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).
Quality of Care
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).
As part of its ongoing series, titled “The State of AIDS,” GlobalPost published two articles examining the epidemic in different regions. In Eastern Europe, rates of HIV/AIDS diagnoses have risen in several countries, including Ukraine and Russia, according to the first article, which discusses some of the potential reasons for the increases. Also, “with the economic crisis affecting much of Western Europe, there is concern that declining health spending and cuts to research budgets could hurt AIDS treatment across the continent, even in nations that are leading the way in HIV/AIDS prevention and care like the United Kingdom,” the news service writes (Ames, 12/7).
“On Thursday (Dec. 14), [Nigeria] signed five grant agreements with the Global Fund to Fight AIDS, Tuberculosis and Malaria,” with some of the money going “to provide for antiretroviral therapy treatment and prevention services, particularly on mother-to-child HIV transmission,” Devex’s “The Development Newswire” blog reports. Of the total $335 million, $265 million will go toward HIV/AIDS activities, while $70 million will be used for TB initiatives, the blog notes (Ravelo, 12/14). “For Nigeria, [the] grant agreements address a tremendous need: Nigeria has the second highest number of people living with HIV in the world and only 30 percent of people requiring HIV treatment are receiving antiretroviral therapy,” a Global Fund press release states (12/13).
A study led by World Bank economist Jishnu Das and published in Health Affairs on Monday examines the quality of primary care delivered by private and public health care providers in rural and urban India, a World Bank press release notes. The study found many providers do not have medical degrees; the quality of medical training is low; and less than half of providers provide correct diagnoses, according to the press release, which says the results show an “urgent need” to carefully measure the quality of care. “The study could help policymakers make evidence-based decisions,” the press release notes, adding, “In November, the government announced a five-year plan to triple health spending and improve the quality of health services” (12/3).
Seattle Times Examines Partnership Between Hutchinson Cancer Research Center, Uganda Cancer Institute
The Seattle Times examines a partnership between the Fred Hutchinson Cancer Research Center and the Uganda Cancer Institute (UCI). In 2008, “the two institutes formally agreed to collaborate on clinical care and research projects, and more recently a major building project at Uganda’s only cancer-research center,” the newspaper writes. Corey Casper, director of the UCI/Fred Hutchinson Research Center Cancer Alliance, “says [the partnership] has the potential to demonstrate ‘that you can do first-rate research that can alter the impact of cancer care in the developing world, and that the craft of oncology can be practiced as well in Africa as it is in the developed world, just like it is with HIV,'” according to the Seattle Times (Silberner, 12/16).
PRI’s “The World” this week features a series examining the challenges of addressing cancer in the developing world. The series, produced in collaboration with the Pulitzer Center on Crisis Reporting, includes radio stories, multimedia features, an interactive map, and infographics, according to the main page. The radio stories examine cancer prevention, control, and research efforts in Uganda, Haiti, India, and the U.S. (12/3). In an interview with the series’ principal reporter, Joanne Silberner, Lancet editor Richard Horton said, “Cancer is certainly being under-recognized and neglected in low- and middle-income countries. … I think cancer is slowly becoming more recognized but there is a long way to go before it gets the attention it so urgently needs (12/3). On December 5, PRI will host a Facebook chat from 10am-4pm EST that will feature Silberner and cancer researchers and advocates (12/4).
The Lancet examines Indonesia’s efforts to reduce maternal mortality, one of the Millennium Development Goals President Susilo Bambang Yudhoyono has identified as a national priority. Indonesia’s risk of maternal death is one in 150, compared with one in 4,000 in developed nations, and the government has set a goal of reducing mortality to 102 for every 100,000 live births by 2015, one-quarter of the rate in 1990, according to the journal. Gita Maya Koemara Sakti, recently appointed as director of maternal health, explained the Ministry of Health “has adopted a four-step plan that starts with bolstered family planning campaigns,” the Lancet writes. Other efforts include providing free maternal health care through the national social assistance system, improving the national midwifery program, and providing more funding to rural health clinics, the journal notes. The Lancet includes quotes from other government officials and non-governmental organization representatives regarding these efforts and the challenges faced (Webster, 12/8).
GlobalPost’s “Global Pulse” blog features an interview with freelance reporter and artist-in-residence at the University of Washington in Seattle Joanne Silberner, a former NPR correspondent, about her recent series for PRI’s “The World,” titled “Cancer’s New Battleground — The Developing World.” Produced in collaboration with the Pulitzer Center on Crisis Reporting, the series examines cancer prevention, control, and research efforts in Uganda, Haiti, India, and the U.S., according to the blog. Silberner said she was “astounded” to learn “there are more deaths from cancer (in the developing world) than if you added up the deaths from HIV, [tuberculosis], and malaria,” the blog notes. She also said she was “surprised” to learn about the stigma against cancer in the developing world, which “keeps people from coming in [to clinics]” and “keeps local governments from supporting treatment efforts.” Silberner also said coverage of global health issues is important to raise awareness and knowledge in the U.S. (Judem, 12/6).
Medecins Sans Frontieres (MSF), the Drugs for Neglected Diseases initiative (DNDi), and the Mount Sinai School of Medicine this week are hosting a conference in New York, titled “Lives in the Balance: Delivering Medical Innovations for Neglected Patients and Populations,” the Philadelphia Inquirer reports. In a video presentation, World Bank President Jim Yong Kim “told the conference … that the goal is to ‘lay the foundation of a health science that works for the poor,'” according to the newspaper. “That means innovative research on diseases and delivery systems geared to people in developing nations, not the more affluent ones, greater sharing of ideas, and support for developing nations so they can assist in the process from beginning to end,” the newspaper writes (Sell, 12/14).