It is heartening to see progress in the fight against malaria. Over the past thirty years and with hundreds of millions of dollars invested thus far, the RTS,S malaria vaccine was officially rolled out yesterday in Malawi. In 2017, I wrote about the vaccine trials that began in 2009 and the announcement of the three countries that had been chosen for the vaccine rollout: Kenya, Malawi, and Ghana. In clinical trials, the vaccine was found to prevent approximately 4 in 10 malaria cases, including 3 in 10 cases of life-threatening severe malaria. Now two years later the vaccine is officially in use to curb the unnecessary deaths of hundreds of thousands of African children under the age of five. The Malaria Vaccine Implementation Program will continue through 2022.
On Tuesday the first congressional caucus on black maternal health launched on Capitol Hill. Led by Democrat congresswomen Rep. Alma Adams (D-NC) and freshman Rep. Lauren Underwood (D-Il.) the caucus’s mission is to ensure black women are not dying senselessly during or after childbirth
As has been noted here many times before black women experience maternal mortality rates four times higher than white mothers no matter black women’s socioeconomic status or even the level of education achieved. In general, the United States has the highest maternal mortality rate of any developed country. Black women fare the worst.
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.
Q&A with NACCHO Board Member Sandra Elizabeth Ford, MD, MPH
Director of the DeKalb County Board of Health
A baby is born with a birth defect in the United States every 4.5 minutes, according to the Centers for Disease Control and Prevention (CDC). Birth defects are defined as any structural changes present at birth that affect how the body looks, works, or both, and they can vary from mild to severe. While not all birth defects can be prevented, there are concrete steps pregnant mothers can take to increase the chances of giving birth to a healthy baby. In honor of National Birth Defects Prevention Month, the CDC released a resource guide providing pregnant moms tips for preventing birth defects.
In addition to guidance provided by CDC, many local public health departments provide prenatal care for expectant moms. Below is Q&A with National Association of County and City Health Officials (NACCHO) Board Member Dr. Sandra Elizabeth Ford, Director of the DeKalb County Board of Health in Georgia. NACCHO represents the nation’s 3,000 local health departments.
If you had US$1 million to give to charities aiming to eradicate poverty, how would you do it?
Would you support a soup kitchen? A financial literacy program? Educational scholarships? Organizations pressing for policy changes?
I worked for nonprofits for many years before realizing the way I approached solving social problems said more about me than it did about the problem I wanted to solve. If I really wanted to make a difference, I had to think about how I was thinking about the problem. And, if I wanted to make a difference at a broader level, I had to help donors and nonprofit leaders think about how they think.
Nonprofit fundraisers consider many demographic characteristics to explain and predict charitable giving, such as age, gender, income, and marital and parental status. As far as I could tell, no scholars had considered “how people think” as a category worth considering.
My quest led me to obtain my Ph.D. and learn to analyze how an individual’s thinking changes over time. Along the way, I found that how people construct their ideas influences their philanthropic choices, and that how donors think is as important as what they think.
How donors think
Human beings develop increasingly complex ways of making sense of the world over the course of a lifetime. To a large extent, this is intuitive – you probably expect a 20-year-old to think about many things differently than a 50-year-old. How people think, however, is largely unconscious. People are rarely aware of how they are thinking in the moment.