This past week I was thinking about the time I spent in Nepal with Coca- Cola to see the devastation after the earthquake and the global brand’s response to it. The April 2015 4.5 magnitude earthquake upended lives and left cities in rubble. I saw much of it during our travels through Kathmandu and its surrounding towns. NGOs worked with their partners in the field … Continue reading Women’s Empowerment Program Update Four Years On
When I was in Zambia I saw ways in which nurses treat cervical cancer in low resource settings. Women who do not benefit from the HPV vaccine and still develop cervical cancer are often subject to visual inspection of the cancer typically with a digital camera followed by cryotherapy to freeze the diseased part of the cervix. Some researchers question whether this approach to cervical cancer treatment is effective in low-and-middle income countries. Globally, the cervical cancer burden falls disproportionately upon women in low and middle-income countries. In fact, approximately 90% of deaths from cervical cancer occur in these countries like Bolivia, Guinea, and Swaziland. Rates are highest in Central America, sub-Saharan Africa, and Melanesia.
As I have written many times before postpartum hemorrhage (PPH) or excessive uterine bleeding after childbirth is the leading cause of maternal mortality in low-and-middle income countries. The recommended drug to prevent PPH according to the World Health Organization (WHO) is oxytocin. When administered in its recommended dose it causes little to no side effects. Oxytocin, the WHO’s current gold standard therapy, however, must be refrigerated and administered by skilled health workers posing two obstacles to its wider use in low resource, tropical settings.
Some countries have approved misoprostol, an oral drug, to prevent PPH, but there are several concerns that its use can be misappropriated for abortions instead of used solely for PPH. The World Health Organization has listed misoprostol as an alternative to oxytocin if it is not available.
Now, another PPH preventative drug, carbetocin, has been added to the latest updated 2019 WHO Essential Medicines List. The announcement was made last week. Unlike oxytocin, even at high temperatures carbetocin remains effective. The recommendation is that carbetocin can be used when oxytocin is not available or if its quality is uncertain. Additionally, the cost must be comparable to oxytocin.
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
But Trump wants to go even further than his GOP predecessors by slashing spending on global health efforts funded through the United States Agency for International Development (USAID). Deeper family planning retrenchment would, however, put millions of lives at risk.
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
The energy and enthusiasm was palpable as we walked into a room full of eager women entrepreneurs role-playing the everyday dynamic between business owners and their customers. While the room was loaded with fun and laughter during this exercise, its importance was not lost on any of the women who had come to the campus of Coca-Cola Bottlers Nepal Limited’s (BNL) 5by20 training, an initiative to empower 10,000 women business owners across Nepal by 2020. Even though these women are already a part of Kathmandu’s bustling community of urban shop owners, they had come because they realized there are more business skills to learn, hone, and improve. And, as women in micro-enterprise the more skills they learn, the more they can earn for their households in a country where men overwhelmingly dominate the private sector.
It’s been raining virtually nonstop since we arrived in Kathmandu on Sunday morning. There were downpours all day without any let up until the evening. I hope we get to see the sun on Tuesday. It’s the end of the monsoon season in Nepal, but I don’t think the weather quite wants to get rid of the rain yet.
Today was our very first site visit for this Nepal trip to see Coca-Cola’s rebuilding efforts after last year’s earthquake as well as their work with women in their global #5by20 program that will empower five million women by 2020 across Coca-Cola’s value chain.
Today, we focused on how Coca-Cola is helping local NGOs rebuild after the quake as well as how Coca-Cola employees joined as a team to push through the crisis they endured after two very sizeable earthquakes.
You can read about our visit to a village about an hour and a half away from Kathmandu and how a local NGO is using innovative ways to create sustainable communities.
