Showing posts from category maternal health.
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Accessing Maternal Health Care Services in Urban Slums: What Do We Know?
›“Addressing the needs of urban areas is critical for achievement of maternal health goals,” said John Townsend, vice president of the Reproductive Health Program at the Population Council. “Just because there is a greater density of health services does not mean that there is greater access.”
Townsend moderated a discussion on the challenges to improving access to quality maternal health care in urban slums as part of the 2011 Maternal Health Dialogue Series with speakers Anthony Kolb, urban health advisor at USAID; Catherine Kyobutungi, director of health systems and challenges at the African Population Health Research Center; and Luc de Bernis, senior advisor on maternal health at the United Nations Population Fund (UNFPA). [Video Below]
Mapping Urban Poverty
“Poverty is becoming more of an urban phenomenon every day,” said Kolb. With over 75 percent of the poor in Central Asia and almost half of the poor in Africa and Asia residing in cities and towns by 2020, “urban populations are very important to improving maternal health,” he added.
Collecting accurate data in informal settings such as slums can be very challenging, and there is often a “systematic undercounting of the urban poor,” said Kolb. Data often fails to capture wealth inequality in urban settings, and there is often a lack of attention to the significant variability of conditions between slums.
Kolb also warned about the risk of generalization: “Slums and poverty are not the same.” In practice, there is not a standardized definition of what constitutes a slum across countries, he said. “It is important to look at different countries and cities individually and understand how inequality is different between them.” Slum mapping can help to scope out challenges, allocate resources appropriately, and identify vulnerability patterns that can inform intervention design and approach, he said.
Maternal Health in Nairobi Slums
Addressing the maternal health needs of the nearly 60 percent of urban residents who live in slums or slum-like conditions will be a critical step to improving maternal health indicators of a rapidly urbanizing Kenya, said Kyobtungi.
Only 7.5 percent of women in Kenyan slums had their first antenatal care visit during their first trimester of pregnancy and only 54 percent had more than three antenatal care visits in all – rates significantly lower than those among urban women in non-slum settings.
“In some respects, [the urban poor] are doing better than rural communities, but in other ways they are behind,” said Kyobtungi. But, she said, there are many unique opportunities to improve maternal health in slums: “With these very high densities, you do have advantages; with very small investments, you can reach many more people”
Output-based voucher schemes – in which women pay a small fee for a voucher that entitles them to free, high-quality antenatal care, delivery services, and family planning – have been implemented to help poor, urban women access otherwise expensive services. But poor attitudes towards health care workers, transportation barriers, and high rates of crime still prevent some women from taking advantage of these vouchers, said Kyobtungi.
The majority of maternal health services in slums are provided by the private facilities, though size and quality vary widely. “There is a very high use of skilled attendants at delivery, but the definition of skilled is questionable,” said Kyobtungi
“Without supporting the private sector,” Kyobutungi said, “we cannot address the maternal health challenges within these informal settlements.” Combined with an improved supervision and regulation system, providing private maternal health facilities with training, equipment, and infrastructure could help to improve the quality of services in urban slums, she concluded.
Reducing Health Inequalities
“While we have evidence that health services, on average, may be better in urban areas than in rural areas, this often masks wide disparity within the population,” said de Bernis. “Reducing health inequities between and within countries is a matter of social justice.”
When it comes to family planning, total fertility rates are lower in cities, but “the unmet need…is still extremely important in urban areas,” explained de Bernis. Many poor women in cities, especially those who live in marginalized slum populations, do not have access to quality reproductive health services – a critical element to reducing maternal morbidity and mortality rates.
Economic growth alone, while important to help improve the health status of the poor in urban settings, will not solve these problems, said de Bernis. To reduce health disparities within countries, de Bernis advocated for “appropriate social policies to ensure reasonable fairness in the way benefits are distributed,” including incorporating health in urban planning and development, strengthening the role of primary health care in cities, and putting health equity higher on the agenda of local and national governments.
