Uluslararas\u0131 t\u0131bbi insani yard\u0131m kurulu\u015fu S\u0131n\u0131r Tan\u0131mayan Doktorlar\u2019\u0131n (MSF) raporuna g\u00f6re, Yemen\u2019de do\u011fum komplikasyonu ya\u015fayan \u00e7ok say\u0131da anne aday\u0131 ile \u00e7ocuklar\u0131 hasta olan pek \u00e7ok ebeveynin, sa\u011fl\u0131k hizmetlerine g\u00fcvenli bir ortamda ve zaman\u0131nda ula\u015famamas\u0131 \u00e7o\u011funlukla \u00f6l\u00fcmc\u00fcl sonu\u00e7lara yol a\u00e7\u0131yor.<\/p>\n
MSF\u2019nin \u2018Zor do\u011fum: Yemenli anneler ve \u00e7ocuklar t\u0131bbi bak\u0131m alamad\u0131klar\u0131 i\u00e7in \u00f6l\u00fcyor\u2018 ba\u015fl\u0131kl\u0131 yeni raporu, sava\u015f\u0131n Yemen\u2019in en ihmal edilen ve hassas durumdaki topluluklar\u0131 olan hamile kad\u0131nlar, yeni do\u011fum yapan anneler ve 15 ya\u015f alt\u0131 \u00e7ocuklar \u00fczerindeki etkilerini, Taiz ve Hacca vilayetlerinde g\u00f6rev yapan sa\u011fl\u0131k ekiplerinin g\u00f6zlemleriyle anlat\u0131yor.<\/p>\n
Anne ve yenido\u011fan \u00f6l\u00fcmlerinin \u00e7o\u011fu sava\u015fla ba\u011flant\u0131l\u0131<\/p>\n
Yemen\u2019deki sava\u015f\u0131n taraflar\u0131 ve bu taraflar\u0131n uluslararas\u0131 destek\u00e7ileri, \u00e7at\u0131\u015fmayla ge\u00e7en d\u00f6rt y\u0131l i\u00e7inde 28 milyon Yemenli\u2019nin ihtiyac\u0131n\u0131 halihaz\u0131rda kar\u015f\u0131layamayan halk sa\u011fl\u0131\u011f\u0131 sistemini etkin bir \u015fekilde yerle bir etti.<\/p>\n
2016 ve 2018 y\u0131llar\u0131 aras\u0131nda, MSF\u2019nin Taiz vilayetinde bulunan Taiz Houban hastanesinde ve Hacca vilayetindeki MSF destekli Abs hastanesinde, 36 anne ve bin 18\u2019i yenido\u011fan olmak \u00fczere bin 529 \u00e7ocuk hayat\u0131n\u0131 kaybetti. Taiz Houban\u2019daki \u00f6l\u00fcm vakalar\u0131n\u0131n neredeyse \u00fc\u00e7te biri hastaneye ula\u015ft\u0131klar\u0131nda \u00f6lm\u00fc\u015f olan \u00e7ocuklar ve yenido\u011fanlard\u0131. MSF\u2019ye tedaviye getirilen \u00e7o\u011fu yeni do\u011fmu\u015f bebek, d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131kl\u0131 veya premat\u00fcreydi; evde ya da k\u00fc\u00e7\u00fck \u00f6zel kliniklerde d\u00fcnyaya gelmi\u015fti. Yenido\u011fanlarda en s\u0131k rastlanan \u00f6l\u00fcm nedenleri aras\u0131nda premat\u00fcrite (erken do\u011fum), do\u011fum asfiksi (yenido\u011fan solunum sorunlar\u0131) ve sepsisti (ciddi enfeksiyon) yer ald\u0131.<\/p>\n
