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1With ‘Kangaroo Care,’ Parents in Ethiopia Can Save Their Premature Babies, Just by Holding Them‘Fikarakaran'ny Kangoroa’ : Fitazonan'Aina ny Zaza Teraka Tsy Tonga Volana ao Etiopia
2At a hospital in Ethiopia's capital, Wandamu and his wife Lakish have been in practicing kangaroo care for nearly three weeks.Ao amin'ny hopitaly iray ao andrenivohitr'i Ethiopia, Wandamu sy ny vadiny Lakish eo am-panatontosana ny fikarakarana araka ny fanaon'ny kangoroa efa ho telo herinandro izao.
3Their heavier, healthier twin, can now sleep on his own and is breast feeding healthily.Afaka matory irery sy omena nono ara-pahasalamana ankehitriny ny kambana iray salama sy ampy lanja kokoa.
4The smaller twin is still in the “kangaroo” position on his mom's chest.Mbola ao anatin'ny “kangoroa” kosa ilay zaza kambana iray tsy ampy lanja eo amin'ny nonon-dreniny.
5Credit: Dalia MortadaSary: Dalia Mortada
6This article and radio report by Dalia Mortada for The World originally appeared on PRI.org on March 17, 2015, and is republished as part of a content-sharing agreement.Nivoaka voalohany tao amin'ny PRI.org tamin'ny 17 Martsa 2015 ity lahatsoratra sy tatitra an'onjam-peo avy amin'i Dalia Mortada hoan'ny The World ity ary navoaka indray noho ny fifanarahana fifampizarana vontoaty.
7A modest solution is turning out to be the difference between life and death for thousands of infants born prematurely in the developing world.Nampisy ny fahasamihafana eo amin'ny fiainana sy ny fahafatesan'ireo ankizy an'arivony teraka tsy tonga volana ao amin'ny firenena an-dalam-pandrosoana ny vahaolana tsotra dia tsotra iray.
8In hospitals like Zeweditu in Ethiopia's capital, Addis Ababa, incubators are rare.Ao amin'ny hopitaly tahaka an'i Zeweditu ao an-denivohitr'i Etiopia, Addis Abeba, tsy dia fahita firy ny “couveuse” (famelomana zazakely teraka tsy tonga volana).
9And when they are available, the electricity supply isn't reliable enough to keep them running.Ary raha misy aza, tsy azo antoka ny famatsiana herinaratra mba hampandehanana izany.
10So staff here are keeping new parents of premature infants in the hospital and, whenever possible, encouraging “kangaroo care,” a technique developed in South America decades ago to safely help premature and underweight babies grow with the help of skin-to-skin contact.Ka mitazona ireo ray aman-dreny manana zanaka teraka tsy tonga volana ao amin'ny hopitaly araka izay azo atao ny mpiasa, mandrisika ny “fikarakaran'ny kangoroa,” teknika nivoatra tao Amerika Atsimo folo taona lasa mba hamonjena ireo zazakely teraka tsy tonga volana sy zazakely tsy ampy lanja amin'ny alalan'ny fifampikasokasohana amin'ny hoditra .
11As soon as a baby is born - as long as there aren't other major medical issues - the infant is put naked on a parent's bare chest, generally the mother's.Raha vao teraka ny zazakely iray - ka tsy misy olana goavana ara-pitsaboana hafa - dia aboridana hatao eo akaikin'ny tratran'ny iray amin'ny ray aman-dreny tsy asiana tati-nono ilay zazakely, eo amin'ny reniny izany amin'ny ankapobeny.
12The baby stays there as long as necessary: days, weeks, months even - tucked in tight by wrapping a blanket around both the baby and the adult.Mijanona eo ela indrindra araka izay ilaina ilay zaza, andro maromaro, herinandro, na amam-bolana mihitsy - ary rakofana bodofotsy manodidina ny zaza sy ilay olon-dehibe.
13A pair of twins and their parents have been in the hospital for nearly a month.Nijanona tao amin'ny hopitaly efa ho iray volana ny zaza kambana roa sy ny ray aman-dreniny.
14One baby was born weighing less than three pounds, the other less than two, so mom and dad were each wrapped up with a baby for nearly three weeks.Teraka zara raha nahazo iray kilao ny kambana iray, ary latsaky ny iray kilao kosa ny iray hafa, ka samy nandrakofana zaza tsirairay avy i dada sy i neny nandritra ny telo herinandro teo.
15Now, the heavier twin is healthy enough to sleep on his own.Ankehitriny, efa salama tsara ilay kambana mavesatra kokoa ary afaka matory samirery.
16The second baby is still getting there.Mbola eo amin'ny nonon-dreniny kosa ilay faharoa.
17Wandamu, the babies' soft-spoken father, smiles sheepishly.Mitsiky am-pahamenarana i Wandamu, rain'ireo zaza malefa-piteny.
18“Initially … they weren't able to feed properly, but now we are seeing them breast feeding and we are very happy,” he says, as his wife, Lakish, nods in agreement.«Tamin'ny voalohany … .. tsy afaka nisakafo araka ny tokony ho izy ry zareo [kambana] saingy ankehitriny, hitanay fa efa minono tsara izy ireo ary tena faly izahay,” hoy izy, ary nihatokatoka nanaiky izany ihany koa ny vadiny, Lakish.
19The tiny infants are strapped to her chest still.Mbola miraikitra eo amin'ny tratrany ilay kambana iray kely indrindra.
