PHOTO: Navi Pillay (third from right), UN High Commissioner for Human Rights, poses for a group photo with South Sudanese women from Jonglei State who shared stories about their experiences with human rights violations, including violence, child abduction, and forced marriage. UN Photo/Elizabeth Murekio
A woman was recently elected as a senior chief in South Sudan – a not unheard of, but very unusual occurrence. This surely a positive change in a country ravaged by civil war and attendant sexual violence.
Rebecca Nyandier Chatim is now head chief of the Nuer ethnic group in the United Nations Protection of Civilians site (PoC) in Juba, where more than 38,000 people have sought sanctuary with United Nations Mission in South Sudan (UNMISS) peacekeepers. Her victory is of symbolic and practical importance.
South Sudan’s chiefs wield real power, even during wartime. They administer customary laws that can resolve local disputes but also reinforce gender differences and inequalities, to the advantage of the military elite.
So could a female chief work towards changing this? Admittedly, even if the new female chief is determined to effect change — which remains to be seen — the odds are against her. The chief and her community are vulnerable, displaced persons, living in a sort of internal refugee camp, guarded by UN peacekeepers. Fighting and atrocities have continued outside, especially in the devastated homelands of the Nuer people. But the new chief has the support of the former head chief and a group of male paralegals, who have celebrated her victory as an advance for gender equality. Together, they might make a difference.
Venezuela sits on the world’s biggest oil reserves, but in terms of GDP growth per capita, it’s now South America’s poorest economy. It is mired the worst economic crisis in its history, with an inflation rate in the region of 500%, a volatile exchange rate, and crippling debts that have increased fivefold since 2006.
The economic crisis is inflaming a longstanding “economic war” between the government and the business sector – and a dangerous cycle of protest and repression is further polarising Venezuela’s already divided society.
In this scenario, violence of all sorts is approaching what could be a point of no return. The very ability of democracy to combine forces of transformation and resistance is at stake.
Last year I was happy to see women in Nepal benefitting from Coca-Cola’s 5by20 program. By 2020 Coca-Cola has pledged to help five million women entrepreneurs around the globe by allowing them to earn money through its value chain. That could mean teaching women valuable business skills as I saw in Kathmandu to providing women with opportunities to support their families through creating products with Coca-Cola products and packaging to helping women start their own small businesses.
For Mother’s Day, I was delighted to receive this tulip from Coca-Cola made by artisans who work for Mitz, a Mexican nonprofit where women devote 8 to 30 hours a week to create handmade products. Mitz creates jobs for women, funds kids’ scholarships and reduces waste.
Caesarean sections have been lifesaving procedures for hundreds of thousands of women across the world who experience complications during labour.
Globally, it’s estimated that just under 20% of births take place via caesarean section – a percentage that’s gone up over the last three decades. This has raised concerns, particularly in high-income countries where generally too many caesarean sections are performed.
But in many African countries women who are medically required to have caesarean sections are not able to access them. This is due to several reasons, the most prominent being weak health systems and a lack of resources.
This needs to be fixed as women in sub-Saharan African suffer from the highest maternal mortality ratio in the world. Close to 550 women die for every 100 000 children that are born. This amounts to 200 000 maternal deaths a year – or two-thirds of all maternal deaths per year worldwide.
The more technology improves in low-and-middle income countries the quicker mobile apps will be invented and scaled to better people’s live. We already know that banking apps have transformed the exchange of money and have helped economies like Kenya’s thrive. Now, innovators are looking to create more and more mobile apps to transform health care and save more lives. Sub-Saharan Africa has some of the … Continue reading New Maternal Health Mobile App for Tanzanian Women Seeks Crowdfunding
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.
PET bottles, one of the most widely used materials in the world, are used to package foods and drinks from soda and juices to salad dressings and cooking oils. It is also completely recyclable. In the United States alone, 1.5 billion pounds of PET bottles are recycled annually.
Throughout my travels to low and middle-income countries I see PET bottles thrown haphazardly in fields and streams clogging waterways and dirtying sidewalks and walking paths. In countries such as Nepal (where I visited last year with Coca-Cola), there are concerted educational efforts by environmentally focused NGOs to change behaviors around discarding PET bottles. There are recycling centers in Nepal, but not enough to completely clean its streets and countryside. It seems to be a sisyphean battle to combat PET bottle waste, but there are some who are using the bottles in innovative ways.
Giving birth is a significant life event that should aim for a healthy baby and mother. There are growing calls for women to give birth in their preferred birth positions. But this requires midwives to be trained in a way that enables them to respect the choices that women make. The Conversation Africa’s health editor Joy Wanja Muraya asked Lydia Mwanzia to explain why women have the right to make choices, and the important role played by midwives.