Event Resources:Source: African Population Research Center, United Nations Population Fund.
Photo Credit: “Work Bound,” courtesy of flickr user Meanest Indian (Meena Kadri). -
Working With the Private Sector to Improve Maternal, Newborn, and Child Health
Innovations From Development to Delivery
›“Challenging and dynamic partnerships [with the private sector] are difficult to pull together, but when you look at sustainability, impact, and effectiveness, they can also be great levers of change,” said Kari Stoever, senior advisor for global advocacy at the Global Alliance for Improved Nutrition (GAIN) at the Wilson Center on March 22. [Video Below]
Stoever was joined by panelists Laura McLaughlin, environmental engineer at Cascade Designs, Inc., Hugh Chang, director of special initiatives at the NGO PATH, and Laura Birx, senior food security and nutrition specialist at the U.S. Agency for International Development (USAID) for a discussion of the private sector’s role in developing innovative health technologies to increase access to safe water, prevent infectious diseases, and improve maternal health nutrition.
Collaborating to Provide Safe Water
“NGOs have different strengths and different perspectives from the private sector, and we’ve found an area where we can really complement each other,” said McLaughlin. Cascade Designs, Inc., collaborated with PATH to create a smart electrochlorinator, which produces a chlorine solution to purify water using just salt water and a simple battery, because “we wanted to make a bigger difference than we could do with philanthropy alone,” said McLaughlin.
“Products need to be designed specifically for the end user, particularly for women and children, who are often times left out of the design process,” said McLaughlin. Cascade’s smart electrochlorinator was designed with this in mind. One charged battery can treat up to 40,000 liters of water, 200 liters at a time. The device is easy to use, requires simple resources, is significantly more affordable than existing solutions, and lends itself to an entrepreneurial business model that can deliver safe water to small community households. The current prototype is being field-tested in 10 countries globally, with the aim of providing safe water in resource-poor communities while generating income for local entrepreneurs.
The PATH-Cascade partnership was successful in part because it combined “private-sector expertise in efficiency, cost-effectiveness, and meeting market demands” with knowledge about the health needs in developing countries, said McLaughlin. By “pushing each other to a common end goal, this partnership really multiplied our strengths.”
Engaging the Private Sector
“One of the reasons we work closely with the private sector…is because we recognize an efficiency of resource usage that comes with building bridges between the public sector and the private sector,” said Chang of PATH’s work with Cascade and others. Engaging the private sector to advance health technologies can complement PATH’s goals, like encouraging healthy behaviors and strengthening health systems, he said. “But, we are not averse to profits,” he added, stressing that partnerships with NGOs can be mutually beneficial. “We understand for this to be sustainable, these companies need to make a profit.”
PATH is working with the private sector to develop injection and vaccine technologies that “produce a product that not only benefits the recipient of the vaccine but also produces a revenue stream,” said Chang. The SoloShot, for example, is a low-cost, disposable syringe that locks after a single injection, preventing needle reuse and contamination that can increase the risk of HIV, hepatitis B, and other infections. To address the challenge of maintaining the proper refrigeration of vaccines in low-resource settings, private sector collaboration has helped to develop the vaccine vial monitor (a sticker that changes color when a vaccine has been exposed to too much heat) and to create more stable vaccine formulas that are less vulnerable to extreme temperatures. “By combining innovation with on-the-ground presence,” concluded Chang, “private sector engagement can be a powerful tool for global health.”
A “Win-Win Partnership”
“There is a tremendous role for the private sector to play in the intersection of agriculture and health as they relate to nutrition,” said Birx. Engaging the private sector can be a “win-win partnership,” she said. The Obama Administration’s hunger initiative, Feed the Future, for example, uses the resources, expertise, and innovation of the private sector to encourage sustainable, market-driven approaches to reducing poverty and food insecurity, said Birx.