20That feeling of happiness is crucial in Ethiopia, where people sometimes assume that an especially premature baby won't survive.Zava-dehibe ao Etiopia izany fahatsapana fifaliana izany, izay matetika iheveran'ny olona fa tsy ho velona ny zaza teraka tsy tonga volana.
21“Unfortunately some communities will say, ‘God made his judgment,' and the baby will be put somewhere to die.Indrisy anefa fa misy ireo fiarahamonina sasany hilaza fa: Nanao ny fitsarany Andriamanitra', ka natao ho faty any ho any ny zaza.
22That baby might actually survive if it's close to its mother,” says Alice Allen, who's been teaching a group of nurses at Zeweditu Hospital the techniques of what's now called Kangaroo Mother Care, or KMC.Afaka hivelona tokoa izany zaza izany raha eo akaikin'ny reniny “, hoy i Alice Allen, mampianatra vondrona mpitsabo mpanampy ao amin'ny Hopitaly Zeweditu mikasika ny teknika antsoina ankehitriny hoe “Fikarakaran'ny Reny Kangoroa” na KMC.
23For some exhausted parents, though, the demands of KMC are difficult.Ho an'ireo ray aman-dreny sasany reraka, na dia izany aza, sarotra ny zavatra takiana amin'ny KMC.
24Birkutan, a 30-year-old, first-time mother, has been here three weeks now.Birkutan, 30 taona, sambany vao ho renim-pianakaviana, ohatra, dia teto foana efa ho telo herinandro izao.
25Her eyes look tired.Hita fa tena reraka ny masony.
26Having a baby attached to her chest 24/7, and trying to sleep propped upright, isn't conducive to rest.Matory eo amin'ny nonony mandritra ny 24/7 ny zanany, ary tsy ahafahana maka aina ny fiezahana matory mahitsy tsara foana.
27Birtukan had her baby two-and-a-half months early.Efa ho roa volana sy tapany sahady ny zanak'i Birtukan.
28Because of health issues, the baby had to stay in an incubator for a week.Noho ny olana ara-pahasalamana, tsy maintsy mijanona ao anaty “couveuse” nandritra ny herinandro ny zazakely.
29Afterwards, nurses wrapped the baby onto Birtukan's chest for KMC.Rehefa afaka izany, fonosina eo amin'ny nonon'i Birtukan atao KMC ny zaza.
30But right now, she's worried.Saingy mbola miahiahy izy amin'izao fotoana izao.
31“The weight of the baby feels less, so I don't believe that KMC is helping,” Birtukan frets.“Hita tsy ampy lanja ilay zaza, ka tsy mino aho hoe hanampy ny KMC,” hoy i Birtukan miahiahy.
32Because she fears her daughter won't survive, she hasn't given the baby a name yet.Satria matahotra izy fa tsy ho velona ny zanany vavy, mbola tsy nanome anarana ilay zaza mihitsy aza izy.
33The nurses are trying to ease her fears.Miezaka manamaivana ny tahony ireo mpanampy mpitsabo.
34In Ethiopia, plenty of measures have been taken to help keep mothers and babies alive: In recent years, they've built more roads and health facilities in remote places for easy access and they've invested in maternity wards and infant ICUs.Ao Etiopia, maro ireo fepetra noraisina mba hanampiana ny reny sy ny zaza ho velona; Tao anatin'ny taona vitsy, nanamboatra lalana bebe kokoa sy tobim-pahasalamana any amin'ny toerana lavitra mba ho mora idirana izy ireo ary nampiasa vola tamin'ny hopitaly fiterahana sy ny fitsaboana vonjimaika hoan'ny zazakely.
35All this investment seems to be working: The number of kids who don't make it past the age of 5 has dropped four-fold since 1990.Hita fa nandeha tsara avokoa izany fampiasam-bola rehetra izany. Nihena efatra heny ny isan'ny zaza tsy nahatratra ny faha-dimy taona hatramin'ny 1990.
36But a lot of these measures need regular electricity and a lot of money to keep afloat - both of which aren't in plentiful supply in Ethiopia.Saingy mila herinaratra tsy tapaka sy vola be isian'ny faharetana - izay samy tsy ampy ny famatsiana izany ao Ethiopia.
37Nor are doctors.Tsy ampy tahaka izany koa ny dokotera.
38“[KMC] takes away the time the doctors have to spend,” Allen explains.Mampihena ny fotoana tokony holanian'ny dokotera ny [KMC],” hoy i Allen manazava.
39“You don't need the technology to do it, so it's absolutely perfect for developing countries, which seems a complete no-brainer.”“Tsy mila teknolojia ny fanaovana izany, ka sahaza tanteraka hoan'ny firenena an-dalam-pandrosoana, izay toa hita fa tsy mampiasa loha.”
40As long as parents can feel the pay-off of what can be a fraught and difficult time, that is.Raha mbola mahatsapa ny vidin'ny fotoan-tsarotra sy henjana ny ray aman-dreny, dia ampy izany.
41Wandamu and Lakish now do. “The more we are caring and holding the babies, the more our love grows as well,” Wandamu says.Manao izany ankehitriny i Wandamu sy i Lakish. “Arakaraka ny fikolokoloantsika sy hihazonantsika ireo zazakely ireo no mampitombo ny fitiavantsika ihany koa,” hoy i Wandamu.
42Dalia Mortada's reporting was made possible with a fellowship from the International Reporting Project.Tontosa ny tatitra avy amin'i Dalia Mortada noho ny vatsy avy amin'ny (Tetikasam-pitateram-baovao Iraisam-pirenena) International Reporting Project.