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Case Study:Agnes Noti

Agnes is 22, and is in the Kiomboi Hospital, Iramba District, Tanzania. This baby will be her third child.
The hospital serves a radius of 80km – all of Iramba district. There are three rooms with in this area for both ante-natal and post-natal, there is no separation between those who have just given birth and those who are in labour. Two of the rooms have four bunk-beds in and can sleep 8, the other has 5/6 beds in – none of the rooms have basins or any provision of water.

There is one, broken and unpleasant toilet in the labour ward – it’s in very bad condition. There is no shower – so after giving birth, women either wash in the toilet, or they climb into the sink in the sluice room to wash. This sink is used to dispose of waste from the labour ward, as well as washing medical equipment.

What’s in the bag?
- Clothes for the baby
- A cape (blanket) for the baby
- Socks
- A basin
- A flask
- Tea

“I come from Tutu. The water for drinking, we buy from the shop. (Last time the other water came from) the river. There was white water. It was my grandmother who went to the river.
The water from the river is not safe for drinking. So in the river many people fetch water that suffer. So using that one you can’t trust that water.”