HUMAN RIGHTS IN CHILDBIRTH IN EASTERN EUROPE CONFERENCE

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1 HUMAN RIGHTS IN CHILDBIRTH IN EASTERN EUROPE CONFERENCE Z A G R E B, A P R I L P R E S E N T A T I O N OF T H E P R O J E C T J A K J I N A K ( C Z E C H R E P U B L I C ) M G R. N A T A L I E S E D L I C K A, M S C. ANOTHER APPROACH TO CHILDBIRTH CARE

2 Situation in Czech Republic Situation: Base of the system Secondary care Posttotalitarian attitude and habits Repression totalitarian regime, tighting up - Midwives not getting autonomous licences - Women being refused their rights and wishes Strasbourgh court verdict vs. its interpretation by czech media and Judges east vs. west point of view Challenges: Lack of knowledge and widespread biased knowledge (among professionals and society) Lack of will for changes Complex problem historical, economical, political, social

3 ICM Congress in Prague vs. Any medialisation, reflection in czech context OR Verdict of Strasbourgh Court: verdict itself vs. its interpretation

4 Verdict of Strasbourgh Court: verdict itself vs. its interpretation

5 Freedom, dignity, choice It is not only about liberty Malpractices routinelly performed on daily basis Shifted vision of normality Systematic changes inevitable which is a complex and complicated procedure

6 Project Another way - Jak jinak Aim of the project is to achieve systematic changes in birth options by introducing Primary Midwifery Care based on continual midwifery model of care

7 Vision of the project Bring complex changes in czech perinatal system of care Widen the safe options and services for birthing and pregnant women, modwives and doctors Bring in the continual model of care inspired by international EBM practice and international guidelines (WHO, NICE, ICM, etc.) Bring in the system the Primary Midwifery care which it lacks

8 Work Breakdown Structure Characteristics of the project Phase I. Proposal and realisation of functional system of Primary care in CZ ( ex.: introduction of Birth houses) Cooperation and communication with other organisations Medialisation opening of public discussion and objectivisation of facts in Childbirth Cooperation with insurance companies Adequate involvement of men in the topic Education of Midwives Autonomy of profession, physiology of Childbirth Cooperation with doctors

9 Brief structure of the project Phase I. (continuing) Fundraising Legislative adjustments in cooperation with other organisations and government Therapeutic group Phase II. Birthing and educational centre for Midwifes (and other providers of childbirth care) Cooperation with secondary care Comunication with politics Phase III. Education of public schools, high schoools, colleges, etc. Professional education for Primary care (all providers of care women, children and families) high schools, colleges Network of Birth houses

10 What we have achieved? International Congress ICM, june 2014 in Prague Interviews (videos) with fifteen midwives from international context Petition of professionals to support changes in CZ was signed by 1216 midwives from all over the world Cooperation and consultations with other organisations and institutions,included international. Viral" video - Jakub Kohák, main role famous czech actor Pavel Liška around views within 5 days Concert for Vincent - Birth, Live and Die as humans Vodafone Foundation Rok Jinak - we won a Divoká karta (Wild card) of people project manager for educational programme for autonomy and physiology of Childbirth

11 Viral video Jak jinak Another way to pee Provokující video: Rodit je stejně přirozené, jako jít na záchod Představte si, že jdete na záchod na malou a najednou vás obklopí lékaři a sestry. Položí vás na lehátko, zapnou blikající a pípající monitory a nutí vás, abyste pod jejich dozorem potřebu vykonali. Že by vám to nešlo? Herci Pavlu Liškovi ve videu, s nímž přišla iniciativa Jak jinak, také ne. Autoři kampaně se tímto způsobem snaží upozornit na to, že ve zdejších porodnicích porod stále ještě připomíná nemocniční zákrok, ačkoli mnohé matky by bez neustálých zásahů lékaři dokázaly porodit snáze. (Blesk, )

12 Information leaflet

13 Information leaflet

14 Concert for Vincent Birth, live and die as humans

15 Foundation of VODAFONE - ROK JINAK Won a competition Project "Jak jinak" got into the final of the competition "Roku jinak" of thevodafone Foundation. Získali jsme Divokou kartu prostřednictvím hlasování. Our effort was supported by 5453 people. We got another professional into our team a project manager Anna Vršník. V projektu "Jak jinak" chceme kromě jiného vytvořit funkční model primární porodní péče, jak ho známe z vyspělých zemí EU, kde o většinu rodiček pečuje samostatná porodní asistentka. Také se snažíme o to, aby práce porodní asistentky byla uznávanou autonomní profesí a jejich služby proplácely pojišťovny. Ženy tak budou mít možnost volby místa a způsobu porodu a zároveň bude zajištěno bezpečí pro ně i miminko. Nedílnou součástí naší práce je i osvěta odborníků i laické veřejnosti o tom, že těhotenství a porod jsou zdravé a přirozené procesy.

16 How to implement changes? Examples of good practice Denmark, Canada, United Kingdom, and others Inspiration - New Zealand and its situation 20 years ago simmilar to ours, what made the change, etc. DISTRIBUTION OF RELEVANT INFORMATION (within professionals as within society) PROFESIONALISATION OF NETWORKS COOPERATION

17 Thank You for Your attention! A K J I N A K. I N F O A C E B O O K. C O M / J A K J I N A K N A T A L I E. S E D L I C K S E Z N A M. CZ