“Even with the knowledge and medicines to prevent transmission of HIV from mothers to children, there are still babies being born with HIV [in the U.S.] and around the world,” Jake Glaser, Janice McCall, and Cristina Pena — all persons living with HIV who contracted the virus through mother-to-child transmission and who work as ambassadors for the Elizabeth Glaser Pediatric AIDS Foundation — write in the Huffington Post’s “Global Motherhood” blog. “Without early treatment, half of those children will die by their second birthday. Their journeys will end far too soon,” they continue, adding, “But it doesn’t have to be that way.”
Maternal, Newborn and Child Health
The latest issue of PSI Impact magazine reviews “the top 10 milestones in global health in 2012” and includes exclusive authored pieces about each, Marshall Stowell, editor-in-chief of the magazine, writes in PSI’s “Impact” blog. Stowell lists the 10 issues and links to the articles, which include, among others: Gary Darmstadt and Chris Elias of the Bill & Melinda Gates Foundation writing about the London Summit on Family Planning; Ariel Pablos-Mendez, assistant administrator for global health at USAID, writing about the Child Survival Call to Action; U.S. Global AIDS Coordinator Ambassador Eric Goosby writing about the goal of an “AIDS-free generation”; and Anne Peniston, nutrition chief at USAID, writing about the nutrition movement (12/13).
Global Burden Of Disease Study Finds People Worldwide Living Longer, But With More Illness, Disability
“A sharp decline in deaths from malnutrition and infectious diseases like measles and tuberculosis has caused a shift in global mortality patterns over the past 20 years, according to a [study released] on Thursday, with far more of the world’s population now living into old age and dying from diseases mostly associated with rich countries, like cancer and heart disease,” the New York Times reports (Tavernise, 12/13). The Global Burden of Disease Study 2010, “published in the Lancet, has taken more than five years and involves 486 authors in 50 countries,” the Guardian’s “Poverty Matters” blog notes (Mead, 12/13). Researchers worldwide “drew conclusions from nearly 100,000 data sources, including surveys, censuses, hospital records and verbal autopsies,” NPR’s “Shots” blog writes (Doucleff, 12/13). The Global Burden of Disease (GBD) Study 2010 consists of “[s]even separate reports conducted by researchers at the University of Washington, the Harvard School of Public Health, and elsewhere [that] gauged people’s health in 187 countries and determined that developing countries are looking more like richer Westernized countries in terms of the health problems that pose the biggest burden: high blood pressure, diabetes, cancer, and heart disease,” according to the Boston Globe (Kotz, 12/13).
In the Huffington Post’s “Global Motherhood” blog, Carolyn Miles, president and CEO of Save the Children, highlights a report released by the organization last week, titled “Voices from Urban Africa: The Impact of Urban Growth on Children.” The stories of families, government and community leaders “reveal that the ‘urban advantages’ of better health care, education and opportunities to make a good living — often associated with city life — are in reality an urban myth,” she writes, adding, “With greater study and understanding of urban challenges — and ultimately rethinking strategies and increasing investment — the development community, including donors and policymakers, can help Africa respond more effectively to the needs of vulnerable children.” She continues, “Whether addressing children’s protection, health, education or future livelihoods, it is clear that programs must not stand alone” (12/11).
“Canada’s foreign aid agency will work with Grand Challenges Canada in a bid to bring ideas for health innovation to the developing world, International Co-operation Minister Julian Fantino says,” the Globe and Mail reports. “Fantino announced the partnership with the federally funded group Tuesday morning as he opened a multi-day Grand Challenges Canada meeting in Ottawa,” the newspaper notes, adding, “Fantino used his opening speech to tout Canada’s contribution to maternal and child health through its landmark Muskoka Initiative and call for new ideas that can help increase maternal and child survival.”
IRIN examines efforts to recruit Madagascar’s traditional midwives, called “matronnes,” to “a campaign to get women to deliver in clinics or hospitals, part of a move to lower maternal and newborn death rates.” The country, which has the highest adolescent fertility rate in Africa, has a “moderately high” maternal mortality ratio, despite having “dropped from 710 deaths per 100,000 live births in 1990 to 240 per 100,000 live births in 2010,” the news service notes. IRIN describes how health centers and non-governmental organizations are working to provide better maternal and newborn health care by convincing traditional midwives to accompany women in labor to clinics, where skilled birth attendants can attend to them (12/12).
“A UNICEF progress report [.pdf] says that more than 850,000 children are expected to have received life-saving treatment for severe acute malnutrition across nine countries in the Sahel region during the course of 2012,” according to a UNICEF press release, noting the number is “based on the more than 730,000 children under five treated at centers between January and the end of September.” The press release continues, “The report says early funding by donors such as the Swedish and Danish Governments, the European Union and USAID meant crucial supplies of ready-to-use therapeutic food were purchased in good time and pre-positioned.” Manuel Fontaine, UNICEF’s acting regional director, said in the press release, “In 2012 a tremendous effort meant we were able to give every child who was able to arrive at a treatment center appropriate care. But we need to get to the state where more robust systems are in place and treatment centers see far fewer children” (12/11).
The Bill & Melinda Gates Foundation’s “Impatient Optimists” blog features two posts on maternal health in Ethiopia. In the first, Jennifer James, founder of Mom Bloggers for Social Good, writes about her trip to the country to “observe Save the Children’s work with frontline health workers.” She writes, “Ethiopia, a country of 84 million and one of the world’s poorest according to the World Bank, is working diligently to save the lives of women and children; and it’s doing it with the help of an army of thousands of women.” James notes, “The Ethiopian government has trained over 38,000 health extension workers (HEWs) since 2003 — all women” (12/11). In the second post, Tesfaye Arage, a nurse in Ethiopia with Marie Stopes International, notes the WHO recently released guidelines (.pdf) on tasksharing on maternal and newborn health care, and he describes how his team in Ethiopia is implementing tasksharing methods (12/11).
Noting the “16 Days of Activism Against Gender Violence,” Neil Boothby, U.S. government special adviser and senior coordinator to the USAID administrator on children in adversity, writes in USAID’s “IMPACTblog,” “The science is clear — childhood experiences shape adult outcomes, including long-term health, cognitive development, academic achievement, and one’s ability to be gainfully and safely employed.” He continues, “In the same way that public health efforts have prevented and reduced pregnancy-related complications, infant mortality, infectious diseases and illnesses, so can the factors that contribute to violent and abusive responses — attitudes, behavior and social, economic, political and cultural conditions — be changed.” Boothby notes the U.S. government this week “will release an Action Plan on Children in Adversity [.pdf], the first-ever government-wide strategic guidance for international assistance for children” (12/9).
In this Guardian “Global Development Professionals Network” blog post, Robert Steinglass, senior immunization adviser at John Snow, Inc., and immunization team leader for the USAID-funded Maternal and Child Health Integrated Program, writes about the importance of innovation to improving childhood immunization programs and health systems. He notes he recently moderated a panel at the GAVI Partners’ Forum, during which participants discussed different approaches.