USAID sees innovation as a “research-to-use continuum,” said Birx. “When we look at innovation, it’s not just about the development of a specific product, but about the entire system that goes around that product,” she added. New technologies must not only respond to a major development challenge in poor and rural communities but need to be affordable, culturally appropriate, gender sensitive, easy to use, and durable.
But solutions don’t have to be complicated. “Often times it’s about a really simple technology that can improve accessibility,” said Birx. The nevirapine pouch, for example, a simple foil packet that allows health care workers to give women single doses of nevirapine syrup, can reduce the risk of mother-to-child transmission of HIV by more than half.
“There’s a lot of excitement, but we need to do some serious work to capitalize on [it],” said Birx. Moving forward, health, development, and private-sector organizations must work together to create innovative financing mechanisms, build institutions in developing countries, and encourage enabling policy environments.
Sources: PATH.
Photo Credit: “Mission to Ouanda Djallé,” courtesy of flickr user hdptcar. -
USAID: Maternal Deaths in Bangladesh Decline by 40 Percent in Less Than 10 Years
›The original version of this article, by the USAID Global Health Bureau, appeared on the USAID Impact blog.
Bangladesh is on track to meet the 2015 deadline for UN Millennium Development Goal 5 (50 percent reduction in maternal deaths). The Bangladesh Maternal Mortality and Health Service Survey, jointly funded by the Government of Bangladesh, USAID, Australian Aid (AusAID) and the United Nations Population Fund (UNFPA), found that maternal deaths in Bangladesh fell from 322 per 100,000 in 2001 to 194 in 2010, a 40 percent decline in 9 years.
The decline in direct obstetric deaths is most likely the consequence of better care seeking practices and improved access to and use of higher-level referral care. The decline in total fertility rate due to the successful family planning program has reduced exposure to high risk pregnancies and has thus prevented a large number of maternal deaths.
Continue reading on USAID’s Impact blog.
Sources: Directorate General of Health Services – Bangladesh, UN.
Photo Credit: Adapted from “Mother & Son,” courtesy of flickr user Anduze traveller. -
Celebrating Ordinary Women Doing Extraordinary Things to Improve Gender Equality and Maternal Health Worldwide
›As coordinator of one of the few forums dedicated solely to maternal and reproductive health in Washington, D.C., I am particularly excited about this year’s 100th anniversary of International Women’s Day. This day commemorates ordinary women doing extraordinary things and acknowledges both the progress made and barriers still faced by women worldwide.
“When it comes to the boardroom meetings, government sessions, peace negotiations, and other assemblies where crucial decisions are made in the world, women are too often absent,” said Secretary of State Hillary Clinton during her remarks for International Women’s Day. “It is clear that more work needs to be done to consolidate our gains and to keep momentum moving forward.” [Video Below]
For mothers worldwide, some momentum has indeed been gained: Maternal mortality rates dropped from 526,000 a year in 1980 to 342,900 in 2008, according to a report by the Institute of Health Metrics and Evaluation at the University of Washington. In September of last year, a group of international leaders – including the UN and other multilateral institutions, donors, the business community, and NGOs – launched the “Global Strategy for Women and Children’s Health” and committed $40 billion to save the lives of 16 million women and children in developing countries.
At the sixth meeting of the Wilson Center’s Advancing Policy Dialogue on Maternal Health Series, Mayra Buvinic, sector director of the World Bank’s gender and development group, said: “Investing in women and girls is the right thing to do. It is not only fair for gender equality, but it is smart economics.” She said the World Bank has found that empowering women allows families to better endure economic crises and leads to better futures for their children as well.“When women have better education and health, mothers have greater household decision-making power and prioritize the well-being of their children,” said Buvinic. “In return, children have better educational attainment and are productive adults, building long-term economic growth.”
However, increased investment will only pay off when money is translated into action and stakeholders are held accountable for empowering women.
