No magic pill for Nepali women who give birth at home

A lifesaving drug cannot fix the sorts of systemic maternal health issues that I saw on a trip to one village

A screenshot from the Nepal Now podcast episode on misoprostol.

Almost exactly one year ago Nepal’s health department called an urgent meeting of its partners working in maternal health to ask if any of them could supply misoprostol, a drug used to stop excessive bleeding after childbirth. The Covid-19 lockdown had strangled supply and women in rural Nepal were reportedly dying for lack of the drug.

It took nearly six months for a 1-year supply of misoprostol to arrive via the UN Population Fund and an international non-profit, One Heart Worldwide (OHW), again as a result of the pandemic battering global supply chains. I read about this emergency and wanted to track the pills to their end users—women living in Nepal’s villages who were likely to give birth at home without a skilled birth attendant.

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A healthy diet includes social and economic support

I’ve been reading about social determinants of health for some years now, but I had to see this phenomenon in practice before I truly ‘got it’.

A nurse describes the importance of drinking milk at a recent class for guardians of malnourished children at the Nutrition Home in Kathmandu. ©Marty Logan

It’s one thing to understand an issue or fact intellectually, another to experience it first-hand. That’s been made clear to me twice recently concerning health care here in Nepal and what are sometimes called ‘social determinants of health.’

One of my current projects is reporting about malnutrition during Covid-19. I contacted the Nutrition Home close to Kathmandu hoping to speak to the guardian of a child who had been admitted because they were malnourished.

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