Caesarean sections have been lifesaving procedures for hundreds of thousands of women across the world who experience complications during labour.
Globally, it’s estimated that just under 20% of births take place via caesarean section – a percentage that’s gone up over the last three decades. This has raised concerns, particularly in high-income countries where generally too many caesarean sections are performed.
But in many African countries women who are medically required to have caesarean sections are not able to access them. This is due to several reasons, the most prominent being weak health systems and a lack of resources.
This needs to be fixed as women in sub-Saharan African suffer from the highest maternal mortality ratio in the world. Close to 550 women die for every 100 000 children that are born. This amounts to 200 000 maternal deaths a year – or two-thirds of all maternal deaths per year worldwide.
PET bottles, one of the most widely used materials in the world, are used to package foods and drinks from soda and juices to salad dressings and cooking oils. It is also completely recyclable. In the United States alone, 1.5 billion pounds of PET bottles are recycled annually.
Throughout my travels to low and middle-income countries I see PET bottles thrown haphazardly in fields and streams clogging waterways and dirtying sidewalks and walking paths. In countries such as Nepal (where I visited last year with Coca-Cola), there are concerted educational efforts by environmentally focused NGOs to change behaviors around discarding PET bottles. There are recycling centers in Nepal, but not enough to completely clean its streets and countryside. It seems to be a sisyphean battle to combat PET bottle waste, but there are some who are using the bottles in innovative ways.
Nutrition of women before and during pregnancy and when breastfeeding is critical in determining the health and survival of the mother and of her unborn baby.
Undernourished pregnant women have higher reproductive risks. They are more likely to experience obstructed labour, or to die during or after childbirth. Poor nutrition in pregnancy also results in babies growing poorly in the womb and being born underweight and susceptible to diseases. These mothers also invariably produce low quality breast milk.
Maternal malnutrition has inter-generational consequences because it is cyclical. Poor nutrition in pregnancy is linked to undernourishment in-utero which results in low birth weight, pre-maturity, and low nutrient stores in infants. These babies end up stunted and, in turn, give birth to low birth weight babies. Optimal maternal nutrition is therefore vital to break this inter-generational cycle.
In Kenya, women’s nutritional needs during pregnancy has not received much attention. This has exposed a gap in efforts to improve maternal and child health.
“Helping families lift themselves out of poverty means helping them build income and wealth, but it is a social phenomenon as well,” wrote Steve Werlin, the author of To Fool the Rain: Haiti’s Poor and Their Pathway to a Better Life. “And one of the social change we try to effect involves working on the way members look at themselves.”
It is quite impressive how someone’s mind and attitude can alter and reset the course of one’s life. However, in order to eventually arrive at that mind reset some people require a substantive hand out, constant observation and follow-up; not simply a prescriptive hand up. When looking at the lowest income countries in the world like Haiti a vast array of NGOs work to alleviate some of its inherent problems with programs that address the root of poverty. Some provide work programs, educational programs, health care, or even microloan programs. But some of Haiti’s families are so extremely poor they cannot dream of qualifying for many of these programs because they have virtually nothing. In fact, they live in such cyclical poverty they cannot feed themselves on a daily basis, or even every other day. In Haiti’s deepest far reaches and unfathomable rural areas are families who live in abject poverty far away from roads and towns. They require the most cumulative social programs designed by worldwide NGOs that specialize in the nuances of poverty reduction and eradication.
In Haiti, for example, one of those social programs is called “Chemen lavi miyo (CLM)” in Creole or a Pathway to a Better Life that is run by Fonkoze, Haiti’s largest microfinance organization. Even as a microfinance enterprise Fonkoze realized that to reach the poorest Haitian families means to provide overarching programs that teach rural women who qualify for their CLM program financial and entrepreneurial skills as well as life and relationship skills.
I was in Nepal with Coca-Cola for a very short period of time earlier this month, but we did and saw a lot in the days we were there including:
(Day 1) How the local Coca-Cola bottling company is working with a Nepalese NGO that is rebuilding a community from scratch after the earthquake
(Day 2) How Coca-Cola is empowering businesswomen in their supply chain
On Day 3 we visited a PET (plastic) bottle recycling center run by the Himalayan Climate Initiative where we sat down with women waste workers who sort the bottles to be recycled. It was heartening to learn about the innovative ways HCI is providing benefits and dignity to the women waste workers who will remain in Nepal’s lowest caste for the rest of their lives.