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Women in Madagascar too ashamed to seek help giving birth

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A mother-to-be receives advice from Jeanne Bernadine Rasoanirina at a community health centre in Behara, a village in the south of Madagascar.(UN News)

Some of the poorest women in an underdeveloped region south of Madagascar are “too ashamed” to seek the maternal health services they need, according to a midwife working in a health centre supported by United Nations agencies, but that may be about to change.

The predominantly rural region of Androy has been beset by a series of humanitarian crises which have affected the most vulnerable people there, including mothers-to-be, however the delivery of simple, inexpensive maternity kits is encouraging more women to access a range of services that will help keep them and their babies healthy.

Ahead of the International Day of the Midwife,  celebrated annually on 5 May, Jeanne Bernadine Rasoanirina, a midwife in Behara, in Androy, spoke to UN News’s Daniel Dickinson about the challenges of reaching the poorest women.

“This is a very poor rural area, and many women are too ashamed to come to the health centre to have their babies delivered because they don’t even have the money for transport or to buy clean cloth in which to wrap their newborn. They don’t want other people to know they are poor.

A baby is weighed at the primary health care centre in Behara.
(UN News)

The mothers-to-be who come here get all the support they need to give birth, and it’s free of charge, thanks to the government as well as UN agencies, including [the UN reproductive health agency] UNFPA [The UN Children’s Fund] UNICEF and the World Food Programme (WFP) provide important nutrition advice and support, which complements our work and is essential to keeping mothers and their children healthy.

Even though I have done this job for 19 years, it still really saddens me when women arrive who don’t have the means to look after themselves. They may be wearing dirty clothes, which is a sign of poverty, but also a lack of knowledge or respect for cleanliness.

In the last week, I have delivered three babies and over the past month, I attended over 330 antenatal and postnatal consultations, so there is definitely a demand for services.

Jeanne Bernadine Rasoanirina sits at her desk with the recently delivered maternity kits.
Jeanne Bernadine Rasoanirina sits at her desk with the recently delivered maternity kits. (UN News)

I think more women will be encouraged to come to the health centre, as yesterday we had a delivery of 240 maternity kits [supported by UNFPA]  for the first time in over a year, which will last about three months.

The kits include everything a mother needs to give birth – gloves, gauze, umbilical cord clip and a syringe for the delivery and then cloth wraps and clothes in which to dress the baby. They will remove the shame that mothers feel.

It is frustrating that we have not had a consistent supply as this small item can make a big difference. It means more women will come to our health centre, which is a safer place to give birth. In 2023, we had only successful births; there were no deaths. We don’t know how many women gave birth at home nor how many children and mothers died as a result. There is definitely a risk of death if a woman doesn’t come here to deliver her baby.

There are still many cultural barriers to safe childbirth in the south of Madagascar. Children are considered a sign of wealth, even if families don’t have the means to look after them properly, so it is common to have many children, sometimes as many as 10.

Polygamy is also practiced, and some men have up to five wives and want to have children with all of them. We provide information here and offer training about these issues, but we must always be sensitive about the local culture.”

(UN NEWS)



Foreign News

‘Time for Ukraine to get new president,’ says Trump after Zelensky condemns diesel deal

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[file pic]

US President Donald Trump has said he thinks “it’s time for Ukraine to get a new president” as he responded to Volodymyr Zelensky’s criticism of the US diesel deal with Russia.

The Ukrainian president warned a new deal to release millions of tonnes of Russian diesel into the US would provide Moscow with money to continue its war against his nation, calling it a gift to Russian President Vladimir Putin.

Trump told reporters outside the White House on Saturday that Zelensky “wants to make problems for the world” by continuing to authorise attacks on Russian refineries.

“He’d better damn well stop,” Trump said, before suggesting Ukraine should “get a new leader who can make a deal”.

Global fuel supplies, including diesel, have been severely limited by the war against Iran launched by the US and Israel, which led to the effective closure of the Strait of Hormuz, through which roughly a fifth of the world’s oil products usually flows.

Russia – a major producer – and Ukraine have recently intensified their strikes on each other’s energy infrastructure and transport facilities, further straining energy markets.

“We said, ‘you can do whatever you want to Russia, don’t hit the refineries’, because that’s a world problem that’s caused,” Trump continued.

“He could have made many deals and for some reason, he never does.”

Putin’s envoy Kirill Dmitriev described Trump’s intervention as “iconic and historic”, saying that Ukraine “needs leadership actually focused on peace”.

The US president confirmed on Friday that an agreement had been reached with Moscow to suspend sanctions on Russian diesel exports until 7 April.

Zelensky reacted by saying it would allow Moscow to raise new funds to source new military equipment to continue the war.

He also accused Moscow of taking the deal “to mean they can keep fighting, to mean they keep dropping bombs on cities” following deadly new strikes on Zaporizhzhia.

The Ukrainian president spoke to several allies on Saturday to discuss the latest developments, calling for “real decisions to protect lives in Ukraine” and to protect European security.

A Downing Street spokesperson said UK Prime Minister Andy Burnham had spoken to Zelensky and offered his “complete solidarity”.

