I'm just starting the preparations for my trip to Indonesia. 
I will be going on a midwifery mission to Bali for 6 weeks. I beleive that this will be an incredibly life altering experience. I am excited and nervous all wrapped into one.
CHILDBIRTH FACTS IN INDONESIA
Since the tragic Bali bombing on October 12th, 2002, poor economic conditions have added stress to the lives of many families, especially pregnant women and new mothers breast-feeding their infants.
Families under financial strain are less likely to seek prenatal care and proper nutrition, increasing the risk factors during pregnancy and labour. Jakarta Post reported May 29th that maternal mortality in Indonesia is 373 deaths per 100,000 live births, the highest among the member states of ASEAN.
The maternal mortality ratio in Bali, Indonesia is 718 deaths per 100,000 births. Almost half these deaths are from postpartum hemorrhaging, largely due to malnutrition. Most maternal deaths that occur during pregnancy and childbirth are preventable through proper prenatal care and nutrition.
This is where I will be staying.
I have to start my trips to the travel clinic soon as well. Apparently I need a lovely regimine of vaccinations.
Here are some the questions about vaccinations that I need to think about, and/or decide to get....
Malaria - Are you taking anti-malarial medicine?
Tetanus - required - Date of last immunisation
Typhoid - Date of last immunization
Hepatitis - Date of last immunization
Cholera - Date of last immunization
I really don't wan to get any of these. So my next little bit of research will be on the effectivness of each one.
I hear the anti-malarial medication makes some people very sick and that the Cholera vaccination is only 30% effective. So important to ponder the tricky little word immunization. Ohhhhh so much to think about.
I will be going on a midwifery mission to Bali for 6 weeks. I beleive that this will be an incredibly life altering experience. I am excited and nervous all wrapped into one.
CHILDBIRTH FACTS IN INDONESIA
Since the tragic Bali bombing on October 12th, 2002, poor economic conditions have added stress to the lives of many families, especially pregnant women and new mothers breast-feeding their infants.
Families under financial strain are less likely to seek prenatal care and proper nutrition, increasing the risk factors during pregnancy and labour. Jakarta Post reported May 29th that maternal mortality in Indonesia is 373 deaths per 100,000 live births, the highest among the member states of ASEAN.
The maternal mortality ratio in Bali, Indonesia is 718 deaths per 100,000 births. Almost half these deaths are from postpartum hemorrhaging, largely due to malnutrition. Most maternal deaths that occur during pregnancy and childbirth are preventable through proper prenatal care and nutrition.
This is where I will be staying.
I have to start my trips to the travel clinic soon as well. Apparently I need a lovely regimine of vaccinations.
Here are some the questions about vaccinations that I need to think about, and/or decide to get....
Malaria - Are you taking anti-malarial medicine?
Tetanus - required - Date of last immunisation
Typhoid - Date of last immunization
Hepatitis - Date of last immunization
Cholera - Date of last immunization
I really don't wan to get any of these. So my next little bit of research will be on the effectivness of each one.
I hear the anti-malarial medication makes some people very sick and that the Cholera vaccination is only 30% effective. So important to ponder the tricky little word immunization. Ohhhhh so much to think about.
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as far as the hepatitis- which type(s) would they vax you for, and are you at risk for the particular type(s)?
tetanus breeds in non-oxygenated wounds (like deep puncture wounds)- as long as you got a wound that bleeds, you are not in danger of tetanus. oh and them trying to push one you in the ER if you have a bleeding wound is totally useless, and if you do get a puncture, the tetanus vax will be moot, as the vax will not be effective before the tetanus has a chance to breed (providing they give the vax at the time of injury, and not before). if you do end up with a puncture that doesn't bleed and are without a tet. vax- get tetanus immunoglobin instead (do they have that in indonesia?). so, unless you have the potential risk for deep puncture, non-bleeding injury more in indonesia than here, i wouldn't do it.
you got a lot to think about just on the vax issue alone!! good luck on your research
:mj: