czech republic - Human Rights in Childbirth

HUMAN RIGHTS IN CHILDBIRTH
IN EASTERN EUROPE
CONFERENCE
ZAGREB, 16-17 APRIL 2015
PRESENTATION OF THE PROJECT JAK JINAK
(CZECH REPUBLIC)
MGR. NATALIE SEDLICKA, MSC.
ANOTHER APPROACH
TO CHILDBIRTH CARE
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
 ICM Congress in Prague
vs.
 Any medialisation, reflection in czech context…
 OR
 Verdict of Strasbourgh Court:
verdict itself vs. its interpretation
Verdict of Strasbourgh Court:
verdict itself vs. its interpretation
 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
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
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
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
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
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 30.000 views within 5 days
 Concert for Vincent - „Birth, Live and Die as
humans“ - 18.9.2014
 Vodafone Foundation – „Rok Jinak“ - we won a
„Divoká karta“ (Wild card) of people – project manager for
educational programme for autonomy and physiology of
Childbirth
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,30.9.2014)
Information leaflet
Information leaflet
Concert for Vincent
„Birth, live and die as humans“
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.
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
Thank You for Your attention!
WWW.JAKJINAK.INFO
WWW.FACEBOOK.COM/JAKJINAK
[email protected]