Hnin Htet Htet Khiang was delivered on 1st January 2019: she is the first newborn baby of 2019 in the clinic. In Hnin Htet Htet Khaing’s village, there is no clinic. “Regardless of the high transportation cost, most villagers use Mae Tao Clinic whenever they have any health issues: chronic diseases or pregnancy or anything,” said her mother during the interview.
Hnin Htet Htet Khiang was delivered 2 days ago: she is the first newborn baby of 2019 in the clinic. She is the second child of her parents, who live in Myawaddy, Karen state, Burma/Myanmar. There are 8 members living together in the house, including her parents’ relatives. Hnin Htet Htet Khaing has an elder sister; she is 5 years old. In Hnin Htet Htet Khaing’s village, there are around 20 households with neither school nor clinic. Children go to a town to attend school. Likewise, villagers go to the town when health treatment is needed. The majority of villagers are subsistence farmers and migrated to Thailand to find a job. Many youths cannot finish school but they start working at an early age for financial reasons.
Hnin Htet Htet Khiang’s parents work as daily workers, receiving THB 180 (USD 5.6) per day respectively. Nevertheless, the available job is intermittent, thus their income is unstable; they receive around THB 6,000 (USD 188) monthly. It has been 11 years the family settled down in a current place. Hnin Htet Htet Khiang’s mother, Ma Htet delivered her first child in the old Mae Tao Clinic and she was satisfied with the services she received from the clinic.
She started attending monthly antenatal care (ANC) visit at the new Mae Tao Clinic since the 4th month of pregnancy. Although the transportation fee was burdensome for the family, THB 200 (USD 6.3), she never missed the ANC visit.
“Most people in my village use Mae Tao Clinic whenever they have any health issues: chronic diseases or pregnancy or anything,” said Ma Htet.
There were no complications during and after the delivery. Hnin Htet Htet Khiang is healthy and her birth weight was 2.6kg (5.7 lbs). While Ma Htet and her husband have been staying in the clinic they have done many things with the support of health workers: they received health education on breastfeeding, dangerous signs for baby, family planning, the importance of immunization; Hnin Htet Htet Khiang received the 1st round vaccinations; she registered her birth certificate.
“I really appreciate that Mae Tao Clinic provides the health education, which is very useful. I have learned a lot and now I’m confident because I know what to do when something happens to my baby. My husband and I are really happy to have a second child because we have been forward to it. We plan to have one more child in 5 years. We don’t know yet but we will send our child to school in Burma.
We cannot thank enough Mae Tao Clinic and donors for taking good care of us and providing everything while we are in the clinic. Free healthcare service is more than anything for people like me. We will continue using the clinic whenever we have health issues. Thank you.”
We aim to ensure specific training for our midwives, improved clinical supervision and improved infection control in the delivery room. We regularly review the patients we refer and monitor our referral outcomes. Of 2,327 admissions to Reproductive Health In-patient Department in 2017, 2,152 babies were safely delivered at Mae Tao Clinic while 179 women (7.7%) were referred to Mae Sot General Hospital for advanced emergency obstetric care.
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 Myawaddy is a town in South eastern Burma, in Karen State, close to the border with Thailand. Separated from the Thai border town of Mae Sot by the Moei River (Thaung Yinn River). [Wikipedia: https://en.wikipedia.org/wiki/Myawaddy]
 Karen State is a state of Burma. It is bordered by Thailand to the east. Majority of refugees and migrants along the Thai-Burma border are from Karen State.