Since the inauguration of International Women’s Day 100 years ago, the low status of women in many parts of the world has remained relatively unchanged. Many women are still subject to male-dominated values that preclude them from making basic decisions about “who to marry, when to marry, when to have children, and how many children to have,” said Nafis Sadik, special envoy of the UN Secretary-General for HIV/AIDS, in an interview with the Population Reference Bureau. To change this, international development strategies need to prioritize improving gender equality, women’s status, and women’s voice in the political process.
I am grateful to be working in collaboration with extraordinary institutions such as the Maternal Health Task Force (MHTF) and United Nations Population Fund (UNFPA) who take real steps every day to help improve the lives of women and girls. In collaboration with these institutions, the Wilson Center’s Global Health Initiative is please to announce that it will partner with the African Population Health Research Center in Kenya to co-host a three-part dialogue series with local, regional, and national decision-makers on effective maternal health policies and programs. These in-country dialogue meetings will create a platform for field workers, policymakers, program managers, media, and donors to share research, disseminate lessons learned, and address concerns related to policy, institutional, and organizational capacity building for improved maternal health outcomes.
It is our goal that programs like these will continue to highlight neglected maternal health and issues and galvanize the community everyday – and not just on International Women’s Day.
Sources: Population Reference Bureau, UN, UN Population Fund, U.S. State Department.
Photo Credit: Afghan girl, courtesy of flickr user U.S Embassy Kabul Afghanistan, and Secretary Clinton’s video address courtesy of the U.S. State Department. -
Mapping Demographics in WWF Priority Conservation Areas
›February 25, 2011 // By Hannah Marqusee“The developing world is urbanizing at a dizzying pace,” yet rural populations living in developing countries are also rapidly increasing, threatening many of the planet’s most biodiverse regions, says a new study, Mapping Population onto Priority Conservation Areas, by David López-Carr, Matthew Erdman, and Alex Zvoleff.
Using comprehensive data from the USAID-sponsored Demographic Health Surveys (DHS), the researchers analyzed population, mortality, and fertility indicators for 10 of the 19 priority places for conservation identified by the World Wildlife Foundation (WWF). These biological hotspots represent parts of 25 countries throughout South Asia, sub-Saharan Africa, and South America, including the Democratic Republic of the Congo, Colombia, Guatemala, Indonesia, Kenya, Nepal, Madagascar, and Thailand.
Urban vs. Rural
The findings confirmed the researchers’ hypothesis that rural areas within WWF priority regions are at a lower state of demographic transition than their urban counterparts, meaning they have higher fertility and infant mortality rates and a younger age structure due to poor access to primary health care, including family planning. Furthermore, women in these regions desire more children than those in urban, non-priority areas, but experience a greater difference between ideal and actual number of children.
For many of the indicators, the differences between urban and rural, and priority and non-priority, regions of the developing world are striking. In urban Asia, the mean predicted population doubling time is 86.1 years; in rural Africa it is only 24.6 years. Urban Asia and South America also have total fertility rates of 1.8 children per woman, while rural Africa’s is 5.2. Infant mortality also ranged from a low of 20 deaths per every 1,000 births in some developing urban areas, to over 100 in rural parts of Coastal East Africa. In the developed world it is less than 10.
There is also consistently less desire among women in priority areas to limit their childbearing. Worldwide, 49.4 percent of women living within priority areas want to limit childbearing, compared to 56.2 percent outside priority areas.
Rural areas in all regions had the highest unmet need for family planning, with the exception of the Congo Basin, where high infant mortality has persisted and dampened women’s desire to limit childbearing. “If much needed health services were provided in the Congo Basin, along with family planning services, child survival rates would increase, and couples would be more inclined to limit overall births,” the study says.
Lower demand for family planning in priority areas is consistent with Caldwell’s theory of intergenerational wealth flows, the paper noted, which explains how in rural agricultural societies, children are economic assets who move wealth to their parents. As countries develop and people gain access to education, healthcare and female empowerment, wealth flows reverse and children become financial burdens. This transition decreases fertility and increases demand for family planning.
