It is difficult to believe how much Haiti is suffering. Not only was its president assassinated a little over a month ago, but a 7.2 magnitude earthquake hit last weekend with a death toll now of over 1400. And, if that is not enough, a tropical storm is quickly barreling its way towards the island where mudslides will inevitably cause additional deaths, injuries, and property damage. This is all amid an interim government that has not gotten its bearings after President
I had the privilege of visiting Haiti once. That was five years after the devastating earthquake in 2010 that killed 200,000 and injured 300,000. Even after five years I could clearly see where buildings had not been rebuilt and rubble was still bulldozed into corners across Port-au-Prince, Haiti’s capital.
Then, I went to see the work of Midwives for Haiti whose dedication to quality maternity care in the poorest country in the western hemisphere I admire greatly. While Midwives for Haiti was not immediately affected by the earthquake, there will undoubtedly be an increased need for its help in the region because as its Executive Director, Jane Drichta, said in her most recent newsletter, “Haiti is a small nation and what affects one, affects all.”
It is no surprise that the world needs more health workers. In fact, even though there are currently 22 million nurses and 2 million midwives globally there is an urgent need for 18 million more health workers in order to reach universal health care coverage by 2030 according to the World Health Organization.
There is a particular need for 9 million nurses and midwives as they are critical components to a robust health system and are often on the front lines of general and critical care including:
Prevention, diagnosis, and treatment of HIV, tuberculosis, malaria and other communicable diseases
Prevention, diagnosis and treatment of noncommunicable diseases
Sexual and reproductive health services, including family planning, and maternal and newborn health care, including immunization and breastfeeding support.
The United Nations has designated Sierra Leone as the most dangerous place to have a baby. In fact, it has the highest maternal mortality rate in the world at 1,360 deaths per 100,000 live births. On average, most women have at least six babies in Sierra Leone. In a previous post I mentioned the Aminata Maternal Foundation that helps pregnant women in Sierra Leone. An … Continue reading [WATCH] Video Shows Horrors of Childbirth in Sierra Leone #MaternalHealth
Maternal mortality continues to be a major problem the world over. The United States is the only developed country where maternal death rates are increasing especially for non-Hispanic black women. And in low-and-middle income countries, approximately 830 women die each day from pregnancy-related, preventable causes.
Maternal health organizations are working diligently to save more mothers’ lives, but one death is still too many especially when it is likely preventable. I like to list organizations that you can support with donations in order to help them keep more women and their children alive on the local level and make sure mothers are a part of their families’ lives.
This list highlights local organizations that help some of the most vulnerable communities in countries with some of the highest maternal mortality rates. And, in the cases of the United States and Australia, the organizations help the communities that experience the most maternal deaths. Each site allows direct donations that go directly to maternal care and/or advocacy.
Women in low-and-middle-income countries need clean birth kits in order to stave off deadly infections in themselves and their newborns. This is the case not only during home births with midwives but also in institutionalized settings. Zubaida Bai, founder of Ayzh, a social enterprise that creates clean, safe birthing kits for women as well as reproductive, newborn and adolescent kits, discusses how she included women’s voices in … Continue reading [Featured Video] Simple Birth Kit for Mothers in Developing World
Every day 800 women die during childbirth or from pregnancy complications. This startling statistic represents women who not only live in sub-Saharan Africa where most maternal deaths occur but also throughout the world. In order to reduce the number of maternal deaths in low- and middle-income countries across the globe design teams, social entrepreneurs, innovators, and NGOs are creating innovative ways in which to save more … Continue reading 5 Maternal Health Interventions That Save Mothers’ Lives
After eight years of practicing obstetrics and researching childbirth in the United States, I know as well as anyone that the American maternal health system could be better. Our way of childbirth is the costliest in the world. Our health outcomes, from mortality rates to birth weights, are far, far from the best.
The reasons we fall short are not obvious. In medicine, providing more care is often mistaken for providing better care. In childbirth the relationship between more and better is complicated. Texan obstetricians, when compared to their counterparts in neighboring New Mexico, are 50% more likely to intervene on the baby’s behalf by performing a cesarean section. Nonetheless, Texas babies still have a lower survival rate than New Mexican babies.
I long assumed that our most puzzling American health care failures were idiosyncrasies–unique consequences of American culture, geography, and politics. But a trip to India for the 2017 Human Rights in Childbirth meeting led me to a humbling realization: when it comes to childbirth, both countries fall short in surprisingly similar ways.
Human rights in childbirth
I take care of patients in at a well-funded teaching hospital in Boston, where pregnant women seem well-respected and have clear, inviolable rights.
We are very pleased and excited to announce our new weekly chats all about maternal health with some of the leading maternal health experts, researchers, practitioners, and organizations in the world under the #maternalhealthchat hashtag. Starting on Tuesday, November 8 at 1 PM EST with Jacaranda Health we will host 30-minute chats each week all about maternal and reproductive health as well as the health of newborns. We will dig … Continue reading Announcing #MaternalHealthChat Starting November 8 With Jacaranda Health
Nepal, while being a hotbed for adventure seekers, trekkers, tourists, and mountaineers, faces many economic struggles that heavily plague low-and-middle income countries. The vast majority of Nepal’s economy is based on remittances with 25 percent of its working population living outside of the country. Additionally, with an average population age of 23, Nepal has a dismal 50 percent unemployment rate. These systemic economic struggles, of course, disproportionately affect women and subsequently their children and families. Couple that with a stringent caste system and some Nepali women remain inherently stuck on the lowest rung of the class ladder and are subject to some of the basest forms of work available to them.
The Himalayan Climate Initiative (HCI), a youth-driven environmental NGO based in Kathmandu, is working with some of these women whose only other economically viable life option may be selling themselves sexually to the nearest customer, working in the illegal scrap waste trade, or going abroad to find work and then enduring whatever fate awaits them. HCI employs socially discriminated women waste workers at its PET Bottle Recollection Social Enterprise (Nagar Mitra) allowing them to create a livelihood beyond what might traditionally befall them.
Every year just over 500,000 women die from complications in pregnancy and childbirth across the world. Another 20 million experience severe complications. But many of these complications are entirely avoidable – including obstructed and protracted labour and one of its side-effects, obstetric fistula.
An obstetric fistula is a hole in the birth canal between the vagina and the rectum or between the vagina and the bladder that is largely caused by obstructed and prolonged labour. This can occur when the mother’s pelvis is too small or the baby is too large.
In sub-Saharan Africa for every 100,000 deliveries there are about 124 women who suffer an obstetric fistula in a rural area. Obstetric fistulas predominantly happen when women do not have access to quality emergency obstetric-care services. Antenatal care could help to identify potential problems early but will not have an impact if there is no skilled surgeon to assist with the labour.
When I visit low- and middle-income countries like Ethiopia, Zambia, the Philippines, and Tanzania, I am always heartened by the number of mothers I see breastfeeding their babies. Breastfeeding for so many of these mothers is the best and most affordable way for them to nourish their babies. While every mother does not breastfeed to be sure, the sheer number of mothers I see breastfeeding at local clinics, while walking with their baby strapped to them or taking a break on a city bench, gives me hope.