Showing posts from category maternal health.
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VIDEO: José G. Rimon on Key Trends in Funding Family Planning
›October 29, 2009 // By Wilson Center Staff“The downward trend, in terms of donor funding for international family planning, since the middle of the 1990s to around 2006 has been reversed,” José Rimon II, senior program officer for global health policy and advocacy at the Bill and Melinda Gates Foundation, told ECSP Director Geoff Dabelko following a discussion on the future of family planning at the Woodrow Wilson Center.
“There is a lot of scientific evidence that if we don’t revitalize the family planning/ reproductive health agenda, it will be very difficult to achieve the health Millennium Development Goals, especially in the area of reducing maternal mortality,” said Rimon. “Just by addressing the unmet need [for contraceptives] and the unintended pregnancies which result from it, you can reduce maternal mortality by 31 percent.”
Rimon said the Gates Foundation is working closely with donors and partner organizations to exchange information on strategy and funding priorities, which, he says, is “not happening in other issues, but it’s happening in the family planning and reproductive field.” -
Missives From Marrakech: Growing and Slowing, and a Letter From the King
›October 5, 2009 // By Gib Clarke
Here in Morocco, where I am attending the IUSSP conference on population, if you never went to elementary school or if you married at a young age, you are likely to have more children.
A Bangladeshi couple is more likely to have a third child if they have 0-1 sons, but a European couple is increasingly likely to prefer daughters because they take better care of their aging parents.
Globally, a forthcoming Harvard study shows that the “Reproductive Health Laws Index”—which includes the legal framework governing abortion, condoms, IUDs, and birth control pills—can predict fertility (more liberal laws = fewer children) and potentially increase female participation in the labor force.
Such causes of population growth are favorite topics for demographers and family planning experts here at the conference, and were quite well attended. However, perhaps due to the large number of European attendees, the panels on this popular topic were empty in comparison to those examining aging, fertility decline, and migration—issues at the forefront of European policymakers’ agendas.
A Message From His Majesty
“One of the characteristic features of our population policy stems from our firm belief that [its] impact … cannot be determined in isolation from economic, social, cultural and political factors,” wrote Morocco’s King Mohammed VI in a welcome letter delivered to the conference, which also discussed aging, climate change, food security,natural resource scarcity, the economic crisis, and growing levels of income inequality.
Morocco is taking steps to tackle this complicated set of problems. The government has launched a National Initiative for Human Development to fight poverty and social inequalities, and help Morocco meet the Millennium Development Goals (MDGs). He also notes that the country’s “political and social reforms aimed at increasing the scope of democratic participation and ensuring the advancement of women.”
Like all leaders, Morocco’s will be measured not by his words—eloquent as these may be—but by his deeds and the country’s progress. Morocco has some work to do to reach the MDGs and other social and economic goals. -
Watch: Nicholas Kristof on Maternal Mortality
›“Although a half million women die each year, that doesn’t get attention, because the victims invariably have three strikes against them: They are poor, they are rural, and they are female,” journalist Nicholas Kristof says in a video interview about his new book, Half the Sky: Turning Oppression into Opportunity for Women Worldwide.
“If men had uteruses and were dying at this rate, every country would have a minister of paternal mortality, the security council would be meeting, this would be a real international priority,” he says.
Recently launched at the Wilson Center, Half the Sky tells the transformational stories of women and girls who are the “face of statistics” on four appalling realities: maternal mortality, sexual violence, and lack of education and economic opportunities.
“So many Americans want to help, but are skeptical,” so Half the Sky offers a “do-it-yourself toolkit,” says Kristof. People “can truly save individual women’s lives out there, and their babies’ lives, that would otherwise die.” -
VIDEO: Nicholas Kristof On Comprehensive Approaches to Family Planning
›October 2, 2009 // By Wilson Center Staff“Poor countries can’t begin to deal with food issues, with economic pressures, with conflict and shortages of water and grassland that may lead to social conflict, unless they begin to deal with population problems,” journalist Nicholas Kristof tells ECSP Director Geoff Dabelko in a video interview.
But “the single most effective contraceptive isn’t any kind of device,” Kristof says, “it’s girl’s education. And that has the most extraordinary impact on birthrates.” Unfortunately, this approach to family planning has “been neglected in the last 20 years.”
Empowering women and girls may be our best strategy for fighting poverty, claim Kristof and WuDunn in their new book, Half the Sky: Turning Oppression into Opportunity for Women Worldwide, which was launched at the Wilson Center.
Half the Sky tells the transformational stories of women and girls who are the “face of statistics” on four appalling realities: maternal mortality, sexual violence, and lack of education and economic opportunities. -
Missives From Marrakech: 50 Years of Counting. And Counting.
›September 29, 2009 // By Gib ClarkeDemographers often get a bad rap for being boring. There’s a saying that demography is all about sex—but the details aren’t as much fun. To find out, I’m in Marrakech, Morocco, reporting on the biennial gathering of number crunchers, the 26th conference of the International Union for the Scientific Study of Population (IUSSP). After the first day, I have only 4 days, 86 panels, 327 presentations, 5,340 PowerPoint slides, and 426 poster presentations left to go.
