Maternitainer

Maternitainer

 
According to the WHO the ideal location for a health care facility for sexual violence victims is either a hospital or (primary) medical clinic where urgent medical intervention can be carried out, which is by UNFPA also assigned to be the most cost-effective[1]. What might even contribute more to the choice of lodging facilities for rape victims in a health care centre is the great fear of stigmatization and cummunal ejection if the community finds out why a women is seeking health care. 

Although the capacity of facilities might fluctuate depending on social demand and the necessity arising from the nature of the humanitarian situation, some basic elements are essential and cannot be compromised. Most important, high standard hygiene is required for the provision of any medical intervention. Nevertheless, this aspect is often the first to become jeopardized in settings where disorganization and lacking basics rife. Hence, the absence of electricity makes qualitative medical care challenging and often even impossible. Ventilation, sterilization and water (disposal) are aspects often non-present in facilities build within conflict and post-conflict areas resulting in a severe downgrade of the quality of care provided to victims.  Although the establishment of health care facilities might involve significant expenditure on equipment the costs incurred in purchasing equipments for primary sexual violence facilities is relatively small compared to other facilities (e.g. an emergency department).
 
Because of the requirement of UNFPA to provide care to rape vicitms in a health facility the Maternitainer has been developed, which at the same time can be used as maternity. The Maternitainer is a quick to install flexible and mobile hospital which can rapidly be deployed. It offers a safe and clean place for women be medically examined and treated, receive post exposure prophylactic treatment in case of sexually transmitted infections and even provides the possibility to collect evidence of the perpetrator which might support prosecution. A strong asset of the Maternitainer compared to other health care solutions is the ability to quickly deploy and retract the facility, making it suitable for accurate humanitarian emergencies. A standard shipping container, because of transport, is converted into a virtual maintenance free, high quality medical unit with the following characteristics: 
 
 
 

No
Description
 
1 
Basic container 20 ft
Insulation 60 mm PU 
Front wall per container including door
Medical floor
Electrical installations
Fan + filters for fresh air
Shadow roof 
Cement for corners + 4 stands
Water flexitank including IBC-tank and pipes
Potable water treatment unit with UV disinfection, solar powered
Air conditioning / heating split unit 
Fridge
Sink + tap + tubes
Shower
Curtains
 
2 
Content
Analgesics, additional to kit content
Antibiotics, additional to kit content
Anticonvulsants, additional to kit content
Bassinet                               
Bed, hospital                                     
Bed, labour/deliveries                                               
Bilirubinometer & accessories (optional)                                      
CTG-Device          
Desk
Doppler, FHR detector    
Infant warmer (optional)
IV-stand, double hook     
Manual vacuum aspiration         
Narcotics, additional to kit content
Resuscitator, hand operated                                       
Scale, adult 6 – 180 kg                          
Solar sterilizer, pressure cooker
Sphygmomanometer, infant, aneroid            
Standlight, examination, floortype                    
Stool, revolving                                             
Thermometer, clinical, 35-42°C                     
Urinal, sterilisable                                  
Uterotronic drugs
Vacuum extractor, manual                    
Vacuum aspiration set, autoclavable syringe, 8 canullas, 5 dilators
Waste bucket, 12ltr, step-on-foot                       
Wheelchair, foldable   
                                   
4x Midwifery-kit 1-drugs UNICEF S99022017 
1x Midwifery-kit 2-equipment UNICEF S99022018
4x Midwifery-kit 3-renewables UNICEF  S99022019
4x Midwifery-kit 1a-drugs UNICEF S99022020
2x Syphilis Rapid Plasma Reagin-kit UNICEF S00003502    
7x First Response HIV1/2-kit UNICEF S0003412
Post-Exposure Prophylaxis- kit UNICEF S9901003
Complementary equipment to kits
3
 
Solar Power System
9 Solar panels, charger/convertor, 2 x gel battery each 220Ah
 

 

[1] UNFPA (2005a). Gender-based violence: A price too high. Retrieved September 20, 2013, from http://www.unfpa.org/ swp/2005/.
 



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