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
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 mothers’ lives through inexpensive interventions that are conducive to low resource settings.
In many hospitals and health clinics, for example, power can go out at any moment requiring alternatives that allow health workers workarounds to the perpetual problem of power outages. In these settings, women can also experience life-threatening postpartum hemorrhage that requires immediate attention with interventions that stop bleeding. Additionally, some women do not have the money to afford the items needed during childbirth and innovators are solving those problems as well.
While maternal deaths have fallen 50 percent since 1990, in some countries the maternal mortality rate remains stagnant. Only half of expecting mothers in developing countries receive the health care they need to deliver healthy babies and to survive childbirth.
Below are five innovative interventions that are used in countries where maternal mortality is high in order to make a positive impact on saving mothers’ lives.
- Jhpiego: (Updated, May 11, 2017) While Jhpiego developed a “testing pen” to catch and diagnose eclampsia in its earliest stages the project did not move forward after rigorous testing. Safe Surgeries: Jhpiego has partnered with the GE Foundation, funder for the Safe Surgery 2020 Initiative, to ensure mothers have access to safe, affordable, life-saving caesarean sections in Ethiopia. With the help and input of Ethiopia’s Ministry of Health, Safe Surgery 2020 provides training, leadership skills, and updated procedures for safe surgeries at partner institutions in Ethiopia through implementing partner Jhpiego. The results have seen improved patient care and recovery, fewer surgery backlogs, reduced infections, and a holistic approach to safer surgeries.
- PATH: PATH created an antishock garment that controls postpartum bleeding by applying pressure to the lower body and forcing blood upwards and prevents hemorrhage. Postpartum hemorrhage is the number one cause of maternal deaths.
- PATH: PATH also developed a balloon tamponade to stop uterine bleeding early. While there are other balloon tamponades in the market, they are expensive and inaccessible, especially in the developing world.
- Ayzh: Ayzh produces kits with necessary materials for mothers and newborns living in poverty. These kits provide everything from medicine to clothes for the babies and make their lives that little bit easier.
- WeCareSolar: WeCareSolar provides “solar suitcases” full of lights, mobile communication devices, and medical machinery. This allows those devices to operate in areas without access to electricity.
Art provided by uzuriart.com.
President Donald Trump is leading an assault on family planning around the world.
Most recently, his administration cut off U.S. contributions to the United Nations Population Fund, which provides and funds reproductive health services in poor countries. That follows his reinstatement of what’s known as the “global gag rule,” the executive order enacted by all Republican presidents since Ronald Reagan barring foreign nongovernmental organizations (NGOs) that receive U.S. funding from even mentioning abortion.
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 into statistics, best practices, innovative tools and programs that save lives as well as feature and highlight the people and organizations that are making a difference to save the lives of women the world over.
Join us on November 8 at 1 PM EST with our first featured organization, Jacaranda Health. Jacaranda Health is a nonprofit social enterprise that provides high-quality, respectful, and low-cost maternity services to women in Kenya. Their innovations have resulted in 99.9% survival rates for newborns and mothers, 45% fewer maternal complications than nearby public hospitals in Kenya, and postpartum family planning rates that are 4x higher than the national average. To learn more about Jacaranda’s progress, view their 2015 impact report.
With all of the amazing work Jacaranda Health is doing, they can use your financial help. They are raising $10,000 for their Nairobi-based maternity hospital. Small donations really do make a difference!
We cannot wait to see you online on November 8 at 1:00 EST!
If you or your organization would like to be a part of our #maternalhealthchat please contact us at firstname.lastname@example.org.