The second day of THET training showed again that gender is a critical issue in Nawalparasi, southern Nepal. We asked the ANMs about things they had changed in their own practice. Several ANMs said that they had changed the way they worked. Now they see that having a baby girl can be a significant mental health issue as it causes the women a lot of stress. Interestingly, it also caused them as health workers considerable stress The ANMs said that they had started to counsel families of girl children. They say they emphasise that it is okay to have girls.
This ties in with feedback comments from yesterday in a different group of trainees. In Sunday’s training, one ANM answered when asked about stress at work, that she finds it stressful that a room falls silent when a baby girl is born. She commented that this happens when the family is obviously hoping for a boy. She added that at the very moment a baby girl is born, the family immediately falls silent. She said that this is a great source of stress to her as a health worker.
Coincidently next door to the training venue in Nawalparasi a Hindu wedding has been taking place today. This colourful spectacle represents different roles and expectations of men and women, the bride and the groom, but also the other guests here in Nepal. Weddings everywhere are ceremonies that reflect society. Seeing the wedding from close by and listening to the ANMs over these last two days, we reflected at the end of today that these ANMs are acting bravely in raising such a culturally sensitive issue in their practice, in this largely patriarchal rural society.
Flora Douglas & Edwin van Teijlingen
CMMPH