As part of its monthly series Stories Behind the Statistics, “guest edited by FHI 360 on behalf of USAID’S IYWG, which provides technical leadership to improve the reproductive and sexual health of young people,” the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog features a story by Gaj Bahadur Gurung, program coordinator for the National Federation of Women Living with HIV and AIDS in Nepal, who discusses the impact of adolescent pregnancy on girls and young women in South Asia. He writes, “Policies and programs must both help prevent early and unintended pregnancy (for married and unmarried women) and mitigate the negative consequences for girls who do become pregnant. Programs should provide young women access to, control over, and informed choice of their sexual and maternal health services” (8/3).
Maternal, Newborn and Child Health
North Korea’s official Korean Central News Agency on Friday reported that nearly 170 people have died, 400 people are missing, and more than 84,000 people are homeless because of severe flooding in the country, the Guardian reports, noting that the World Food Programme (WFP) “announced on Friday the details of its first batch of emergency food aid to the country, although it did not state when it would arrive” (8/4). “WFP said it would send emergency assistance comprising ‘an initial ration of 400 grams of maize per day for 14 days,'” Reuters notes, adding the statement said a recent U.N. mission to North Korea found significant damage to crop fields.
“For the first time researchers have discovered a link between overweight and obese mothers in sub-Saharan Africa and infant mortality,” Jennifer James, founder of Mom Bloggers for Social Good, writes in this post in the Bill & Melinda Gate’s “Impatient Optimists” blog, adding, “In a study published in The Lancet this month, researchers from the London School of Hygiene and Tropical medicine show a definitive correlation between maternal obesity and the prevalence of neonatal deaths (infants who die in the first 28 days of life) especially before two days of age.” She continues, “Now that there is growing maternal obesity in sub-Saharan Africa — albeit slow — this poses a stark contrast to the traditional indicators of neonatal deaths such as underweight mothers and lack of access to health services and trained health workers for pregnancy and delivery in developing countries” (8/24).
BBC News reports on a $15 million college in northern Nigeria’s Jigawa state that is working to train nurses and midwives. The first class of the three-year program is expected to graduate in September, and “[t]he hope is these new nurses and midwives will stay in Jigawa’s villages once their training is complete, rather than drifting to towns and cities where the work is usually better paid,” BBC notes, adding, “The college represents a start in addressing what has been a gaping lack of resources.” Four years ago, there were 14 midwives trying to serve “the state’s population of 4.5 million people” and “cover more than 600 small health centers,” BBC continues. However, a British-funded project called Paths 2, which aims “to reduce the state’s high level of preventable deaths among pregnant women,” has helped facilitate the creation of training programs for local health care workers, the news service notes (Dreaper, 8/2).
IRIN Examines Conditional Cash Transfer Program Aimed At improving Maternal Health In The Philippines
“A nationwide conditional cash transfer program in the Philippines is slowly improving maternal health, but more is needed to reverse the climbing maternal mortality ratio, say women’s groups,” IRIN reports. “Known locally as ‘Pantawid Pamilyang Pilipino Program’ (4Ps), five-year conditional cash transfers (CCTs) were first rolled out in 2007 as a pilot program to cut poverty,” the news service writes, adding, “Now, with a budget of $227 million, the Department of Social Welfare and Development (DSWD) aims to make CCTs available to 5.2 million eligible households by 2015.”
On the first stop of a 10-day tour of Africa, Secretary of State Hillary Clinton stopped at the Phillipe Maguilen Senghor Health Center in Dakar, Senegal, where Awa Marie Coll-Seck, the country’s minister of health, “explained to Secretary Clinton how these operational centers dramatically improve maternal and child health,” according to a post in USAID’s “IMPACTblog.” Coll-Seck “also noted that USAID-supported distribution of insecticide impregnated mosquito nets across the country had drastically reduced the incidence of malaria,” according to the blog, which adds that Clinton “was pleased to hear that the United States is playing a key role in helping meet one of its biggest challenges: decentralizing services so they are available at the village level throughout the country.” In an address several hours later, “Clinton invoked the Senghor center … saying she was highly impressed by the integrated nature of the facility” and that “[i]t was a successful model she hoped could be duplicated throughout Senegal and the entire West African region” (Taylor, 8/1).
“In teaching nurses and midwives in the developing world to care for their patients, a core tenet is that respectful care is quality care,” Catherine Carr, senior maternal health advisor for the Jhpiego/MCHIP-Maternal and Child Health Integrated Program, writes in this post in Huffington Post’s “Global Motherhood” blog. “Around the globe, health-care workers are being trained in respectful, humanized care, because all patients, regardless of economic status or geographic location, deserve to be treated with reverence and consideration,” she continues, adding, “Unfortunately, there is still a huge gap between the maternal care a pregnant woman should receive and what she actually experiences.”
Politico examines the Republican Party’s stance on abortion policy compared with abortion laws in other countries worldwide, stating, “No other nation in the Western world restricts abortion as severely as the Republican Party is calling for in its draft platform.” The article cites statistics regarding other nations’ abortion-related laws from the U.N. report “World Abortion Policies 2011.” According to Politico, “Mitt Romney, the presumed Republican nominee, says he does not support a ban on abortions under any circumstances. He has said it should be allowed in cases of rape or incest. But the Republican National Committee slapped him down.” The article continues, “‘This is the platform of the Republican Party,’ committee Chairman Reince Priebus told MSNBC on Tuesday. ‘It’s not the platform of Mitt Romney'” (Brinkley, 8/27).
Though many pregnant women are aware that treatment could save their lives and the lives of their infants if they test HIV-positive during prenatal care, a new study and literature review have found that a “[f]ear of being stigmatized as an AIDS patient is still a major barrier to good medical care for pregnant young women in many countries,” the New York Times reports. The study, published last week in PLoS Medicine, was “based on a survey of 1,777 women in rural Nyanza Province in Kenya,” according to the newspaper, which adds, “Only 44 percent of mothers in the province delivered in clinics, and the study found that a major obstacle was that they feared HIV tests.” The study’s author, Janet Turan, a professor of public health at the University of Alabama at Birmingham, in July also published “a review of multiple studies in many countries” that documented multiple accounts of “stigmatizing behavior,” the newspaper notes (McNeil, 8/27).
UNICEF Warns More Children Than Ever To Be Affected By Hunger In Sahel; PM Cameron Expected To Announce Nutrition Initiatives At Summit
“The number of malnourished children is set to hit a new high of 1.5 million in the Sahel next week as cholera and locusts emerge as new threats, UNICEF warned on Tuesday,” Agence France-Presse reports (8/7). According to VOA News, “International aid agencies report the situation is particularly critical in Niger where an estimated 400,000 children are expected to require life-saving treatment for severe, acute malnutrition this year.” UNICEF, other U.N. agencies, and international aid organizations “are hampered by a lack of funds,” the news service notes (Schlein, 8/7).