Darkroom Gallery: Multiples Exhibit

One of my photos created while on assignment with Hamlin Fistula Hospital was selected by juror William Albert Allard to be in Darkroom Gallery’s “Multiples” show. The exhibit opens September 14 in Essex Junction, Vermont.

These women each had been treated for fistula and were living in Hamlin’s rehabilitation center, Desta Mender, where they learned new skills such as reading, writing and math after their surgeries were completed.

Many women are ostracized by their villages when they develop a fistula, and often they must find new ways of supporting themselves. Undaunted by their struggles, they form a bond while residing at the hospital and help each other heal emotionally. New confidence is found, and together they help each other find new paths to walk, unbridled by the injury they suffered.

Fistulas can develop many ways, but most often it occurs due to obstructed labor. Dr. Catherine Hamlin saw the great need for prevention efforts and developed a midwifery college where young village girls are trained in midwifery and other maternal health care actions in Addis Ababa after which they return to their villages to provide much needed care in their remote home areas.

It has been an honor to stand in front of these brave women, the fistula survivors and the new midwives, and realize how devoted they are to their own healing and to the healing of others.

 

Desta Mender graduates 2015

Desta Mender graduates 2015

Hamlin Midwife Stories

A large part of my work now entails more than just capturing the still image. I am often asked to collect video and professional sound so that the content can be edited into small video stories or other applications. Here are two examples from my work documenting Hamlin midwives in Ethiopia.

Scrolling story

Video

 

Hamlin Midwife

The Guardian: Hamlin Article

Today, May 23, we celebrate International End Fistula Day.  May we band together to rally around the women who do not have access to health care and surgical procedures that can prevent this devastating condition.

The Guardian published an article about Dr. Hamlin and her life long quest to see the eradication of this condition.

Dr. Hamlin's 90th Birthday

Ethiopia: Selflessness

Addiss talks with each woman, giving swift advice and health care diagnosis as she recognizes issues. One by one, the women come in to the makeshift clinic, exposing their vulnerabilities and asking many questions.

Every woman has the right to deliver a healthy baby.

The husbands wait nearby, eager to hear of any news, with their hands reaching out to their wives. Waiting, waiting.

I watch Addiss care for one patient, two patients,…..six patients. Their eyes tell me of their desperation to be seen by a knowledgeable health care worker. Addiss simply moves through her day, ego in check. After all, this is what she sought: to help all rural women in this area give birth to their children without devastating results.

I ask Addiss if she has time for herself, and this question is met with curiosity. She can’t even comprehend what I am asking. After searching my face for a sign of understanding, she simply relays: I am dedicated to the mothers of Ethiopia.

Ethiopia: Meet Addiss, A Hamlin Midwife

Her name is Addiss and she is 21 years old.

She lives in a small village, Wotetabay, just outside of BahirDar, Ethiopia and she has dedicated the next six years of her life to helping rural Ethiopian women give birth to healthy babies. A recent graduate of Hamlin College of Midwives, she also knows the signs of fistula and will refer at-risk women to health centers and hospitals where they can receive the care they need to prevent this devastating condition.

She lives alone in a small thatch roof hut, after completing her three years of study at the Hamlin College of Midwives, and her dedication is unlike anything I have ever seen.

She sees patients as they arrive daily, helping them through miscarriages and difficult births and general health care issues.  Five times a month she walks, sometimes for seven hours each day, to outreach health centers where she educates the community on women’s health issues.

My heart reaches for her.

I watch her as she helps a women who has just had a miscarriage. She educates the women about hygiene and proper care, and she tends to the husband, answering each of his questions.

She thinks nothing of my words as I say I honor her and will work hard on her behalf.  This is simply her calling in life: to dedicate her time to the Hamlin philosophy of ensuring maternal health for all Ethiopian women. She looks intently, directly, into my eyes.  She has seen far more than I have.

I follow her to her outpost, walking through corn fields and forests and open fields. She asks for water, and I give her my bottle.  It is the least I can do for this girl, my hero. Confidently and with grace, she proceeds to traverse over harsh landscape, focused on arriving before too much time has passed.

The bush clears, and I see a large group of Ethiopians, celebrating church services. Addiss takes her place in the middle of the village people crowd, and when the priest gives her a signal, she begins speaking, educating those around her about maternal health. Clapping, cheering, declarations of promises break out, and the energy is so fervent, I cry. Look at her!

I hear that the village is building a new church, and I give a donation of 400 birr ($24) and the crowd cheers with heartfelt passion. A $24 donation really goes a long way for this village. They proceed to show me the base infrastructure that is in place, and as much as  would like to stay and look at every element, and I see Addiss in the distance beckoning me to come. She is late now, and I need to move on.

We walk further, in terrain more difficult to navigate. Finally, I see a break in the landscape ahead and there, nestled in a small field, is a cluster of small mud walled structures. The health outpost at last.

Women are lined up, having waited hours for Addiss to arrive. Pregnant women, mothers with babies, older women. They count on Addiss’ dedication to them.

Ethiopia: Brave Women

They have been called some of the bravest women in the world.

When a woman suffers obstructed labor in rural Ethiopia, she often has no place to go. She labors for days, and fistula can develop due to excessive and prolonged pressure on internal organs. The Hamlin Fistula Hospital is devoted to the repair of fistula and the psychological healing of women who suffer this devastating condition. They also are dedicated to helping to prevent fistula from occurring at all.

In November 2010, Dr. Hamlin’s dream came true when the first Hamlin midwife graduates started working in the field, offering prenatal care and a referral service to pregnant women in the countryside. The midwives work alongside the Ethiopian government to help reduce instances of fistula by providing much needed care to these women who live so isolated from health centers.

Each Hamlin health outpost has an ambulance to assist with referrals to regional hospitals where C-sections can be performed in emergency situations. The midwives, all coming from various villages around Ethiopia, are selected via a rigorous interviewing and testing process. Once they complete three years of training at the Hamlin College of Midwives, they return to their villages to work for six years. During this time, they are also educating villagers on maternal healthcare initiatives as well as building trust with the village as a whole. Their days consist of prenatal care, assisting with difficult births, education, and referrals of extreme cases.

It is not an easy job, living so far away from their colleagues and a team of ready support and modern equipment. But they are well equipped for support when they need it. This does not mean that they do not face extremely difficult situations alone. Rural women still prefer to give birth at home, and often go to receive help after it is much too late.

The Hamlin midwife becomes a wise health official rapidly.

Copyright 2017 Joni Kabana. All rights reserved. Site by TD