The pair had agreed Russia should acquiesce to “an immediate energy ceasefire” and end its attacks on shipping in the Black Sea, the spokesperson said, as “this would immediately release more energy and food supplies into the global market”.

News of the US-Russia diesel deal was also met with criticism by EU’s foreign affairs chief Kaja Kallas, who echoed Zelensky in saying that suspending sanctions “provides Moscow with more revenues to wage war”, adding: “This is not the time to ease pressure on Russia, and Europe won’t.”

She said European foreign ministers intended to approve the biggest set of sanctions on Russia since the start of its full-scale invasion on Monday.

The deal with Russia is the latest effort from Trump to lower fuel prices in the US ahead of the midterm elections, after months spent grappling with the political consequences of the Iran war.

That conflict, which began in February, has sent the cost of petrol and in particular diesel skyrocketing, which has soured his standing with the American public who have been stung by the higher pump prices and knock-on effects that led to across-the-board inflation.

The average price of diesel is currently $6.28 (£4.74) a gallon, according to the AAA – up from last month’s $5.94 average, and $3.68 last year.

Under the deal, Russia would release an initial 300,000 tonnes of diesel “to the American and global marketplace” followed by an additional 500,000 tonnes in November.

A further million would follow, Trump wrote on Truth Social, and then another 3m tonnes “within a short period of time” – but he noted that this delivery will be “based on the condition of their diesel refineries”.

In the past 10 months, Russia experienced two waves of severe fuel shortages across the country due to Ukrainian drones strikes on its oil refineries.

Diesel production in Russia dropped by an estimated 30%, according to the International Energy Agency.

Trump had already called for new elections in Ukraine last December, saying Ukrainian voters should have the choice to replace Zelensky.

Since the war broke out in 2022 Ukraine has been under martial law, meaning elections are suspended.

[BBC]

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Foreign News

Pope says death penalty ‘inadmissible’ as US plans to livestream execution

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[file pic] Pope Leo XIV attends a weekly general audience at St Peter's basilica in The Vatican [Aljazeera]

Pope Leo XIV has declared that the death penalty is “inadmissible” while his home country, the United States, announces plans to livestream an execution by firing squad.

Marking World Day Against the Death Penalty on Saturday, the pope reiterated the Catholic Church’s teaching on capital punishment, writing on X that it was “inadmissible because it is an attack on the inviolability and dignity of the person”.

“The common good can be safeguarded and the requirements of justice can be met without recourse to capital punishment,” his post said.

“Effective systems of detention have been developed that protect citizens while at the same time do not completely deprive those who are guilty of the possibility of redemption,” added the leader of the Catholic Church.

The American Pope’s comments come days after US Secretary of Defense Pete Hegseth said on Thursday that the firing squad execution of Nidal Malik Hasan on December 3 will be livestreamed.

Hasan was convicted of killing 13 people and wounding 32 others in a shooting at the Fort Hood military base in 2009.

Pope Leo did not specifically refer to the planned execution, or last month’s botched execution attempt on Christa Pike,  who survived two doses of the lethal injection in Tennessee.

But his post came hours after his top deputy, Cardinal Pietro Parolin, the Vatican secretary of state, told Vatican News that the plan to livestream Hasan’s execution was “unacceptable”.

It was Leo’s predecessor, Pope Francis, in 2018 who first amended official Catholic teaching to declare capital punishment “inadmissible” in all circumstances.

[Aljazeera]

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Foreign News

Trump announces Russian diesel deal amid soaring US fuel prices

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Trump's announcement comes a week after a similar deal with G7 countries last week [Aljazeera]

United States President Donald Trump said that Russia has agreed to supply 300,000 tonnes of diesel fuel to global markets amid discussions with Russian President Vladimir Putin.

“I have just concluded a highly successful discussion with President Vladimir Putin, of Russia, wherein it was agreed that Russia will immediately supply over 300,000 Tons of Diesel Fuel to the American and Global Marketplace, another 500,000 Tons during the month of November, and 1,000,000 Tons immediately thereafter,” Trump said in a post on his Truth Social platform.

The president added that Russia would deliver an additional 3 million tonnes of fuel “within a short period of time”. He said that the country would supply 500,000 tonnes in November.

An envoy for Russian President Vladimir Putin, Kirill Dmitriev, praised cooperation between Russia and the United States on diesel and energy in a post on X shortly after.

“Russia-US cooperation on diesel and energy will benefit the world,” Dmitriev wrote on X.

Petrol price pressures

The deal comes despite Ukrainian air strikes, which have taken more than half of the country’s oil refining capacity offline, according to claims made by Ukraine’s Ministry of Defence on Sunday.

The latest announcement comes a week after the G7 countries agreed to release 100 million barrels amid pressure from the White House.

Diesel prices have been elevated in recent months but have started to decline. The average price for a gallon is $6.27 ($1.66 per litre), according to the American Automobile Association (AAA), which tracks daily petrol prices. That’s down $0.10 from this time last week, but up $5.94 from this time one month ago.

[Aljazeera]

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