To most of you, this may not seem exciting. But it is terrifically important. For example, at a panel on maternal health, the presenters offered easier, more accurate, and less expensive ways to collect maternal mortality data, which led to a discussion of strategies for meeting MDG 5 and for improving maternal and infant health throughout the world. Similar panels addressed the challenges facing scientists and programmers working on issues as disparate as water, migration, and the effect of armed conflict on children.
For its 50th Anniversary, IUSSP also indulged in a bit of navel-gazing. Wolfgang Lutz called for more research on predictions and more policy recommendations—what he dubbed the “Demographers’ Transition” (an inside joke, to be sure). Ndola Prata’s “Opportunity Model” (developed jointly with Malcolm Potts and Martha Campbell), argues that use of contraceptives may increase simply if they are more available. Borrowing from marketing theory and such examples as remote controls and Post-It notes, the model generated quite an uproar. A UNFPA-hosted plenary on “After Cairo” closed the day with a strategic discussion about future population, family planning, reproductive health, and development strategies.
A Visit to the Hospital
At the Ibn Zohr Hospital’s crisis center in Marrakech, victims of sexual, physical, and psychological violence are treated and counseled free of charge. Though only founded in 2006, the clinic has defied expectations by helping hundreds of women and children each year, thanks in large part to an effective referral network comprising NGOs, media (especially radio), the police, hospitals, and health professionals. “Listening centers,” local outposts offering basic education on health and rights, are responsible for 56 percent of all referrals.
Ibn Zohr’s services are funded by the Moroccan government and UNFPA. Data has been collected since service delivery began, and shows that the overwhelming type of abuse suffered by women is physical (86 percent), while children under 15 report a mix of sexual (40 percent) and physical (43 percent) abuse, with more sexual abuse occurring among boys than girls.
Other IUSSP site visits included a rural reproductive health clinic, a center for abandoned children, and a house for female students. Too often, site visits are far away from the conference and before or after the main events, costing attendees extra time and money. Instead, the IUSSP site visits are here in Marrakech, where even the most experienced practitioners can learn more about Morocco’s unique blend of modernization and religious and cultural conservatism. These trips are truly unique and invaluable learning opportunities—organizers of similar conferences take note.
Gib Clarke reported from Marrakech, Morocco.
Photo courtesy flickr user DavidDennisPhotos. -
Is the White Ribbon the New Black? Making Maternal Health Fashionable
›Celebrity philanthropists such as Bono, Angelina Jolie, and George Clooney have shined their star power on global issues like AIDS, genocide, and refugees. In last month’s Vogue, supermodel Christy Turlington turned the light on one of the most overlooked problems: maternal mortality.
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Half the Sky, All the Promise: The Personal is Political in NYT Special Issue
›“The world is awakening to a powerful truth: Women and girls aren’t the problem; they’re the solution,” write Nicholas Kristof and Sheryl WuDunn in the lead article of this Sunday’s The New York Times Magazine.
In this special issue devoted to “Saving the World’s Women,” five articles document global failures and personal horrors, but also offer forward-looking solutions from the individual to the institutional. As the subtitle says—“changing the lives of women and girls in the developing world can change everything”— this vital effort can help us not only improve the lives of women, but meet larger goals including international security, global health, and economic development.
In “The Women’s Crusade,” Pulitzer Prize-winners Kristof and WuDunn, whose new book Half the Sky will be published on September 8, outline the ways in which the world’s women and girls are abused, neglected, and overlooked. They use devastating data to detail how women around the world suffer from lack of education, maternal mortality, sexual violence, trafficking, and economic and political oppression, and then bring these figures to life with women’s personal stories.
They argue that elevating women is not a “soft” issue, but rather has the power to transform economies and address security threats—a point echoed in an interview with Hillary Clinton, in which she calls women and girls “a core factor in our foreign policy.”
“I happen to believe that the transformation of women’s roles is the last great impediment to universal progress,” says Clinton, long an informed and passionate advocate for global women’s issues. She encouraged President Obama to create a new ambassadorship for global women’s issues, and filled the opening with Melanne Verveer, a respected activist and former head of the Vital Voices Global Partnership.
Clinton most strongly emphasizes the connection between women’s issues and national security, calling it “an absolute link”: “If you look at where we are fighting terrorism, there is a connection to groups that are making a stand against modernity, and that is most evident in their treatment of women.” She goes so far as to agree that spending taxpayer money on education and healthcare for girls and women in Pakistan would be more effective than military aid to the country.
“A woman who is safe enough in her own life to invest in her children and see them go to school is not going to have as many children. The resource battles over water and land will be diminished,” she says. “And it’s an issue of how we take hard power and soft power, so called, and use it to advance not just American ends but, in advancing global progress, we are making the world safer for our own children.”
Also in the magazine:
The New York Times’ website adds a slide show of Katy Grannan’s portraits of women in South Asia and Africa, and launches a contest soliciting personal stories from the field. Submit your photos and blog posts to Kristof’s blog by September 19.- Dexter Filkins investigates the acid attacks on girl students in Afghanistan in the horrifyingly vivid storytelling he displayed in his best-seller, The Forever War.
