When Mariamo* arrived at her local health center in Mozambique on a Sunday night in April 2017, she found the maternity ward empty. Her labor pains were intense. A security guard ran to the staff living quarters to inform the nurse on night duty.
Without performing a physical exam, the nurse declared that Mariamo was not yet ready to deliver and returned home to sleep.
Four hours later, Mariamo gave birth to her son—with the assistance of the health center cleaner.
“The cleaner went to call the nurse, but she came back alone. My baby was left for a long time with his head stuck—a part was already outside. The cleaner saw that I was suffering and tried to help pull the baby out, but it was so difficult. My son was finally born at dawn. I had already given up hope of surviving. It was only in the morning, when they changed shifts, that I got help from a nurse. The other one left as if nothing had happened.”
Namati’s health advocate and several members of the village health committee conducted a routine visit to the maternity ward the following afternoon. Mariamo told them her story.
Several days later, the village health committee held a community education session focused on the rights of patients seeking maternal health services. Two women who had given birth on a weekend stood up and shared personal experiences similar to Mariamo’s. A number of women in the community said that they preferred to have their babies at home.
Soon after, the village health committee and health advocate met with the director of the health center to discuss these concerns. The director presented the nurse in question with a formal warning and called a meeting of the entire maternity ward staff to remind them of the potential health risks resulting from negligence and disrespectful treatment.
The situation improved significantly. The head labor and delivery nurse noted, “In our supervision routines, when we speak with postpartum mothers and family members, we hear reports of courteous, correct care … but we believe we can still do better.”
These improvements have also been felt by patients and community members. One young woman from a nearby village recalled,
“When I went to the hospital I was very fearful because I had heard that the cleaners were assisting with deliveries. I was surprised and happy to have been treated very well by the midwife there. My daughter and I are healthy.”
Zélia, a member of the local health committee, had a similar assessment: “The situation has gotten much better. The nurses are now assuming their responsibility with dedication. They attend deliveries with courtesy.” Both the hospital leadership and health committee members continue to monitor the ward to ensure everyone receives safe and humanized care.
Last updated January 30, 2013.
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Last updated: May 25, 2018
This Policy describes our privacy practices and sets out your obligations and ours with respect to your use of the Site and the Forum. This Policy applies only to the Site and the Forum and does not necessarily apply to our offline collection of information.
Namati may collect and retain two types of information about Site and Forum visitors: (i) personal information that individual visitors voluntarily provide when interacting on the Site or Forum or on certain other occasions (such as via forms or in emails); and (ii) tracking data, which is data that is automatically collected from every Site and Forum visitor as they use and browse the site.
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You may decline to provide any personal information, but please realize that you thereby may be unable to register or to participate in activities or services offered on the Site and/or Forum.
In addition to the information you submit to or through the Site and Forum, we also may collect and store data from and about you gathered in the course of your use of the Site and Forum. We call this “tracking data.”
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Our use of your Information involves various forms of communication with you, including:
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We retain the right to transfer or assign all information pursuant to a merger, purchase or other transaction relating to Namati or our assets.
The current list of third-party service providers we use include:
Personal information you submit via your member account, other than information provided or content posted by you to public areas of the Site as described below, is deleted from Namati’s records following the deletion of your account. However, such information may continue to be retained by third-party service providers to which it has been disclosed for one of the reasons listed above.
Your Information is stored on Digital Ocean servers in New York, USA.
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You should be aware that any information provided or content posted by you to public areas of the Site, including but not limited to interactions on the Site and information posted to the Member Directory (via your profile), the Tools Database and the Forum, may be read, collected or used by other visitors of the Site, who may not need to log in as a member to view the information. Namati is not responsible for the third-party use of any information provided in such manner. By participating in the use of the Site’s interactive features, you consent to Namati’s use or disclosure of any content that you submit. For more information on posting content, please see our Terms.
The Forum uses data about your posts and other activity to make automated decisions about whether your posts are spam.
The Forum may also use data about your posts and activity to award you badges and calculate a trust level for your account. Your trust level may affect how you can participate in the Forum, such as whether you can upload images, as well as give you access to moderation and management powers in the Forum. Your trust level, therefore, reflects Forum administrators’ confidence in you, and their willingness to delegate community management functions, like moderation.
From time to time, we may email users of the Site or the Forum information regarding important developments affecting Namati and/or the Global Legal Empowerment Network. We may also email users on occasion regarding the Site or the Forum. Such emails may be sent to users of the Site or Forum even if they have not requested to receive any communication from us.
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Because Namati is concerned about the privacy protection of children who access the Internet, we comply with the Children’s Online Privacy Protection Act (COPPA). Accordingly, the Site and Forum are not intended for use by anyone under the age of 13, and we do not knowingly collect information from anyone under 13 years of age without the consent of a parent or guardian.
We reserve the right to disclose any information to comply with any law, regulation, decree, judgment, order, subpoena or any other governmental order (“Order”) without any obligation to contest or verify the accuracy of such Order.
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The section titles in this Policy are for convenience only and have no legal or contractual effect.
The Site, the Forum, and any third party services they use, may be subject to additional terms and conditions regarding privacy and use of information. Your use of the Site and the Forum is subject to those terms and conditions, which are incorporated into this Policy by reference. In the event of an inconsistency between this Policy and any additional posted conditions, the provisions of the additional conditions shall control.
We may need to change the Policy from time to time in order to address new issues and to reflect changes on the Site or in the law. We reserve the right to revise or make any changes to the Policy, and your continued use of the Site subsequent to any changes to this Policy will mean that you agree to and accept such changes. You can tell if the Policy has been updated by checking the last revised date posted on the top of this page.
You can also access, remove, update or correct your information, and raise any questions or concerns regarding the Site or the Policy, by emailing firstname.lastname@example.org, or mailing:
Namati Data Protection Officer
1616 P Street NW, Suite 101
Washington, DC 20036, USA
If you live in a country which has adopted the General Data Protection Regulation (EU; 2016/679), you have a right to lodge a complaint with your relevant supervisory authority about this policy and its application.
The Policy was updated in May 2018 to comply with the General Data Protection Regulations.