Why does this matter to me?
I was born in South Sudan during the second civil war in our country. The war forced our entire village to flee for their lives. I subsequently came of age in a refugee camp in Kenya. Even though I survived infant and child mortality-related deaths during Sudan’s second civil war, many of my siblings and agemates did not. My mother, a traditional midwife herself, gave birth to twelve children during the civil wars, and contraceptives were not available.
I witnessed my mother going through perinatal and postpartum periods without access to perinatal healthcare, and she was alone when giving birth to twins in a war zone. There were no obstetric tools available, so my mother used a blade of grass to cut her twin baby’s umbilical cords. Unfortunately, one of the twins subsequently died due to lack of access to essential infant healthcare services.
South Sudan currently has one of the most elevated rates of maternal and infant morbidity and mortality. The elevated infant and maternal deaths and complications in South Sudan are related to numerous social and historical determinants that are connected to civil war, traditional beliefs, hunger, and inadequate access to skilled birth attendants
Today, women in South Sudan are still going through what my mother went through during the civil war. Women in my village go through their entire pregnancy without access to perinatal healthcare, and give birth with the help of traditional midwives. Midwives offer their services without access to proper tools, often resorting to the use of blades of grass to cut a baby’s umbilical cord.
The gestational experiences of South Sudanese women influenced my desire to improve the gestational health of South Sudanese women. To that end, I created CIMISS, a non-profit organization that will be focusing on education and awareness regarding factors leading to elevated rates of infant and maternal morbidity and mortality in South Sudan. In conjunction with this, there is a profound need to equip traditional midwives in difficult-to-reach locations with necessary obstetric tools and resources. This includes providing training to increase access to traditional midwives. These are entry-level strategies to begin addressing elevated rates of infant and maternal morbidities and mortality in South Sudan’s rural areas.