\u00d6l\u00fcmlerin y\u00fcksek olmas\u0131, \u00e7o\u011fu do\u011frudan sava\u015fla ba\u011flant\u0131l\u0131 bir dizi fakt\u00f6re ba\u011fl\u0131. Bu fakt\u00f6rlerin aras\u0131nda, Yemen\u2019de i\u015fleyen sa\u011fl\u0131k tesislerinin eksikli\u011fi, insanlar\u0131n var olan sa\u011fl\u0131k tesislerine ula\u015fmada ya\u015fad\u0131\u011f\u0131 g\u00fc\u00e7l\u00fckler ve alternatif sa\u011fl\u0131k hizmetlerinin \u00fccretlerini kar\u015f\u0131layamamalar\u0131 da var. Bir\u00e7ok insan, faaliyette olan bir hastaneye ula\u015fmak i\u00e7in cephe hatlar\u0131n\u0131 ve tarafs\u0131z b\u00f6lgeleri ge\u00e7mek ya da bir\u00e7ok kontrol noktas\u0131nda pazarl\u0131k etmek zorunda kal\u0131yor.<\/p>\n
MSF Anestezi Uzman\u0131 Dr. Fuad Saeed, “\u00dc\u00e7 y\u0131ld\u0131r MSF\u2019nin Taiz\u2019deki anne ve \u00e7ocuk sa\u011fl\u0131\u011f\u0131 hastanesinde \u00e7al\u0131\u015f\u0131yorum. Acil do\u011fumlarda ve do\u011fum komplikasyonlar\u0131nda sezaryen yap\u0131yoruz. Bug\u00fcne kadar ayda en fazla 105 sezaryen ger\u00e7ekle\u015ftirdik. Yo\u011funlu\u011fun az oldu\u011fu zamanlarda ayda 60 ila 70 sezaryen ameliyat\u0131 oluyor” dedi.<\/p>\n
Gece yola \u00e7\u0131kmaya \u00e7ekiniyorlar<\/p>\n
Baz\u0131 annelerle \u00e7ocuklar, Taiz Houban hastanesine ula\u015fabilmek i\u00e7in cephe hatlar\u0131ndan ge\u00e7meyi g\u00f6ze al\u0131yor. Bu onlar\u0131 fiziksel tehlikelere maruz b\u0131rak\u0131rken yolculuk s\u00fcrelerini de art\u0131r\u0131yor. \u00c7at\u0131\u015fmalardan \u00f6nce, Taiz \u015fehrinin eteklerinde bulunan Houban sakinleri \u015fehir merkezindeki bir devlet hastanesine 10 dakikada ula\u015fabilirken, bu yolculuk \u015fimdi alt\u0131 saat s\u00fcrebiliyor.<\/p>\n
MSF \u00c7ocuk Doktoru Dr. Sana, “Sava\u015f s\u00fcresince daha \u00f6nce hi\u00e7 g\u00f6rmedi\u011fimiz vakalar g\u00f6rd\u00fck. Hastalar\u0131m\u0131z\u0131n \u00e7o\u011fu, sa\u011fl\u0131k hizmetlerinin olmad\u0131\u011f\u0131 k\u00f6ylerden, k\u0131rsal b\u00f6lgelerden geliyor. Baz\u0131lar\u0131 geldiklerinde \u00e7ok k\u00f6t\u00fc durumda oluyor. Baz\u0131lar\u0131ysa tedavi i\u00e7in \u00e7ok ge\u00e7 kald\u0131klar\u0131ndan hayatlar\u0131n\u0131 yitiriyor” a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
Abs hastanesinde ebe olarak g\u00f6rev yapan Sadeqa, “Sa\u011fl\u0131k hizmetlerine olan uzakl\u0131k b\u00fcy\u00fck bir sorun. Hastalar\u0131n bir yerden bir yere gitmesi, hava sald\u0131r\u0131lar\u0131 ve \u00e7at\u0131\u015fmalar y\u00fcz\u00fcnden engelleniyor. Ayr\u0131ca sald\u0131r\u0131ya u\u011framaktan korktuklar\u0131 i\u00e7in geceleri de seyahat edemiyorlar. Daha \u00f6nce bir araba hava sald\u0131r\u0131s\u0131nda vurulmu\u015ftu ve i\u00e7indeki herkes \u00f6ld\u00fc” dedi.<\/p>\n