- Lisa Belkin takes note of an emerging generation of female philanthropists using their money to “deliberately and systematically to aid women in need,” spurred by the Hunt sisters’ “Women Moving Millions” campaign.
- Tina Rosenberg describes how sex-selective abortion and inadequate health care for young girls has led to a “daughter deficit” in China and India, where, somewhat paradoxically, “development can worsen, not improve, traditional discrimination.”
- Africa’s first female President, Liberia’s Ellen Johnson-Sirleaf, tells NYT that if women ran the world, it would be “better, safer and more productive.”
To me, such vital voices are the most powerful, proving that the personal is political. The quotes in the lead article from academic studies, local NGO personnel, and women themselves map the way forward:- “When women command greater power, child health and nutrition improves” – Esther Duflo of MIT, on micro-finance.
- “Girls are just as good as boys” – An unidentified man who once beat his wife for not having sons, but changed his mind when a micro-loan turned her into the family breadwinner.
- “Gender inequality hurts economic growth” – Goldman Sachs, Global Economics Paper, 2008
- “I can’t talk about my children’s education when I’m not educated myself … If I educate myself, then I can educate my children” – Terarai Trent, a Zimbabwean woman now completing a PhD in the United States.
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How Family Planning Meets Development Goals
›“Knowing is not enough; you must act and let your government know that family planning is a right and saves lives,” said Maurice Middleberg of the Global Health Council at a recent event in Chapel Hill.
The other panelists at “How Can Family Planning Efforts Help Us Achieve the Millennium Development Goals?” (Dr. Martha Carlough of UNC, Dr. Ward Cates of Family Health International, and Pape Gaye of IntraHealth International) all provided compelling statistics demonstrating the effectiveness of family planning as an intervention that addresses the Millennium Development Goals (MDGs).
MDGs 4, 5, and 6 – reducing child mortality; improving maternal health; and combating HIV/AIDS, malaria, and other diseases, respectively – all have obvious connections to health and woman’s reproductive health. An unmet need for family planning, which is measured as the percentage of women of reproductive age who desire to space or limit their births but are not using contraception, can undermine the achievement of these goals.
For example, very early motherhood not only increases the risk of dying in childbirth, it also jeopardizes the well-being of surviving mothers—and their children, too. A child born to an adolescent mother has a greater risk of dying in infancy or childhood.
“Contraception is the best-kept secret in HIV prevention,” said Dr. Cates, who cited research that found that “current contraceptive use in sub-Saharan Africa prevents an estimated 577,200 unplanned births to HIV-infected mothers” and thus prevents the birth of an estimated 173,000 HIV-infected infants each year.
Family planning can help meet the other MDGs, including ending poverty and hunger (Goal 1); providing universal primary education (Goal 2); and promoting gender equity (Goal 3). Young mothers frequently miss out on education and socio-economic opportunities. Being able to make their own decisions about family planning and reproductive health can empower women and improve gender equity. When women are given equal opportunities for education, health, and employment, they are more likely to invest in the education and care of their children. This helps them break the cycle of poverty, hunger, and disease.
Although the MDGS don’t include any formal targets for sexual and reproductive health, the UN Millennium Project has stated that the MDGs cannot be achieved in low-income countries without access to sexual and reproductive health services, including family planning. The panelists agreed that family planning is a cost-effective intervention that provides broader positive benefits for development.
But the real strength of their presentations lay in the personal stories behind the statistics. Middleberg closed the discussion with a story about a woman in Latin America who told him that she loves her husband but was afraid of him every time he touched her. Now, after having undergone sterilization, she no longer worries and can love her husband with no fear of becoming pregnant.
A mother of six interviewed in a 2009 news article about the Philippines’ new family planning bill said, “How can one keep on having children? We don’t earn enough to feed them, much less send them to school.” New York Times columnist Nicholas Kristof interviews a Haitian woman with 10 children in a dramatic video interview, “Saving Lives with Family Planning.”
Underlying all of these facts and stories is the belief that one’s health and well-being, including access to family planning, is a right. But as Middleberg said, believing is not enough.
EngenderHealth, an international reproductive health organization working to improve the quality of health care in the world’s poorest communities, is asking Americans to create a video explaining why we should care about international family planning. Contribute your thoughts on YouTube’s Video Volunteers project.
Lisa Basalla, MPH, is a research associate with the Carolina Population Center. She graduated from Case Western Reserve University with a MPH focusing on reproductive and adolescent health. She has worked with Johns Hopkins University’s Center for Communications Programs on its reproductive health knowledge management project as well as a HIV-prevention behavior change communication project in Malawi.
Photo: A billboard promoting family planning in Phnom Pehn, Cambodia. Courtesy flickr user olerousing.
Here in Morocco, where I am attending the 
Demographers often get a bad rap for being boring. There’s a saying that demography is all about sex—but the details aren’t as much fun. To find out, I’m in Marrakech, Morocco, reporting on the biennial gathering of number crunchers, the 
“Knowing is not enough; you must act and let your government know that family planning is a right and saves lives,” said Maurice Middleberg of the Global Health Council at a recent 
