Tag Archives: maternal mortality

Will Trump’s Global Family Planning Cuts Cause Side Effects?

Image 20170412 25875 nkcuv9
Actress and U.N. Population Fund Goodwill Ambassador Ashley Judd visited a refugee camp in Mafraq, Jordan in 2016.
AP Photo/Raad Adayleh


Written by Rachel Sullivan Robinson
, American University School of International Service

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.

Continue reading Will Trump’s Global Family Planning Cuts Cause Side Effects?

Despite Differences in Culture, US and India Fall Short in Childbirth in Similar Ways

Image 20170307 20739 1fsg95m
Woman in labor, shown with monitors. 

Neel Shah, Harvard Medical School

After eight years of practicing obstetrics and researching childbirth in the United States, I know as well as anyone that the American maternal health system could be better. Our way of childbirth is the costliest in the world. Our health outcomes, from mortality rates to birth weights, are far, far from the best.

The reasons we fall short are not obvious. In medicine, providing more care is often mistaken for providing better care. In childbirth the relationship between more and better is complicated. Texan obstetricians, when compared to their counterparts in neighboring New Mexico, are 50% more likely to intervene on the baby’s behalf by performing a cesarean section. Nonetheless, Texas babies still have a lower survival rate than New Mexican babies.

I long assumed that our most puzzling American health care failures were idiosyncrasies–unique consequences of American culture, geography, and politics. But a trip to India for the 2017 Human Rights in Childbirth meeting led me to a humbling realization: when it comes to childbirth, both countries fall short in surprisingly similar ways.

image-20170222-6422-vo4cbn
Neel Shah, center, pictured with Jishnu Das, a Lead Economist at the World Bank and Leslie Page, President of the Royal College of Midwives. Neel Shah, Author provided

Human rights in childbirth

I take care of patients in at a well-funded teaching hospital in Boston, where pregnant women seem well-respected and have clear, inviolable rights.

Continue reading Despite Differences in Culture, US and India Fall Short in Childbirth in Similar Ways

Video: The Global Gag Rule Explained

More than likely you have heard about the Global Gag Rule also known as the Mexico City Policy this week. You can learn more about it in a previous post: Why the Global Gag Rule Will Increase Maternal Mortality.

To get right to the point, however, Planned Parenthood released this video: What is the Global Gag Rule that explains it succinctly.

Why The Global Gag Rule Will Increase Maternal Mortality

Throughout my visits to clinics in Africa I have seen the work of Marie Stopes International in South Africa, Tanzania, Ethiopia as well as Zambia. They provide a full range of quality reproductive health services for women. I have always been impressed by the comprehensive care they provide. Now, their work will be hampered because of an imposed policy of the new administration.

dsc596f574b56e6a8e4c87beacd12caf096265_jpg_autocropped
Marie Stopes International health worker I met in Johannesburg, South Africa. Photo: Jennifer James

Yesterday morning President Trump signed an executive order to reinstate the Global Gag Rule, or Mexico City Policy, that prevents international NGOs that accept USAID (taxpayer) money from advocating for the legalization of abortions, provide abortions, mention the word, or even refer women to health practionioners that provide safe, legal abortions.

The Global Gag Rule was instated during the Reagan admininstration in 1984 and since then there has been a virtual seesaw effect between Republican and Democratic administrations regarding whether the Rule is reinstated or revoked. According to the WHO, 78,000 women die every year from unsafe abortions. Under Obama’s eight year administration, that number was reportedly decreased by more than half. Now, that President Trump has signed this executive order reinstating the Global Gag Rule, the fear among the global health community is that that number will rapidly skyrocket again.

Continue reading Why The Global Gag Rule Will Increase Maternal Mortality