Tag Archives: women

Artist Puts Spotlight on Maternal Mortality and Obstetric Abuse in America

Michelle Hartney
Michelle Hartney

Michelle Hartney has been an artist and activist for maternal health and obstetrics since the birth of her daughter and son: Shine and Seamus. While she says both of her deliveries were empowering, they were also very troubling prompting Hartney to create awareness through art about the high maternal mortality rate in the United States as well as obstetric abuse that she says is all too common for women across the country.

“I was shocked to discover that the way American women give birth now is rooted in a past that is riddled with misogyny, racism, and abuse. As I was reading as much as I could about the history of obstetrics in America, I was filling up my sketchbook with ideas and was flooded with visuals and topics that I wanted to make work about.”

For Hartney’s second delivery with her son, her doctor did not deliver her daughter, but she was instead assisted by a resident who wasn’t going into the field of obstetrics. She ended up fighting with the resident and a nurse about wanting to deliver her baby on her side; an option previously agreed upon by she and her doctor. Instead, they forcefully told her to “lie on her back” to deliver. Since Hartney had a doula who advocated for her during childbirth she was able to deliver on her side in four pushes, but the experience was difficult for her to handle.

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[Photos] Haiti Works Toward Eliminating Maternal Tetanus

Casimer Dieuvela, 24 years old and five months pregnant, lives two to three hours walk from her monthly health post in Deschappelles, Haiti, but she goes despite the distance to receive her tetanus shot.

It’s her third time coming to the health post run by health agent Junior Exanthus and arranged by Hôpital Albert Schweitzer (HAS). Dieuvela brings her daughter to receive her full course of vaccinations. HAS also immunizes pregnant women for tetanus. Last year there were 1,332 first doses and boosters administered.

“I heard through a neighbor about the health post,” Dieuvela said through translation. “I come because it is good for my health. It is important to me.”

Maternal and newborn tetanus (MNT) is an extremely deadly disease, but can be prevented through immunization, proper cord care, and hygienic birthing practices. Without care and immunizations, tetanus has a 100 percent death rate. In Haiti 1.3 million women between the ages of 15 – 49 are at risk of contracting tetanus.

Maternal Tetanus
Women receiving the maternal tetanus shot at a health post in Deschappelles, Haiti

The World Health Organization effectively started initiative campaigns to eliminate maternal tetanus in 1999 with a goal year of reaching the goal by 2015. Thus far, 36 of highly affected countries have reached their goal to eliminate maternal tetanus. Haiti is not one of those countries. In fact, Haiti accounts for 50 percent of all maternal and newborn cases of tetanus in the Western Hemisphere.

Since 1999, 129.5 million expectant women have been immunized against tetanus. According to the WHO, MNT remains a major public health problem in 23 countries.

In 2013, Minister of Health of Haiti Florence D. Guillaume said during a vaccine drive in Port-au-Prince, “Vaccination has always been a priority for prevention and improving health and today we are reaffirming that commitment.”

Expectant women receiving tetanus vaccine in Deschappelles, Haiti.
Expectant women receiving tetanus vaccine in Deschappelles, Haiti.

In order to eliminate maternal tetanus, more women in remote areas need to be vaccinated. GAVI has committed to over $20 million dollars in vaccines and health systems strengthening through 2020. As of Feb 28, 2015, a little over $10 million has been disbursed.

 

Save the Children Sounds Alarm on Plight of the World’s Urban Poor

When you think about very low- and middle-income countries you might assume that the poor in deep rural pockets in these countries have the highest chance for maternal and infant mortality. That isn’t the case according to Save the Children’s latest State of the World’s Mothers report released today.

The report says that it is the urban poor in countries like Haiti, Somalia, Niger and Mali, for example, who are suffering the most and have less access to health care, nutrition services, sanitation and clean water. Even as child mortality has decreased by 49 percent since 1990, the numbers do not fully tell the entire story. While resources have successfully helped the rural populations, the urban poor continue to suffer from a lack of overall services that will allow them to live and thrive.

“Our new report reveals a devastating child survival divide between the haves and have-nots, telling a tale of two cities among urban communities around the world, including the United States,” said Carolyn Miles, president and CEO of Save the Children in a statemtn. “For babies born in the big city, it’s survival of the richest.”

New data says there are 54 percent of the world’s population lives in urban areas. 860 million people live in urban slums in big cities like Delhi, Nairobi, Rio, and Johannesburg where the disparity between the rich and poor is incredibly stark. In fact, poor children in urban areas are two times more likely to die than their richer peers. In some countries, poor children are up to five times more likely to die before the age of five than their peers in a much higher income bracket.

Slum area - Addis Ababa
Slum area – Addis Ababa

Urban slums continue to grow because poor migrants from rural areas seek jobs in cities. This causes squatter communities and slum-dwelling as well as a perpetual cycle of poverty. These migrants often believe that it is better to live in crowded slums in the city than in their rural home towns because they can at least find work. The tradeoff, however, comes in the form of poor living conditions.

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Justin Forsyth, Save the Children CEO, on Child Migrant Deaths in the Mediterranean

“Whoever makes up the next Government has a moral obligation to work with the EU to restart the rescue. Every migrant child’s death is a stain on Europe’s conscience. How many thousands must die this summer before Europe acts?” – Justin Forsyth, Save the Children CEO.

Read more at Save the Children Calls on the EU to Halt Child Deaths in the Mediterranean.