Lynsey Addario and Dr. Mary-Ann Etiebet September 25, 2017
An important part of our mission at MSD for Mothers is to draw attention to the urgent issues affecting maternal health for women; to help raise awareness and to deepen our own understanding of what women need not just to survive pregnancy and childbirth, but to thrive. Our partnership with TIME magazine is part of that. We are proud to be a sponsor of TIME's ongoing series, Finding Home, an indepth look at what the journey to motherhood looks like for a refugee, featuring the work of award-winning photojournalist Lynsey Addario. Our Executive Director Mary-Ann Etiebet recently caught up with Lynsey to hear more about what she learned covering this story. The following are excerpts from that conversation.
Lynsey: Time's photo director, Kira Pollack, called me up and said, we have an idea: we want to follow pregnant refugees and find out how do you raise a child in a refugee camp. The Syrians were fleeing to Europe is such massive numbers. We knew it would be complicated, in part because Syrian culture is a bit conservative and Syrians tend not to be too comfortable being photographed, but we really wanted to do it. We knew it was an important story to tell.
So we went to several camps in Greece, and we spent a lot of time in the beginning meeting people and trying to find the right families for the story. We needed to find women who would be willing to let the whole crew into their tents, who would let us into the delivery room. We were in some pretty intimate situations.
We ended up closely following three women: Taimaa, Nour and Illham. I was with all three of these women throughout their pregnancies, and then after they had their babies. The Finding Home team was all women, from our writer Aryn Baker to the camerawoman to the translator. This is very unique in our profession. And most of us were mothers too. That gave us an immediate connection. We all felt very close to this story.
Lynsey: It was a real luxury to get to spend that much time with these women. We had amazing access, and it enabled us to show the simple things of day to day life that, for these women, are just really, really hard. Like being pregnant and the nearest toilet is a 10 minute walk outside from the warehouse you're sleeping in. How do you manage to bathe your children; how do you stay clean so you don't get a bladder infection; how do you breastfeed. Hygiene and access to water are big issues in the camps. There's a shortage of food so you're not eating well. We saw women who were suffering from depression. Only a tiny fraction of what we captured made it in actually. That's just how these things go.
Lynsey: One of the hardest things is lack of communication between doctor and patient. Women from Syria speak Arabic, not Greek. They turn up at the hospital in labor, and they don't have a translator, so they don't know what's going on. I was at the hospital with a woman we knew named Suad. She hadn't had a prenatal checkup since she had first become pregnant back in Syria. She thought everything was ok, that she was going in for a routine C-section. Her husband called and invited us to come and cover the birth. When we got there, the doctors had discovered that Suad had a severe case of placenta previa (a potentially life-threatening yet treatable complication, and easier to manage when detected early). Suddenly they were calling in the entire surgical team and wheeling her in for emergency surgery. She was terrified. Imagine you are lying there in active labor, in a foreign country, and you find out you might die. Fortunately she survived.
Lynsey: That's hard to say. In Sierra Leone, I saw two women bleed to death while giving birth in just the five days I was there. That happens a lot there. When I was in Afghanistan, I picked up a woman who was stranded on the side of the road; she was in labor and couldn't get to the hospital. Her husband bad borrowed a car but it had broken down.
Europe is a different context. There you have hospitals and technology and doctors – you have resources. The problem is that these women from Syria don't have anyone to help them navigate the system, to guide them. They are extremely traumatized from having fled war and violence and destruction back home. They don't have their extended families with them. They don't have their support network. So the challenges vary.
Lynsey: Yes. Some people don't think about all the things that can go wrong. Of course, if you work in maternal health, you know there's always a risk of complication. And you know that the risks are higher when you don't have prenatal care, something you can't get when you're on the run.
Lynsey: The war in Syria has been going on for seven years now. We've seen the dramatic images of refugees streaming across borders, crossing the sea on boats -- the hardships they've faced trying to get to safety. One of our goals here was to take that story to the next level, to get the audience to relate to the people in the photos, particularly the experience of being pregnant and giving birth and caring for children. We wanted to personalize the journey of these mothers. We wanted people to feel they knew these families and to care about what happens to them. And they do care. If you look at our social media feeds we have followers who are clearly attached. If we don't post for a while readers comment asking us how the families are doing.
Lynsey: I feel I need to do more work on it, yes. Who are these women who are dying in childbirth? Not just in countries like Sierra Leone, but in the United States? Our maternal death rates are ridiculous compared to the rest of the developed world.
Lynsey Addario is an American photojournalist who regularly works for the New York Times, National Geographic and TIME Magazine. For the last 17 years she has covered every major conflict and humanitarian crisis of her generation while on assignment in Afghanistan, Iraq and elsewhere. The recipient of numerous international awards, Addario was named one of five most influential photographers by American Photo Magazine in 2015. She is the author of the New York Times best-selling memoir, "It's What I Do."
Dr. Etiebet is a physician, researcher and strong advocate for women's health, with extensive experience working with international development partners to design, manage and evaluate programs that address the needs of vulnerable and at risk populations. As the Executive Director of MSD for Mothers, Dr. Etiebet is responsible for successfully implementing a robust set of innovative programs across the globe, designing new high-impact partnerships, managing relationships with important external stakeholders, and serving as an internal and external ambassador of the initiative.
She combines clinical expertise as a Board Certified Infectious Disease physician with global experience in healthcare strategy, health systems strengthening and performance improvement in the private, public and non-profit sectors. Dr. Etiebet earned her MD and MBA from Yale University, and completed her residency and fellowship training at the New York-Presbyterian Hospital System.
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