here for 29 years, and our hospital has been through several programs including breast feeding promotion and a baby friendly initiative. And child morbidity has been reduced as well as breast related illnesses in mothers.”
18. Various shots, (images under Soundbite) obstetrician visiting mother, Gulnur Bekbosinova with newborn baby
19. Close up, mother with baby
20. Close up, baby’s hand
21. SOUNDBITE (Uzbek) Gulnur Bekbosinova, mother:
“The first time, my child was taken from me straight away. But this time they gave the child to me, and I felt much happier.”
22. Close up, baby in crib
23. Various shots, doctor and team attending to mother and baby
At a rural health clinic in the remote Karakalpakstan region of Western Uzbekistan, doctors are monitoring the growth of children who have suffered from a deprived environment, but are now showing signs of improvement.
Dr. Shakhnoza Djumaniyazova has received UNICEF-supported training on improved child health care, making her a more effective physician and counsellor.
SOUNDBITE (Uzbek) Dr. Shakhnoza Djumaniyazova, General Practitioner:
“The main problem here has been children who are underweight and below normal height, but now we are taking regular checks on growth development and counseling the mothers on giving proper nutrition.”
Karakalpakstan is blighted by the environmental and health hazards of the shrinking Aral Sea, including worsening water quality, declining food security, threatened livelihoods and persistent poverty.
These conditions are reflected in high rates of pneumonia, diarrhoea, anaemia and malnutrition among children; in fact, child health and nutritional indicators in the western region are among the worst in the country.
And given the area’s remoteness, extra effort is required to reach the most vulnerable children here.
Medical visits to remote areas like this one where the Saparova household live, are part of a new UNICEF-supported government plan to expand quality health care and improve child health.
And the elderly Saparova was impressed by the level of attention her daughter and granddaughter were receiving.
SOUNDBITE (Uzbek) Bibizada Saparova, Grandmother:
“They measure the growth of the child regularly, and depending on how the child is doing, they give advice on feeding and so on.”
SOUNDBITE (English) Dr. Hari Krishna Banskota, UNICEF Health Specialist:
“What is important is reaching the household level so that all children benefit. We go and talk about the importance of breast feeding, importance of quality child care, early recognition of danger signs, visiting the health facilities and regular immunization of the children, so that the children are benefited.”
The hospital has also embraced baby- and mother-friendly techniques, such as allowing husbands or other family members to be present during delivery and not immediately taking the baby away from the mother, as had previously been the practice.
SOUNDBITE (Uzbek) Dr. Bibihadicha Isakova, Obstetrician:
“I’ve been working here for 29 years, and our hospital has been through several programs including breast feeding promotion and a baby friendly initiative. And child morbidity has been reduced as well as breast related illnesses in mothers.”
One of Dr. Isakova’s patients, Gulnur Bekbosinova, has seen those changes first-hand between the delivery of her first baby six years ago, and her youngest child the day before.
SOUNDBITE (Uzbek) Gulnur Bekbosinova, mother:
“The first time, my child was taken from me straight away. But this time they gave the child to me, and I felt much happier.”
Arman was born into a region facing a variety of hardships, but with better healthcare he could have a better future.
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