We also want to make health care accessible to everyone.We want those children who were born in the dark to see the light.
This page offers some insight into the history of our organisation and services.
The first women’s health centre
(AWHW) Ayual Women’s Health Care and Wellbeing Women’s Health Care and wellbeing will be the first women’s health centre in Jonglei State Twic east area in South Sudan. The organisation was established in America and Australia by Ayual women in 2017 due to the disadvantages in the way services is delivered to women by the mainstream health system in South Sudan. From its small beginnings as a feminist collective ideas from Ayual women in the diaspora the organisation grew considerably and aiming to build the medical centre.
The South Sudan Jonglei State region has the highest rates of neonatal, under-five, and maternal mortality. Neonatal mortality sits at 35 deaths per 1,000 live births and has seen the least improvement over the last 20 years. Although the average rate of reduction of under-five deaths doubled from 1.2% per year (1990-2000) to 2.4% per year (2000-2010), the overall mortality rate is still high at 121 deaths per 1,000 live births. The rate of decline is insufficient to meet the target of a two-thirds reduction set through the MDGs. Similarly, although maternal mortality has nearly halved globally since 1990, the global target of reducing the maternal mortality ratio (MMR) by three quarters is unlikely to be achieved by 2015, particularly in SSA, the region with the highest MMR (500 deaths per 100,000 live births) and where 56% of all maternal deaths occur (UN, 2012).
Ayual is a community in the State of Jonglei Twic East, Southern Sudan, with a population of 50,000 people. It is neighboring four communities: Dacueek, Awulien, Kongoor and Adhiok with approximately 40,000 people within each. Ayual is one of the communities that were totally devastated by a 20-year North/South Sudan civil war. Like many villages in Southern Sudan, Ayual experienced a genocide that claimed many lives and separated families for over 20 years. As a result, many Sudanese have been displaced and social, health and socio-economic infrastructures have been destroyed, particularly those in the South where the war has been continuous.
The Ayual Community has faced great challenges, particularly in terms of adequate and accessible health care. Even though the civil war has ended, Ayual community continues to suffer from lack of healthcare and inaccessibility due to its location in a remote rural area. This isolation makes it difficult to help those who usually need immediate medical attention such as pregnant women, children, and the elderly.
The closest clinics in the area are in Panyagoor, 40 km away and Bor- town which is seven days on foot. Sadly, patients are carried in folded blankets between poles to form a stretcher. These two clinics are run by government and neither clinic has sufficient resources.
South Sudan in the Picture
Concerned relatives carry the sick women on their shoulders and make this journey by foot between five to seven days. The only high quality healthcare treatment is in Kenya, Uganda and Ethiopia but traveling to these areas requires a great deal of money.
Many people who risk the journey do not make it there alive. Even if these people can make it to Kenya, Uganda or Ethiopia, treatment is often ineffective because the disease has ravaged the victim beyond medical help
The motorbike ambulances have just started their work in Eastern Equatorial State – one of the areas hardest hit by the long years of fighting.“If a woman is pregnant and she goes into labor, it is very difficult to get her to the health centre within a short time” said Susannah Patrick, Health worker in South Sudan.
The launch of these ambulance motorbikes in South Sudan is a serious attempt to tackle some of the world’s highest rates of women dying in pregnancy. A woman has a one-in-six chance of dying during pregnancy during the course of her lifetime in this underdeveloped region scarred by two decades of war, according to the United Nations. A 15-year-old girl is more likely to die in childbirth than to complete school. Many of those deaths are easily avoidable if even basic medical support were available, experts say
Womens Health & Family Services
- Easy accessibility during rainy seasons. Communities around Wanglei will have easy access to the clinic which will be within 5 to 10 minutes walking distance. Remote areas will be serviced by ambulance to transport patients to the clinic and worst cases will be transported to Bor-Town Hospital in timely manner.
- Immediate medical attention for pregnant women, children, and the elderly
- Treatment is often ineffective because the disease has ravaged its victim beyond medical help
- Construct latrines to improve environmental health and sanitation.
- Train community health officers to strengthen the fragile health infrastructure.
- Educate members of the community about infectious diseases.
Additional Program notes:
Long term goals
- This clinic will benefit not only the 50,000 Ayual Community members, but also neighboring communities.It will be the first health centre of its kind in the area. This health care centre would be one of the first major developments in this area of post war Southern SudanThe long term goals of the clinic are as follows:
- Treatment for common illnesses such as malaria, diarrhoea, and Tuberculosis
- Provide prenatal, antenatal and maternity services to reduce the high mortality rate.
- Train community members to provide basic medical services in remote areas.
- A centre of awareness/education about HIV/AIDS
- Opportunity for medical internships, open to students from Australia and other countries
- Other health-related development projects will include fresh water drilling or water purification and sanitation.