----- Original Message -----
From: "Cheryl Brown" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, June 25, 2004 4:49 PM
Subject: Making pregnancy and childbirth safer - news from id21 Health
*** id21HealthNews Number 57, June 2004 ***
CONTENTS
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Making pregnancy and childbirth safer
Every minute, a woman dies from complications related to pregnancy and
childbirth - that means 1 600 deaths every day - more than half a
million deaths every year worldwide. 99% of these deaths occur in the
developing world. In addition, for every woman who dies in childbirth,
around 20 more suffer injury, infection or disease - approximately 10
million women each year. The vast majority of maternal deaths could be
prevented if women had access to - and used - skilled care during
pregnancy, childbirth and the first month after delivery, or to quality
family planning services, post-abortion care services and where
permissible, safe abortion services. Reducing the number of women dying
in childbirth by three-quarters by 2015 is one of the key goals of the
Millennium Declaration.
Research highlights focusing on pregnancy and childbirth in this edition
of id21healthnews are:
* Choosing a position: experiences of giving birth in Tanzania
* View-finder: pregnant women share their opinions about health care
* Targeting the causes of perinatal mortality in a Kenyan hospital
* Keeping it in the family: care during childbirth in rural Nepal
* Education and health care quality affect pregnancy outcomes in Malawi
OTHER NEWS
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* MSc in International Child Health launched at CICH, UCL
* The impact of quality of care on contraceptive use: evidence from
longitudinal data from rural Bangladesh
* Creating conditions for greater private sector participation in family
planning and reproductive health: benefits for contraceptive security
* Mental disorders in developing countries
* The sexual violence research initiative (SVRI)
********
Choosing a position: experiences of giving birth in Tanzania
Up to date and accurate information on best practice for maternity care
is not always available to practitioners in African countries. Women
giving birth in government hospitals may be subjected to outdated
practices, because midwives and birth attendants may not be aware of
effective interventions that can improve outcomes and women's
experiences during labour and delivery.
http://www.id21.org/health/h8hl1g1.html
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View-finder: pregnant women share their opinions about health care
The World Health Organisation (WHO) is testing a new streamlined model
of antenatal care. Researchers from the WHO Antenatal Care Trial
Research Group assess this model within the context of women's views on
pregnancy and health care services in Argentina, Cuba, Saudi Arabia and
Thailand.
http://www.id21.org/health/h8gn1g1.html
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Targeting the causes of perinatal mortality in a Kenyan hospital
Out of every hundred births, seven newborn babies do not survive the
first week of life in Africa. In developed countries only 1% of babies
die during this period. The London School of Hygiene and Tropical
Medicine, together with the Kenya Medical Research Institute, studied
the maternity ward of a rural Kenyan hospital to find the causes of
perinatal mortality, that is, stillbirth or death in the first week of
life.
http://www.id21.org/health/h9rw1g1.html
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Keeping it in the family: care during childbirth in rural Nepal
Giving birth in rural areas of developing countries is risky both for
mothers and their babies. Who provides the care, and how quickly
families seek help when there are complications, affects the health of
both mother and child. In rural Nepal, where birth attendants are often
untrained, response to danger signs, what practices are used and what
are the obstacles to seeking professional care are crucial.
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Education and health care quality affect pregnancy outcomes in Malawi
Of 585 000 maternal deaths worldwide each year, 99% are in developing
countries. What factors underlie this striking imbalance? Research
involving the Malawi College of Medicine and the Liverpool School of
Tropical Medicine studied this issue in a rural community in southern
Malawi. Maternal education and access to healthcare facilities influence
pregnancy outcomes, it showed.
http://www.id21.org/health/h8nb1g1.html
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OTHER NEWS:
-----------
MSc in International Child Health launched at CICH, UCL
http://www.ich.ucl.ac.uk/ich/html/academicunits/cich/html/Teaching/teach
ingprogrammes.html
A new MSc/ Graduate Diploma/ College Certificate programme in
International Child Health at the Centre for International Child Health,
University College London, will begin in September 2004. For further
details, please email: [log in to unmask], tel: +44 (0)20 7905 2119
or fax: +44 (0)20 7404 2062, or consult the webpage.
********
The impact of quality of care on contraceptive use: evidence from
longitudinal data from rural Bangladesh
http://www.popcouncil.org/frontiers/orsummaries/ors41.html
The Population Council/Frontiers in Reproductive Health Programme
(FRONTIERS) latest publication is a secondary analysis of survey data
from rural Bangladesh. It shows that the quality of care provided by
female outreach workers was strongly associated with the acceptance and
continued use of contraception, particularly among women with little
education.
********
Creating conditions for greater private sector participation in family
planning and reproductive health: benefits for contraceptive security
http://www.policyproject.com/abstract.cfm/1950
This policy brief from the POLICY Project provides an overview of
processes, strategies, and tools that developing countries can adopt to
foster complementary public/private sector roles that enhance the
private sector's contribution to contraceptive security. The brief
examines the roles of the public and private sectors in the provision of
contraceptives and condoms and describes strategies/mechanisms used at
both the policy and operational levels to mobilise the private sector.
Hard copies of the publication can be ordered for free from the POLICY
Project website.
********
Mental disorders in developing countries
http://www.who.int/mediacentre/notes/2004/np14/en/
In a new report published in the Journal of the American Medical
Association, the WHO World Mental Health Survey Consortium state that
'mental disorders are widespread, disabling and often go untreated'. The
authors call on countries to re-allocate their resources from treating
minor disorders to tackling the more serious cases. The report found
that between 76 and 85% of those surveyed in developing countries who
said they had suffered from a serious mental health disorder in the past
year had not received treatment.
********
The sexual violence research initiative (SVRI)
http://www.who.int/gender/violence/sexviolresearch/en/
SVRI is a project which aims to create a network of experienced and
committed researchers, policy makers, activists and donors who will work
together to ensure that the many aspects of sexual violence are
addressed. The objective of SVRI is to promote and disseminate action
oriented research to reduce and respond to sexual violence through:
Identifying gaps, building capacity, supporting research, raising
awareness and building partnerships. The SVRI will focus on the sexual
abuse and coercion of adult and adolescent women, child sexual abuse,
sexual torture and sexual violence in war situations, and trafficking in
women and girls for sex. The SVRI is funded by the Global Forum for
Health Research (GFHR) and currently hosted by the World Health
Organisation (WHO).
********
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id21HealthNews Number 57, June 2004
The id21 online collection contains thousands of policy-relevant
research digests on critical global development issues, drawn from
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