Last year I remember exactly where I was when the 7.8-magnitude earthquake hit Nepal on April 25. I was on my way to Haiti to report on maternal health, and really good friends of mine from the International Reporting Project had been in Nepal for a very short time on a reporting trip when the quake hit. I remember tweeting them to see if everything was okay. Thankfully they were and wrote amazing, insightful articles from their harrowing experience on the ground. Even though I wasn’t in Nepal, knowing people who were and reported once the quake happened brought the crisis close to home.
The way in which countries respond to disasters varies. One thing is certain: governments cannot shoulder massive disaster relief alone. I learned this once I saw the coordinated one-year disaster relief in the Philippines after Typhoon Haiyan. Relief, I’ve learned, is always a combination of public and private partnerships that work in tandem to benefit citizens that have been hardest hit. Sometimes it is not easy and the coordination may be a bit slow-going, but the truth is private companies that have apositive, established footprint in countries with an excellent track record can benefit government and NGO partners with logistics support, private enterprise expertise, and most importantly finances.
It has been three months since the earthquake in Nepal. Over 9,000 people lost their lives and several more were injured. The latest figures state that over 117,000 people are displaced from their homes and over two million children have been affected. Like many countries at this time, Nepal is in great need of humanitarian assistance and help in rebuilding efforts. However, disaster relief is a short-term issue. The fate of the country in the long term must be considered by the international community.
Nepal was already listed as one of the poorest countries in the world prior to the earthquake, and moving forward they will not be able to break from their rank anytime soon. However, the country does have the means to be self-sufficient with the right help.
Nepal has many natural resources, particularly minerals like zinc and copper, but they are in limited supply and hard to get to. Agriculture is the largest source of income for the country and employs the most people. Many crops grow in the region but the most popular now are rice and corn. There is great potential for agriculture in the country if they can gain access to newer methods of farming and education. Agriculture will not only help Nepal feed its people, but boost international trading potential.
If there is one thing we’ve seen over the past month or so after the earthquakes in Nepal in April and May is there is an overall concerted effort to help women who are expecting babies during the aftermath of the natural disaster.
Merck for Mothers is a 10-year, $500 million global initiative that applies Merck’s scientific and business expertise to help reduce maternal mortality worldwide. So far, with our partners, they have helped an estimated 3.5 million women around the world including the United States. We agree, no woman should die giving life. Watch their #EndMaternalMortality video. Photo: Jennifer James Continue reading Featured Video: #EndMaternalMortality
Maternal health remains one of the most elusive Millennium Development Goal to achieve. While maternal deaths worldwide have been nearly halved since 1990, there is still a long way to go to ensure that more women’s lives are saved during childbirth. Currently 800 women lose their lives during childbirth due to largely preventable reasons. According to the new report, Strategies Towards Ending Preventable Maternal Mortality, by 2030 the maternal mortality ratio should be no larger than 70 deaths/100,000 live births and no country should have a MMR of 140 deaths/100,000 live births.
How can this be achieved?
The new report calls for more wellness-focused healthcare as opposed to emergency-focused care for expectant mothers despite available resources. Most importantly, the post 2015 maternal health framework is rooted in human rights for women and girls. In order to save more women’s lives, there needs to be a cross-sectional system of integrated care. According to the report, more women, girls, and communities need to be empowered to recognize gender equality and empowerment. Mothers and newborns must have integrated care as opposed to caring for both independently.
Currently 805 million people are undernourished worldwide. That number is based on a number of factors including chronic and systemic poverty, a lack of access to improved growing methods and resources for small-holder farmers, a lack of purchasing power, as well as a lack of highly nutritious foods.
Researchers believe forests can help remedy the hunger problem worldwide. Even though 61.3 percent of the world’s forests are wholly owned by individual governments, that is a sharp decline from 71.4 percent in 2002 according to the newly-released report, Forests, Trees and Landscapes for Food Security and Nutrition [PDF].
Over 60 forest scientists contributed to the new report which outlines the best ways in which available forestland can be utilized to curb hunger. The first way is via tree crops that are often rich in vitamins, proteins, and other nutrients and are associated with more diverse diets. Examples include cashews and the African locust bean.