More than likely you have heard about the Global Gag Rule also known as the Mexico City Policy this week. You can learn more about it in a previous post: Why the Global Gag Rule Will Increase Maternal Mortality. To get right to the point, however, Planned Parenthood released this video: What is the Global Gag Rule that explains it succinctly. Continue reading Video: The Global Gag Rule Explained
Throughout my visits to clinics in Africa I have seen the work of Marie Stopes International in South Africa, Tanzania, Ethiopia as well as Zambia. They provide a full range of quality reproductive health services for women. I have always been impressed by the comprehensive care they provide. Now, their work will be hampered because of an imposed policy of the new administration.
Yesterday morning President Trump signed an executive order to reinstate the Global Gag Rule, or Mexico City Policy, that prevents international NGOs that accept USAID (taxpayer) money from advocating for the legalization of abortions, provide abortions, mention the word, or even refer women to health practionioners that provide safe, legal abortions.
The Global Gag Rule was instated during the Reagan admininstration in 1984 and since then there has been a virtual seesaw effect between Republican and Democratic administrations regarding whether the Rule is reinstated or revoked. According to the WHO, 78,000 women die every year from unsafe abortions. Under Obama’s eight year administration, that number was reportedly decreased by more than half. Now, that President Trump has signed this executive order reinstating the Global Gag Rule, the fear among the global health community is that that number will rapidly skyrocket again.
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
Nutrition of women before and during pregnancy and when breastfeeding is critical in determining the health and survival of the mother and of her unborn baby.
Undernourished pregnant women have higher reproductive risks. They are more likely to experience obstructed labour, or to die during or after childbirth. Poor nutrition in pregnancy also results in babies growing poorly in the womb and being born underweight and susceptible to diseases. These mothers also invariably produce low quality breast milk.
Maternal malnutrition has inter-generational consequences because it is cyclical. Poor nutrition in pregnancy is linked to undernourishment in-utero which results in low birth weight, pre-maturity, and low nutrient stores in infants. These babies end up stunted and, in turn, give birth to low birth weight babies. Optimal maternal nutrition is therefore vital to break this inter-generational cycle.
In Kenya, women’s nutritional needs during pregnancy has not received much attention. This has exposed a gap in efforts to improve maternal and child health.
“Helping families lift themselves out of poverty means helping them build income and wealth, but it is a social phenomenon as well,” wrote Steve Werlin, the author of To Fool the Rain: Haiti’s Poor and Their Pathway to a Better Life. “And one of the social change we try to effect involves working on the way members look at themselves.”
It is quite impressive how someone’s mind and attitude can alter and reset the course of one’s life. However, in order to eventually arrive at that mind reset some people require a substantive hand out, constant observation and follow-up; not simply a prescriptive hand up. When looking at the lowest income countries in the world like Haiti a vast array of NGOs work to alleviate some of its inherent problems with programs that address the root of poverty. Some provide work programs, educational programs, health care, or even microloan programs. But some of Haiti’s families are so extremely poor they cannot dream of qualifying for many of these programs because they have virtually nothing. In fact, they live in such cyclical poverty they cannot feed themselves on a daily basis, or even every other day. In Haiti’s deepest far reaches and unfathomable rural areas are families who live in abject poverty far away from roads and towns. They require the most cumulative social programs designed by worldwide NGOs that specialize in the nuances of poverty reduction and eradication.
In Haiti, for example, one of those social programs is called “Chemen lavi miyo (CLM)” in Creole or a Pathway to a Better Life that is run by Fonkoze, Haiti’s largest microfinance organization. Even as a microfinance enterprise Fonkoze realized that to reach the poorest Haitian families means to provide overarching programs that teach rural women who qualify for their CLM program financial and entrepreneurial skills as well as life and relationship skills.
I was in Nepal with Coca-Cola for a very short period of time earlier this month, but we did and saw a lot in the days we were there including:
(Day 1) How the local Coca-Cola bottling company is working with a Nepalese NGO that is rebuilding a community from scratch after the earthquake
(Day 2) How Coca-Cola is empowering businesswomen in their supply chain
On Day 3 we visited a PET (plastic) bottle recycling center run by the Himalayan Climate Initiative where we sat down with women waste workers who sort the bottles to be recycled. It was heartening to learn about the innovative ways HCI is providing benefits and dignity to the women waste workers who will remain in Nepal’s lowest caste for the rest of their lives.