Maternal Mortality in the Spotlight

The following post was submitted by guest blogger, recent UC Santa Cruz graduate, and Co-Director of e-health Nigeria, Evelyn Castle.

Reducing maternal mortality is finally being recognized as a cause worth supporting, with government officials and Hollywood stars rallying to bring an end to women's suffering around the world. The "Women Deliver" conference, which occurred in D.C. last month, and the Global Maternal Health Conference, which is scheduled for the end of August, have brought together world leaders to focus solely on this pressing issue. But what is really happening, on the ground, to reduce maternal mortality?

Last summer, I traveled to Nigeria, a country where 1 in 18 women die due to pregnancy related complications, to answer this question for myself. I wanted to see the causes of maternal mortality, what programs were being implemented to reduce it, and which of those programs were actually working. What I found was multiple organizations implementing maternal health projects, however not one of them had an effective way to measure health impact. Not having those statistics is a serious problem. Collecting statistical data may seem expensive, but it is much more expensive to mis-allocate resources because of bad data.

In order for the maternal mortality rate to decrease, information needs to be collected on maternal health in a way that can be used to allow government and NGOs to determine the effectiveness of their public health projects AND to help health professionals make better medical decisions for women.

Electronic Medical Records (EMRs) provide a tool to do just this. At a maternal health clinic in Nigeria, I implemented an EMR system and watched as the data that was collected helped health workers determine if a woman might have complications during pregnancy, and if it would be best for her to deliver at a hospital. I also witnessed the monthly medical report transform from a 2 week, inaccurate guess to a push-of-the button, precise analysis of the clinic’s history.

After returning home to UC Santa Cruz, I created eHealth Nigeria, which supports the management of health facilities in Nigeria to influence health-related funding and policy decisions, and provides doctors with the patient information needed to improve decision-making before, during, and after care. My partner and I spent the last 9 months improving the EMR system, researching other EMR projects, and fundraising in order to return to Nigeria and work with NGOs to implement EMR systems in more hospitals and clinics.

I am currently blogging from Nigeria and will be here for the next 6 months continuing my work. While I am here, I will also have the opportunity to meet with feminist Nigerian leaders, reproductive health workers, and women government officials.

Maternal mortality is not an issue that should only be spoken about in conferences and meetings. These are real women dying and people need to understand what is actually happening on the ground. I hope my blog can help show the struggles that women must endure and encourage you to get involved. Please contact me at my blog with questions/blog ideas/comments.

Empowering Women and Addressing Climate Change: Solutions for Ethiopia

The following post was submitted by guest blogger, Cassie Gardener

Like many developing countries, Ethiopia suffers from vast reproductive health challenges that are linked to a vicious cycle of poverty and gender inequality. 35% of women want to prevent or space their births, but don’t have access to family planning services and information, and only 10% of births are attended by skilled personnel.

What is more, these challenges will only be exacerbated by climate change impacts. As resources dry up, women and girls will have to walk farther to collect fuel wood, water and food, and the increased spread of diseases like malaria will make it even harder for people living in poverty to get ahead. Although they’re the least responsible for growing CO2 emissions, it’s the world’s poorest—women and girls—that will bear the brunt of the impacts.

As part of my two-month internship with the Population, Health and Environment (PHE) -Ethiopia Consortium, I recently had the opportunity to visit rural communities in the Bale Mountains of southeast Ethiopia, to witness not only these challenges, but what young women are doing to take action.

The little-known Bale Mountains are national and global treasures of biodiversity, teeming with dozens of endemic mammal, bird, and plant species. The rivers and streams in the Bale watershed flow to more than 12 million people in southern Ethiopia and western Somalia. As in many parts of the country, rural communities in Bale face grave livelihood and health challenges, and their unsustainable use of land to eke out a living is threatening long-term conservation efforts. Due to diminishing agricultural land and an average total fertility rate of 6.2 children per mother in the region, people are increasingly forced to cut trees for fuel and timber in order to feed and house their families.

PHE-Ethiopia’s member organization, MELCA, has been working to protect the region’s biodiversity and culture since 2005. Project Manager Tesfaye Teshome told me that if deforestation and impending climate change dry up Bale’s precious watershed, drought and famine could lead to the displacement or death of millions of Ethiopian citizens.

In March 2008, with funding from Engender Health and the Packard Foundation, MELCA launched an integrated population, health and environment (PHE) project that provides culturally sensitive training at the community, school, and government levels. I was impressed that after just seven months of raising awareness, I met dozens of community members who strongly believe in the benefits of family planning and girls’ empowerment for improving livelihoods and building local resistance to climate change impacts.


For example, I visited Finchaa Banoo Elementary School, where MELCA’s training sessions inspired the nature clubs, women’s clubs, and anti-AIDS clubs joined together to form new “PHE Clubs.” Hundreds of students greeted me with a PHE song, wearing traditional costumes with PHE banners strewn across their chests. Two female club leaders named Fatiye and Rose led me to their nursery site where their club had planted 60,000 indigenous tree seedlings for distribution to the community.

Fatiye, a 21-year old PHE club leader in 8th grade, proudly told me how their club uses dramas, songs and poems to educate their peers and community members about the importance of family planning. She said, “Before the coming of PHE, I knew only about biodiversity and culture. But now, I clearly understand health and population issues, including HIV/AIDS, taught to me by my peers. By having the integration of clubs, we’ve strengthened our power to accomplish more.” She told me that she will use family planning when she’s ready, and has even convinced her grandmother to use a fuel-saving stove, to improve her health and protect the environment.

I am so inspired to know that despite the vast challenges they face, women and girls in the Bale zone of Southeastern Ethiopia are working together to ensure a healthier, greener and more prosperous future for their community, and all Ethiopians!

For more information about PHE-Ethiopia, please contact phe-ethiopia@gmail.com or visit their website at http://www.phe-ethiopia.org. For more information about MELCA, please contact melca@ethionet.et or visit their website at http://www.melca-ethiopia.org.

Best Your Mom Joke I've Heard in a Long Time

Dispatches from Health Care Reform Hearing:

Senator Kyl proclaims that since -he- doesn't need maternity care, so why should insurance coverage for maternity cost him more money?

Senator Stabenow answers, "I think your mom probably did."



Thank you, Senator Stabenow, for calling this what it is. Women's health care is not specialty health care. We're >50% of the population. It's incumbent upon insurance companies to cover our health and anatomy just like they do a man's - I don't hear anyone raising a fuss over coverage of Viagra or prostate exams.

Happy Friday, Feminists!

via Feministing