The original version of this article, by Rebecca Fishman, appeared on the WASH Advocates and Maternal Health Task Force blogs.

Access to clean water is not only one of the world’s most urgent health issues, but it is also a key to boosting progress in developing countries. Women and children are disproportionately affected by inadequate water, sanitation, and hygiene (WASH), and they shoulder the largest burden in collecting drinking water. What is more, when the needs of women and girls are not taken into account, the effects are felt far and wide, reaching across the education, health, security, and economic sectors.  On the other hand, improving WASH can have positive impacts throughout a girl’s life and can even extend across generations. As we know, when women thrive, so do their communities.

Ten years ago, a study was conducted in Mozambique to determine the impact of a new medicine for pregnant women with malaria. Over 1,000 women participated in a controlled trial of intermittent preventative treatment with sulphadoxine-pyrimethamine – half received a placebo, the other half received the actual drug. All were given an insecticide-treated net.

The original version of this op-ed, by Sam Loewenberg, appeared in The New York Times.

Americans love success stories. Go to the web sites of the United States Agency for International Development, the Bill and Melinda Gates Foundation, or a plethora of global health and development organizations, and you’ll find articles, charts, and videos documenting their triumphs and innovations, with the promise of more on the way.

On day three of the 2013 Global Maternal Health Conference here in Arusha, Tanzania, I was joined by the Global Health Initiative’s partners to present the results of the Wilson Center’s four-year-old Advancing Dialogue on Maternal Health Series. This series is unique in its convening power, helping to bring together experts and policymakers from around the world to collaborate on a shared goal: healthier mothers and children.

The Wilson Center Policy Briefs are a series of short analyses of critical global issues facing the next administration that will run until inauguration day.

According to the World Health Organization (WHO), approximately 800 women die daily from preventable causes related to pregnancy and childbirth. Almost all of these deaths occur in developing countries, with higher rates for women living in rural areas and among poorer communities.

Does access to quality water and sanitation have an effect on maternal health outcomes? That was a surprising topic of discussion on day one of the second-ever Global Maternal Health Conference hosted this week in Arusha, Tanzania.

Surprising because, to be honest, I did not think there would be strong disagreements over the relationship between water and sanitation (WASH) and maternal health. In my work with the Comparative Urban Studies Project, the two seem to be clearly linked.

“We know maternal health medicines are safe, we know they’re effective, we know they’re essential to keeping women healthy throughout pregnancy and childbirth,” said Kristy Kade at the Wilson Center on October 23. But lack of supply, poor quality, and misuse means they do not always help the women who need them. [Video Below]

Obstetric fistula is “not just a medical issue, but a human issue,” said Dr. Luc de Bernis, senior maternal health advisor at UNFPA, during a September 27 panel discussion at the Wilson Center. Obstetric fistula, a hole in the birth canal that can develop between the vagina and the bladder and/or rectum during prolonged labor without proper medical intervention, is preventable and treatable but continues to affect more than two million women worldwide, mostly in developing countries where women lack access to cesarean services. Women stricken with it face severe pain and suffering, social stigmatization, and usually give birth to a stillborn child.