Daha bu hafta, MSF\u2019nin destek verdi\u011fi bir hastane, Taiz\u2019de \u015fiddetlenen \u00e7at\u0131\u015fmalar nedeniyle faaliyetlerini ge\u00e7ici olarak ask\u0131ya almak zorunda kald\u0131. \u015eiddet olaylar\u0131, b\u00f6lgede anne ve \u00e7ocuk sa\u011fl\u0131\u011f\u0131 hizmetleri sunmaya devam eden tek devlet hastanesinin de kapanmas\u0131na neden oldu. \u00c7at\u0131\u015fmalar halen t\u0131bbi insani yard\u0131m \u00e7al\u0131\u015fanlar\u0131n\u0131n hastaneye ula\u015f\u0131m\u0131n\u0131 engelliyor.<\/p>\n
Sa\u011fl\u0131k personeli de hastaneye ula\u015fma konusunda ayn\u0131 zorluklar\u0131 ya\u015f\u0131yor<\/p>\n
MSF\u2019nin Yemen\u2019deki Program Dan\u0131\u015fman\u0131 Jana Brandt, “Emniyet ve asayi\u015f durumu, sadece t\u0131bbi bak\u0131m ihtiyac\u0131ndaki insanlar\u0131 etkilemiyor, bak\u0131m\u0131 sa\u011flayan sa\u011fl\u0131k personelini de etkiliyor” dedi. Brandt, “Hastane personelimiz, yollardaki tehlikeler nedeniyle geceleri seyahat etmemek i\u00e7in 8 saatlik g\u00fcnd\u00fcz vardiyas\u0131 yerine 14 saatlik gece vardiyas\u0131nda \u00e7al\u0131\u015fmay\u0131 tercih ediyor” ifadelerini kulland\u0131.<\/p>\n
Hastanelerin vurulaca\u011f\u0131ndan korkuyorlar<\/p>\n
\u0130nsanlar, yolculuk s\u0131ras\u0131nda kar\u015f\u0131la\u015fabilecekleri tehlikeler kadar, hastanenin sald\u0131r\u0131ya u\u011framas\u0131ndan da korkuyor. Bu da Yemen\u2019deki sava\u015f\u0131n bir \u00f6zelli\u011fi. MSF Ruh Sa\u011fl\u0131\u011f\u0131 Y\u00f6neticisi Khattab durumu \u015f\u00f6yle anlat\u0131yor:<\/p>\n
“Daha \u00f6nce Abs hastanesi de vurulmu\u015ftu. Abs b\u00f6lgesinin tamam\u0131 sava\u015f boyunca bir\u00e7ok kez hava sald\u0131r\u0131lar\u0131ndan zarar g\u00f6rd\u00fc. \u0130nsanlar yolda sald\u0131r\u0131ya u\u011framaktan ya da hastanenin tekrar vurulmas\u0131ndan korkuyor. Bize ba\u015fvuran hastalar\u0131n \u00e7o\u011fu travma sonras\u0131 stres bozuklu\u011fu belirtileri g\u00f6steriyor.”<\/p>\n
Ekonomik \u00e7\u00f6k\u00fc\u015f ve yoksulluk halk sa\u011fl\u0131\u011f\u0131n\u0131 etkiliyor<\/p>\n
Annelerle \u00e7ocuklar\u0131n hastaneye ula\u015fmalar\u0131n\u0131 \u00f6nleyen engeller, ailelerin \u00e7o\u011funun kar\u015f\u0131 kar\u015f\u0131ya kald\u0131\u011f\u0131 ekonomik hassasiyetle de per\u00e7inleniyor. \u00c7at\u0131\u015fmalar\u0131n t\u0131rmand\u0131\u011f\u0131 2015 y\u0131l\u0131ndan \u00f6nce, Yemen\u2019deki sa\u011fl\u0131k hizmetlerinin b\u00fcy\u00fck k\u0131sm\u0131, nispeten uygun fiyatl\u0131 \u00f6zel sa\u011fl\u0131k tesisleri taraf\u0131ndan sa\u011flan\u0131yordu. Bug\u00fcnse, Yemenlilerin sa\u011fl\u0131k hizmetlerine eri\u015fim g\u00fcc\u00fc ciddi \u00f6l\u00e7\u00fcde azalm\u0131\u015f durumda. Bunun nedenleri aras\u0131nda \u00e7at\u0131\u015fmalar\u0131n ekonomiyi mahvetmesi ve insanlar\u0131n birikimlerinin de\u011fer kaybetmesi yer al\u0131yor. Bu durum da Yemen halk\u0131n\u0131n b\u00fcy\u00fck bir \u00e7o\u011funlu\u011funu, halihaz\u0131rda mevcut olan s\u0131n\u0131rl\u0131 say\u0131daki kamu sa\u011fl\u0131\u011f\u0131 hizmetlerine mahkum b\u0131rak\u0131yor.<\/p>\n