Setting Priorities
As WWF plans to scale up its population, health and environment (PHE) programs, this study will help to prioritize places within priority areas that are most in need of PHE intervention and “are most likely to help alleviate negative environmental and social impacts of rapid population growth.” The results of this study show that many areas are ripe for such intervention:Nearly a quarter of households in Coastal East Africa and the Mesoamerican Reef wish to have access to contraception yet their desire remains unfulfilled. Similarly, households within priority places in Coastal East Africa, the Mesoamerican Reef, Amazon and the Guianas, and the Eastern Himalayas wish to have nearly one child fewer than they currently have.
The findings of this study have already informed the planning of several of WWF’s projects in Madagascar and Namibia.
The limited availability and detail of the DHS data was the primary limitation of the study, the researchers noted. The 25 countries examined did not fully cover all WWF’s priority areas – 17 other countries within the priority areas lacked sufficiently comprehensive data for the study. Furthermore, the district or municipality was the smallest unit of analysis possible with DHS data, making it difficult to exactly pinpoint priority communities.
“Geography matters,” write the authors. “Only with further refined data accompanied by qualitative on-the-ground field research can we credibly answer remaining questions.”
Image Credit:“Family Planning: Unmet Need for Family Planning Services” and “Mortality Rate: Child Mortality Rate (Under Age 5)” courtesy of World Wildlife Fund.
Sources: Population Council, World Wildlife Fund. -
Deforestation, Population, and Development in a Warming World: A Roundtable on Latin America
›“Rural development and MCH [maternal child health] in the most remote, rural areas are going to largely explain the future of Latin American conservation, development, population, and urbanization,” said David Lopez-Carr, associate professor of geography at the University of California, Santa Barbara, at a recent Wilson Center roundtable on “Deforestation, Population, and Development in Latin America.”
Nearly 80 percent of Latin America’s people live in urban areas, yet the continent’s rural populations have a disproportionate effect on its forests. Panelists Liza Grandia, assistant professor of international development and social change at Clark University, and Jason Bremner, director of population, health, and environment at the Population Reference Bureau, argued that meeting the needs of these communities is therefore key to conserving Latin America’s forests. [Video Below]
Rural Populations Have Disproportionate Impact on Deforestation
“There are two Latin Americas,” said Carr. Countries like Argentina, Chile, and Uruguay are 90 percent urban, while countries like Guatemala, Ecuador, and Bolivia are about 50 percent urban. However, despite this rapid urbanization and declining population growth at the national level, rural areas in Latin America are still experiencing high fertility rates and significant forest loss. So how are these trends related?
In his analysis of more than 16,000 municipalities in Latin America, Carr found “no statistical significance between population change at the municipal level and woody vegetation change at the municipal level.” Yet this lack of connection does not mean population growth and deforestation are unrelated, but instead indicates “a problem of place and scale,” he said. Within countries or even within municipalities, there are huge variations in fertility rates. Rural areas, which generally have larger families, more agricultural expansion, higher population growth, and lower population density, account for higher impact per capita on forests.
“Less than one percent of the population of Guatemala moves to any rural frontier at all,” said Carr, “yet that small, tiny fraction of the population has a disproportionate impact on the forests, and that is true throughout Latin America.” Carr also distinguished between the private sector primarily converting secondary forest for corporate agriculture and subsistence farmers clearing old growth forest.
Indigenous Lands Are Key to the Future
There are generally two groups of people on the frontier: indigenous people and “colonists,” who move in to take advantage of undeveloped land. Indigenous people, by and large, act as “stewards of the forests,” exhibiting lower rates of deforestation and forest fragmentation then colonists, Bremner said. “They do have a very protective effect, largely because they are excluding others from those lands.”
