Tag Archives: maternal health

Looking past the data to see the face of motherhood

A guest post by Sharon D’Agostino, Vice President, Worldwide Corporate Contributions and Community Relations, Johnson & Johnson (an IBLF corporate partner).

Often, people committed to global health are surrounded by statistics – and it can be easy for numbers to lose their meaning.

Our work on maternal and child health issues has shown me staggering gaps in the quality of life for women and children around the world, but even I sometimes have trouble putting data about that suffering into the context of my life. However, one woman who worked to defy her circumstances has brought some new statistics into sharp focus for me.

First, the figures. Last month, Save the Children released a report stating that every year 48 million women give birth without someone present who is trained to intervene if something goes wrong, and that more than 2 million women are in fact completely alone when they give birth. Just two weeks later, The Lancet published stark new data showing that more than 2.6 million babies are stillborn each year, almost all in low- and middle-income countries where the number of skilled birth attendants is alarmingly low. Both studies lamented that most complications of childbirth could be prevented or managed successfully with the right care and support for mothers at birth.

I recently had the pleasure of meeting an inspiring woman named Sarah Omega, a community educator and maternal health advocate from Kenya. Sarah is also a survivor of fistula, a debilitating injury from a complicated childbirth, which leaves women unable to control their own bodily waste. Pregnant at 19,  Sarah laboured alone for almost a day before a birth attendant was available to intervene, and ultimately she delivered a stillborn baby boy. After months in the hospital and more than a decade of shame and disability, a successful fistula repair surgery in 2007 gave Sarah her life back. But not her child.

Sarah Omega. Image courtesy Johnson & Johnson

Had Sarah given birth in the United States, she may have a very different story – but the acute shortage of healthcare workers in many countries makes motherhood a dangerous proposition.

Without a steady stream of trained health professionals and a system to train new ones, women cannot access basic care or the specialized obstetrics services we take for granted.

AMREF (the African Medical and Research Foundation) is one organization working to change that by training doctors working in rural hospitals throughout East Africa to ensure that more women who need fistula repair surgery receive it. Johnson & Johnson recently expanded its work with AMREF to help nurses in rural villages of Kenya access the foundation’s e-learning program. With these online learning opportunities, students will be able to continue serving their patients while they update their skills. Nearly 7,000 students had previously enrolled in the programme, and we are confident that this new financing option will expand the reach of healthcare workers to people who need it most.

Sarah Omega’s story gives me hope that the combined efforts of the public and private sectors can make birth safer for women, no matter where they live. I am reminded that even in the face of daunting statistics, there are real people behind the numbers. Courageous women like her sustain my belief that together we can find solutions to problems that seemed insurmountable. Sarah now travels the world, speaking for millions of other women who cannot speak for themselves, because she believes that every time she shares her experience, it gives a woman somewhere a chance for a normal life.

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10 ways to engage the private sector in health

By Joe Phelan and Olive Boles

Investing in the health of women and children is not only the right thing to do, it also builds stable, peaceful and productive societies. It reduces poverty, stimulates economic growth, is cost-effective and crucially,  helps women and children realise their fundamental human rights.

In September last year, United Nations Secretary-General Ban Ki-moon launched “Every Woman Every Child” - The Global Strategy for Women’s and Children’s Health – a plan to save the lives of millions of women and children.

“Every Women Every Child” emphasises the need for multi-sector collaboration. In response, IBLF convened cross-sector dialogues in London and New Delhi in 2010 and following this activity, authored a primer report to provide a framework for all sectors to use as a basis for private sector engagement and to highlight, in particular, some of the innovation coming from South Asia.

Here, we suggest ten practical actions for all stakeholders, to promote greater and more effective engagement of companies in accelerating progress on maternal and child health.

Credit: Sven Torfinn

Companies should:

1. Engage in maternal and child health through the core of the business by: building internal understanding of the relevant national health plan(s); developing a robust business case for action, and bringing the company’s core competence to bear on health challenges.

2. Develop partnerships for maternal and child health as a means to: achieve social, investment objectives; meet sustainability commitments; reach new markets in developing countries; and creatively build on existing activities in areas which increase access to health through goods and services or promote health education and awareness.

3. Advocate for business engagement with the Global Strategy among the wider business community, by: referring to these partnerships during presentations to mainstream business audiences; and strengthening the public policy framework formaternal and child health during discussions with governments, NGOs and funding agencies.

NGOs should:

4. Think creatively about the role that the private sector: as a potential partner can bring to partnerships, looking not just at financial resources, but the wider range of attributes.

5. Promote a culture of transparency and accountability, by: verifying the impacts of partnerships and interventions, providing opportunities for vulnerable groups to engage directly with policy decisions, and being transparent themselves.

Governments should:

6. Consider how the private sector can be an active partner in maternal & child health, bringing skills that are not readily available in NGOs or government agencies.

7. Work with other sectors to create strong regulation and safeguards – recognizing that health markets can create conflicts of interest.

All sectors should

8. Integrate monitoring and evaluation processes fully into project design.

9. Have an open mind when entering into dialogue with other sectors in relation to maternal & child health. Misperceptions exist in all organisations – particularly as this is an emotional subject and elicits strong views – and these can act as an obstacle to collaboration.

10. Invest in partnering capacity for scaling up pilots.

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