Sa\u011fl\u0131k hizmetlerine ihtiya\u00e7 duyan anneler ve \u00e7ocuklar a\u00e7\u0131s\u0131ndan bu \u00e7aresiz durum, sadece Taiz ve Hacca vilayetleriyle s\u0131n\u0131rl\u0131 de\u011fil; ba\u015fta sava\u015ftan en \u00e7ok etkilenen b\u00f6lgeler olmak \u00fczere \u00fclkenin b\u00fct\u00fcn\u00fcnde ge\u00e7erli.<\/p>\n
MSF yeni raporunda, sava\u015fan taraflara sivillerin ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n korunmas\u0131n\u0131 sa\u011flama, yaral\u0131lar\u0131n ve hastalar\u0131n sa\u011fl\u0131k hizmetlerine eri\u015fmelerine izin verme ve insani yard\u0131m kurulu\u015flar\u0131n\u0131n, b\u00fcy\u00fck ihtiya\u00e7lara zaman\u0131nda cevap verebilmeleri i\u00e7in k\u0131s\u0131tlamalar\u0131n\u0131 hafifletme \u00e7a\u011fr\u0131s\u0131n\u0131 yineliyor. MSF, ayn\u0131 zamanda uluslararas\u0131 yard\u0131m kurulu\u015flar\u0131n\u0131, insani m\u00fcdahalelerini geni\u015fletmeye, ihtiya\u00e7lar\u0131n en fazla oldu\u011fu alanlara g\u00f6nderilen deneyimli personel say\u0131s\u0131n\u0131 art\u0131rmaya, yard\u0131mlar\u0131n denetiminin yap\u0131lmas\u0131 ve niteli\u011finin de\u011ferlendirilmesi konusunda vakitlice harekete ge\u00e7ilmesi i\u00e7in ad\u0131m atmaya \u00e7a\u011f\u0131r\u0131yor.<\/p>\n","protected":false},"excerpt":{"rendered":"
YEMEN\u2019DE ANNE VE \u00c7OCUKLAR SA\u011eLIK H\u0130ZMETLER\u0130NE ULA\u015eAMADAN \u00d6L\u00dcME TERK ED\u0130L\u0130YOR.<\/p>\n","protected":false},"author":1,"featured_media":147843,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[10],"tags":[19080,5582,252,2716,25639,15242,734,9869,32859],"class_list":["post-147842","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dunya","tag-yemende","tag-anne","tag-cocuklar","tag-ediliyor","tag-hizmetlerine","tag-olume","tag-saglik","tag-terk","tag-ulasamadan"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/yemende-anne-ve-cocuklar-saglik-hizmetlerine-ulasamadan-olume-terk-ediliyor_fc0e570.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Csy","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/147842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=147842"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/147842\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/147843"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=147842"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=147842"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=147842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}