Category Archives: Maternal Health

World Bank, IMF Say Maternal Health MDG Will Not be Met By 2015

We have three short years to meet the Millennium Development Goals  that were set and established in 2000 and sadly most will not be met by the 2015 deadline. This is particularly true for maternal health.

According to the recently released Global Monitoring Report  “progress has been lagging for health-related MDGs. Global targets related to infant and maternal mortality (MDGs 4.a) are significantly off-track. Current progress in reducing by three-quarters the maternal mortality ratio roughly represents half of the required improvement needed to reach the 2015 goal.”

In contrast, the world is significantly off-track on the MDGs to reduce mortality rates of children under five and mothers. As a result, these goals will not be met in any developing region by 2015. Progress is slowest on maternal mortality, with only one-third of the targeted reduction achieved thus far. Progress on reducing infant and child mortality is similarly dismal, with only 50 per cent of the targeted decline achieved. –
Developing World Lags on Global Targets Related to Food and Nutrition, Says IMF-World Bank Report 

Most maternal deaths still take place in sub-Saharan Africa and Asia. Maternal heath relies on a variety of interconnected factors that will ensure women live through childbirth such as nutrition, access to family planning, as well as access to health workers during the birth process.

Read more findings in the Global Monitoring Report.


World Bank (2012) Global Monitoring Report : Food Prices, Nutrition, and the Millennium Development Goals; page 12

New Solutions to Global Problems: Watch TEDxChange Live – April 5

Next Thursday, April 5, the Bill and Melinda Gates Foundation and TED will partner to host their annual TEDxChange event, this year in Berlin, Germany. TEDxChange is a partnership between TED and the Bill & Melinda Gates Foundation to bring forth new ideas to tackle global problems.

[When to Watch]: Watch TEDxChange live on Facebook on Thursday, April 5 at 8:30am PST/11:30am EST/5:30 CET.

This year’s theme is The Big Picture, where the speakers will apply new, bold ideas and perspectives to discuss the world’s most pressing social issues such as:

  • Why, as a global society, should we continue to invest in overseas development?
  • How can we work across borders and political boundaries to bring about positive change?
  • And what returns can we expect on our investments?

They will explore issues ranging from family planning and contraception to the environment to human-centered design.

Melinda Gates will speak about family planning and how the power to plan allows mothers and their babies to lead healthier lives. In fact, spacing pregnancies reduces maternal mortality and keeps children healthy and alive.

Be sure to join TEDxChange live on Facebookon Thursday, April 5 at 8:30am PST/11:30am EST/5:30 CET.

Respectful Maternity Care – A New Charter

I remember when I was pregnant with my second daughter. I was extremely apprehensive about the care I would receive because when I was pregnant with my first daughter I never felt like I was heard by my doctor and nurses and was even ridiculed because I questioned a medication they wanted me to take. By the time I was expecting for the second time I was cautious about where and with whom I would get care. I even walked out of a pre-natal care office because I didn’t like the vibe I was getting from the health workers. The last thing I wanted to deal with were doctors and nurses who really didn’t care about me and showed it. I was concerned only about delivering a healthy baby in a caring environment.

That was eleven years ago in North Carolina. Women the world over have experiences far worse than the doctors who treated me as just another patient. Some women are abused and belittled in public health facilities by nurses. The treatment is so bad that most women opt to deliver their babies in a hut as opposed to having to pay exorbitant costs and endure the degradation from health workers.

The problem may seem isolated, but in truth it is more widespread than we think not only in developing nations, but also here in the United States, especially among the poor.

The White Ribbon Alliance for Safe Motherhood has created a Respectful Maternity Care charter that lays out the tenets of proper care all expectant mothers deserve whether they live in Detroit or Djibouti.

I applaud this effort to ensure women are treated respectfully when they deliver their babies. Now, we just need to spread the word.

How can we empower rural women to end extreme poverty?

Yesterday I joined in on the live Facebook chat with the UN Development Programme (UNDP) where we discussed rural women and their plight to gain equal economic status.

I asked this question to the to UNDP Associate Administrator and Under-Secretary-General Rebeca Grynspan

Are there better ways for these women to own more land? I think the global community would really rally behind a movement of women buying more land.

Ms Grynspan answered

Thank you for your questions, many of which address the centrality and importance of women’s access to land, property and assets for their empowerment. Do no douibt education and health are necessary conditions but not enough. UN Food and Agriculture Organization estimates that if women had equal access to productive resources, they could increase their yields on farms by 20 to 30 percent, raising total output in developing countries by 2.5 to 4 percent. The right of women to own property, including land, is recognized under international human rights law. Yet, in many countries, women’s property rights are limited by social norms and customs, and at times by legislation. UNDP works with programme countries to strengthen women’s legal rights, with a view to making them consistent with international norms and standards. In Liberia, Mozambique, and Uganda, for example, UNDP has supported community land titling initiatives with special measures to protect the land claims of vulnerable populations and women.

[Guest Post] Sarah Omega: A Fistula Survivor

Written By Elizabeth Ralston, The Inspired Philanthropist

The Setting: One by One’s sixth annual fundraiser.

The lights dimmed, the audience soon hushed, and the speaker, a young woman from Kenya, came diffidently to the podium.

Sarah Omega Photo by Louise Lakier 2011

“My name is Sarah Omega, and I am a fistula survivor.”

The details of her life came out as she told her story in a measured, steady fashion. Sarah was raped and impregnated at age 19 by a religious leader from her community. When it came time to give birth, she labored for many hours before being taken to a hospital. Unfortunately, she ended up having a stillborn baby.

Because Sarah had labored for so long, she was left with a fistula, a hole between the vagina and anus, which causes leaking of urine and sometimes feces. What she had really needed was a Cesarean section, which is unavailable to so many women in developing countries.

“I had to live with fistula for twelve years.”

During those twelve years, she struggled with feelings of rage and shame at her plight. At one point, she ended up in a psychiatric ward, severely depressed, for several weeks. Ironically, being in that place saved her.

Staff at the ward told her there was a doctor who repaired fistulas and a month later, she had her fistula repaired.

“I realized I had something to offer back to the society in my capacity as a fistula survivor.”

After Sarah told the amazing and moving story of Sylvia, a Kenyan woman who had lived with fistula for 51 years, there weren’t very many dry eyes in the audience. Check out this seven-minute movie, “We Will Come to You”, about Sarah’s journey to find Sylvia in a remote village to bring her to the hospital for fistula repair surgery. This lovely film gave me goosebumps, especially the part when Sarah says Sylvia had been “expecting” her.

Currently, Sarah is One by One’s Outreach Manager in Kenya, training regional representatives to do outreach in their communities, refer women with fistula for treatment, and provide emotional support for these women when they come home after their surgery.

They’ve had amazing success in the short time since the program began in September 2011:

30 Regional Representatives were trained and have already educated 23,000 Kenyans in just six weeks.

Over 100 women with fistula have been found. You can learn more about Sarah’s story in the following video. Also be sure to learn more about fistula from our partner, Worldwide Fistula Fund.