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.Continue reading Radiotherapy will be required to treat cervical cancer in low-and-middle income countries
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.Continue reading NEW: Drug That Prevents PostPartum Hemorrhage Added To WHO Essential Medicines List
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.
I am always happy when World Breastfeeding Week rolls around each year. It gives me a chance to hear about the latest programs that are working around the world to increase breastfeeding rates. This year I learned about how World Vision is promoting breastfeeding in the Philippines through its 7-11 Core Intervention Framework which includes 7 interventions for women and 11 for children 0 – 24 months of age.
The way in which we discuss breastfeeding is different depending on the country and the context. While in the United States we talk a lot about infant feeding choices, in other countries, especially those that have thousands upon thousands of yearly infant deaths caused by diarrheal diseases, infections, and sub-optimal feeding, the context changes. In these cases, it is nearly always critical that mothers breastfeed their children up to two years of age.
In the Philippines, parents spend $240 million on breast milk substitutes and multinational formula feeding companies spend $100 million on marketing in the Philippines alone. Those numbers account for the fact that only 34% of infants under the age of six months are exclusively breastfed. While providing the best start in life for infants, many mothers are convinced that formula is better and easier for their lifestyles. But, often times women in low-and-middle-income countries like the Philippines do not always have access to clean water for formula. Dirty water can cause deadly diarrheal diseases that kill infants.
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.