Indigenous communities tend to be “common property institutions” with an informal or cultural set of rules and traditions facilitating land use, said Bremner. They are “really good at mobilizing against external threats,” he said, which results in a protective effect over the forest. In the Amazon, for example, “indigenous lands, in the context of all of this colonization and deforestation that is happening, are now seen as key to the future,” he said.
However, as indigenous population growth and growing agricultural and industrial expansion change indigenous communities and livelihoods, more formal rules must be developed to govern land use. If indigenous communities “are the protective factor, then we need to know how to protect them,” said Bremner.
There are few demographic surveys of rural communities, but one of nearly 700 women in the Ecuadorian Amazon found the total fertility rate of indigenous women to be seven to eight children per woman. “Fifty percent of indigenous women didn’t want to have another child…of that 50 percent, 98 percent were not using a modern method of contraception,” Bremner said. “Responding to these women’s needs, I think, would go a long way in terms of changing the future of these communities.”
Guatemala: Reducing Fertility By Thinking Outside the Box
Grandia, with support from Conservation International and ProPeten, conducted a study of population and environment connections as part of the Demographic and Health Survey (DHS) of Peten, a sparsely populated and highly biodiverse municipality of Guatemala. The 90,000 people living in the protected area in this park had “literally no family planning services,” said Grandia, and their population was on track to double within 20 years.
Using the DHS data, Grandia and ProPeten created a “somewhat eclectic population and environment program” that integrated many of the concerns of indigenous Maya communities in Peten, called Remedios. Remedios focused on a diverse set of issues, including agriculture, education, maternal and child health, family planning, and gender issues, and included projects like a “traveling education-mobile” and Between Two Roads, a bilingual radio soap opera in Spanish and Q’eqchi’ Maya, which used the story of a conflict between midwife and cattle rancher in a frontier community “to touch on a whole range of social and environmental issues.”
“As a result of our efforts…the total fertility rate dropped from 6.8 in 1999 to 5.8 in 2002, and in the most recent DHS it had fallen to 4.3,” said Grandia. She credited this success in part to the fact that the programs were “so cross-cutting across many of those schools of thought.” Yet the integration of a diverse range of issues also caused a split between the field-based ProPeten and the DC-based Conservation International, who wanted a more “narrow focus” on family planning and conservation, she said.
“Sometimes working outside the box can have unexpected results,” said Grandia. The population-environment movement could learn from the American environmentalist movement’s evolution from “an elite movement” into a “broader-based socially dynamic movement that involved new constituencies,” she said.
“Population and environment has often begged the articulation of a third field,” said Grandia. “How you fill in that blank often reflects the kind of development interventions you deem appropriate.” Perhaps “justice” should be considered “a new critical third paradigm,” she said.
Sources: Population Reference Bureau, World Bank.
Photo Credit: “Chevron’s Toxic Legacy in Ecuador’s Amazon,” courtesy of flickr user Rainforest Action Network. -
Portraits of Women From Afghanistan to the DRC
A Conversation on Art and Social Change
›“At the core of human rights and artistic behavior is respect for human dignity. It is this that unites art and justice,” said Jane M. Saks, executive director of the Institute for the Study of Women and Gender in the Arts and Media, speaking at an event cosponsored by the Environmental Change and Security Program and the Africa Program at the Woodrow Wilson Center. Lynsey Addario, MacArthur-winning photographer and former Institute fellow, joined Saks to share striking photographs highlighting the effects of conflict on women and girls around the world. [Video Below]
The Power of Art
“Art is inherently political because it has the power to really engage in social justice,” Saks said. The Institute that she helped found promotes art that pushes boundaries and creates conversations about peace and war, so as to “add to the accepted canon of understanding of conflict.” As part of this effort, the Institute created the exhibition, “Congo Women: Portraits of War,” composed of photographs by Addario and others about violence against women in the eastern Democratic Republic of Congo (DRC).
