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Midwives Needed to Achieve Universal Health Coverage by 2030
›We are in the decade of action, said Anneka Knutsson, Chief of the Sexual and Reproductive Health Branch at the United Nations Population Fund (UNFPA), at a recent Wilson Center event on midwives’ crucial role in achieving universal health coverage by 2030. The World Health Organization (WHO) has designated 2020 as the Year of the Nurse and the Midwife to celebrate the accomplishments and importance of nurses and midwives in providing not just maternal health care, but care across the lifespan. Currently, 22 million nurses and 2 million midwives globally deliver 80 percent of all healthcare services in low-resource settings. However, the world will need 9 million more nurses and midwives by 2030 to meet rising healthcare demands.
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To End Fistula by 2030, First Strengthen the Healthcare Workforce
›When childbirth takes place without skilled birth attendants or adequate emergency obstetric care, a woman may suffer from obstetric fistula. Women with fistula live with uncontrollable urinary and/or fecal incontinence, because a hole has formed between the birth canal and bladder or rectum. They have usually survived prolonged/obstructed labor, often lost their child to stillbirth, and frequently face severe social isolation and stigma. There are also now more and more women suffering from iatrogenic fistula caused by injuries during pelvic surgery, especially obstetric or gynecological surgery. Between 1 million and 2 million women currently need fistula repair, with thousands of new cases each year. However, most fistulas can be treated, enabling women to resume healthy, productive lives in their communities. Recognizing this, the United Nations has issued a call to end fistula by 2030.
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Savings Mothers, Giving Life Tackled Three Delays to Improve Maternal and Newborn Health
›“Saving Mothers, Giving Life has undeniably raised the bar in how we address maternal perinatal mortality,” said Dr. Florina Serbanescu, Team Lead of Global Reproductive Health Evidence for Action at the Centers for Disease Control and Prevention, for the launch of the Global Health: Science and Practice Supplement on Saving Mothers, Giving Life at a recent Wilson Center event. Saving Mothers, Giving Life (SMGL), is a public-private partnership created to reduce maternal and newborn mortality in sub-Saharan African countries. “The achievements show that what is often seen as an intractable problem,” said Serbanescu, “can be addressed with the right leadership, resources, and political will.”
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Where Life Begins: Reducing Risky Births in a Refugee Camp
›Zaatari camp, the largest Syrian refugee camp in the world, sits less than 12 kilometers away from the border between Syria and northern Jordan. Rows of houses disappear into the desert, making it hard to tell where the camp begins and ends. Metal containers pieced together like patchwork are home to around 80,000 refugees. The remnants of tattered UNHCR tents cover holes in the walls. Almost seven years after the camp opened, this dusty sea of tin roofs has evolved into a permanent settlement.
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Saving Lives: Focusing on Outcomes to Improve Maternal and Newborn Healthcare Quality
›Poor quality care is now a bigger barrier to reducing mortality than insufficient access to healthcare, said Dr. Margaret Kruk, Chair of The Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goal Era. She spoke at a recent Wilson Center event on strategies to improve and sustain high-quality reproductive, maternal, and newborn care at scale. “We estimate that 8.6 million lives are lost every year due to lack of access to high quality care, and of that 8.6 million, five million lives are lost by people who have already reached out to the health system.”
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Death From Delay: Improving Maternal Health Care in Conflict Zones
›How much time passes before a woman—or her relatives—decide to seek care or emergency medical services during pregnancy? It often depends on how much they know about the services available.
This information may be hard to come by in conflict-affected areas, especially among internally displaced women. According to a retrospective study of health care during the 2006 war in Lebanon, 80 percent of Lebanese pregnant women before the war sought antenatal care, while the share of displaced women seeking care was only 34.5 percent.
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The 30th Anniversary of the Safe Motherhood Initiative
›Since 1987, the number of women dying during pregnancy and delivery has dropped by 43 percent, saving hundreds of thousands of women’s lives—and changing the lives of their families—around the world. “Our achievement in making maternal mortality an injustice that needs to be recognized by health ministers, by heads of state, by heads of agencies, has been, I think, the single greatest achievement of the Safe Motherhood Initiative” since it began 30 years ago, said Ann Starrs, President and CEO of Guttmacher Institute, at a Wilson Center event marking the anniversary of this important effort.
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The Single Best Intervention: Thirty Years of Safe Motherhood
›Over the last 30 years, the world has seen a 44 percent decrease in maternal mortality. At the same time, safe motherhood has evolved from an often neglected component of maternal and child health programs to a fundamental element of the global health agenda, leading to improved women’s health and rights. These advancements are, in large part, due to the 1987 establishment of the Safe Motherhood Initiative. To help celebrate the 30th anniversary of the Safe Motherhood Initiative, Dot Mom asked leaders in the field to reflect on the most impactful intervention of last 30 years. Join us at the Wilson Center on Friday, December 8, 1-5 p.m., to discuss these interventions—and those to come in the next 30 years.
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