Saks hopes that these “photographs saturated with human dignity” will create awareness and, ultimately, influence policy about the conflict in the DRC. The exhibition has traveled to more than 20 locations since its opening. In May 2009 it was installed at the Senate Rotunda during the Senate Foreign Relations Committee hearings on violence against women in conflict.
Addario, who said her work is drive by a desire to “give the people a voice,” has spent 15 years traveling deep into conflict zones all over the world, including Iraq, Sudan, and Afghanistan.
Women and Childbirth
Addario’s images reveal the often shocking conditions in which women around the world give birth. In Sierra Leone, she documented 18-year old Mamma Seesay, “one of thousands of women who die in childbirth.” Due to a shortage of doctors, lack of transportation, and high rates of child marriage, one in eight women in Sierra Leone die in childbirth. Afghanistan has the second highest rate of maternal mortality in the world, partly because “an Afghan woman will be pregnant up to 15 times in her life,” she said. “When you watch someone who in most other developed nations would survive without question, it’s just not fair.”
Throughout a decade of covering women in Afghanistan, Addario has sought to provide a “balanced picture” of their lives to American audiences. Her photographs show the milestones women have achieved since the fall of the Taliban: graduating college; driving cars; becoming actors, producers, or police officers; getting married; and giving birth.But her coverage of Afghanistan also contains stories like that of Fariba, an 11-year-old girl who doused herself with petrol and set herself on fire after being abused by her parents. The burn ward at the hospital in Kabul is full of such women who commit self-immolation “to escape their lives,” said Addario. An Afghan woman’s life “is worse than a donkey…there is no release for these women.”
“Give Us Your Guns”
In 2009, she went to the tribal areas of Pakistan to meet the Taliban. “Wrapped up like a cigar,” she posed as the wife of former New York Times correspondent Dexter Filkins and went into a room of 30 Taliban fighters “armed to the teeth.” The two spent the day with the Taliban and “by the end, they loved us,” she said. “The whole time they just laughed at us: ‘You Americans, you give money to the Pakistani government and they give it to us!”
While covering the conflict in Darfur, Addario had to convince UN peacekeepers to drive into a Janjaweed-occupied village so that she could verify how many people had been killed. “Every time we would go towards the village, the Janjaweed would shoot at us and so [the peacekeepers] would turn the cars around and go,” Addario said. To convince the peacekeepers to go in anyway, she said to the commander: “Just give us your guns. We’re gonna go in ourselves if you don’t.” When they finally drove towards the village, “the Janjaweed set it on fire right in front of us, and we just kept driving, and when we got there they had left,” she said.
Addario has spent years as a single woman traveling around the world and throughout conflict zones. “Women in Afghanistan think I’m insane,” she said. “They think I have a lonely, miserable life.” But she believes that as a woman working in conflict zones, she has a unique ability to access places that a man could not and a mission to tell the stories that she hears. “For me it’s about showing the greater American public what’s happening.”
Sources: Institute for the Study of Women and Gender in the Arts and Media, National Geographic, The New York Times, Public Radio International, Slate, UNICEF, and the U.S. Senate Committee on Foreign Relations.
Photo Credit: Woman in labor with her mother on the way to the hospital in Afghanistan and a U.S. Marine in Afghanistan, used with permission courtesy of Lynsey Addario and the VII Network. -
Reality Check: Challenges and Innovations in Addressing Postpartum Hemorrhage
›Heavy bleeding after childbirth, also known as postpartum hemorrhage (PPH), is one of the leading causes of maternal deaths worldwide. Globally, approximately 25 percent of all maternal deaths are caused by postpartum hemorrhage, and many mothers bleed to death due to delays in seeking health care services. On January 25th, 100 representatives from the maternal health community – a majority working directly in developing countries – convened for an all-day meeting at the Wilson Center to discuss experiences in the field and perform “reality checks” on the challenges and successes of PPH programs.
