Building Health Systems that Work for Mothers, Newborns and Midwives

By Catharine Taylor

Catharine Taylor, a former practicing midwife, is the Vice President of the Health Programs Group at Management Sciences for Health (MSH). This post originally appeared on MSH’s Global Health Impact Blog

A midwife leads a pregnancy club in eastern Uganda. (Photo: Kate Ramsey/MSH)

For many people living in poor and underserved regions – whether rural communities or growing cities – midwives are the health system. Continue reading “Building Health Systems that Work for Mothers, Newborns and Midwives”

Person-centered group antenatal care in Eastern Uganda: Reaching women through pregnancy clubs

By Shafia Rashid and Kate Ramsey

Shafia Rashid is a Principal Technical Advisor for the FCI Program of Management Sciences for Health (MSH). Kate Ramsey is Senior Principal Technical Advisor for maternal and newborn health at MSH.

Women examine cards depicting health information during a pregnancy club session in eastern Uganda. (Photo: Kate Ramsey/MSH)

Improving the quality of care that women experience during pregnancy, childbirth, and the postpartum period has become a major global priority. Achieving good quality care requires not only clinical improvements, but also a person-centered approach that takes into account women’s and health workers’ needs and perspectives.

In 2016, the World Health Organization (WHO) updated its antenatal care guidelines, calling for a positive pregnancy experience through holistic, person-centered antenatal services that provide pregnant women with emotional support and advice in addition to the standard clinical assessments.

Group antenatal care, initially developed in the U.S. several decades ago, is a promising model that responds to women’s health and information concerns during pregnancy. Facilitated by a health provider, usually a nurse or midwife, group antenatal care offers a forum for pregnant women to learn more about their pregnancies, share their experiences, receive essential health and self-care information, and provide  social and emotional support to each other within the group. Health care providers meet individually with group participants after the group sessions  for routine physical and clinical care and to discuss any confidential issues. Group antenatal care can also benefit health care providers through increased job satisfaction without substantially increasing the amount of time required. Continue reading “Person-centered group antenatal care in Eastern Uganda: Reaching women through pregnancy clubs”

From fronteras to frontlines, Mexican midwives saving lives

Ariadna Capasso is senior technical advisor for the FCI Program of Management Sciences for Health (MSH). This post originally appeared on the MSH Health Impact Blog

Over the past year, Tijuana, Mexico, has seen an influx of U.S.-bound Haitian migrants fleeing communities left in disrepair from the 2010 earthquake and further devastated by Hurricane Matthew in October 2016. These migrants often begin their journey in Latin America and trek through multiple countries and hostile terrain only to find they cannot enter the U.S. once at the border. Among the stalled Haitian migrants living in makeshift shelters as they contemplate their next steps, pregnant women face another uncertainty: whether they or their baby will languish during pregnancy and childbirth without access to skilled maternal and newborn health care.  Recognizing this health crisis, a group of midwives, Parteras Fronterizas (Borderland Midwives in English), arrived on the scene to provide antenatal and safe childbirth care, with help from women who translated from Spanish or English to Haitian Creole.

Parteras Fronterizas embodies the reason we celebrate the International Day of the Midwife–to honor the many midwives around the world who work on the frontlines to deliver high-quality, respectful care to women and newborns during pregnancy and childbirth. At the Third Regional Forum of the Mexican Midwifery Association in late April 2017, traditional and professional midwives, medical doctors, health managers, doulas and midwifery students gathered together to share midwifery practices and strategies for advancing the midwifery profession in Mexico.

Indigenous midwives’ centre, Chiapas, Mexico
Photo credit: Simon Chambers/PWRDF

Continue reading “From fronteras to frontlines, Mexican midwives saving lives”

Perspectives on Monitoring Progress Toward Ending Preventable Maternal Mortality: Highlights from CUGH 2017

By: Meg O’Connor, Project Manager, Maternal Health Task Force, Women and Health Initiative, Harvard T.H. Chan School of Public Health

This post originally appeared on the Maternal Health Task Force blog.

Photo: MHTF

Earlier this month, global health experts (and students aspiring to be experts) from around the world gathered for a series of presentations, panels and posters at the 2017 Consortium of Universities for Global Health (CUGH) Conference in Washington, D.C. The panel titled “Perspectives on Monitoring Progress Toward Ending Preventable Maternal Mortality: What Measures Matter?” provided an opportunity to discuss the monitoring framework developed to accompany the Strategies toward ending preventable maternal mortality (EPMM) report released in 2015. The panel was moderated by Mary Ellen Stanton, Senior Maternal Health Advisor at USAID, and included Rima Jolivet, Maternal Health Technical Director of the Maternal Health Task Force, Elahi Chowdhury of icddr,b (Bangaldesh) and Chibugo Okoli of the Maternal Child Survival Program (MCSP, Nigeria). Representing maternal health monitoring at the global, national and facility-levels respectively, the panelists provided insights from their unique perspectives and highlighted the importance of the EPMM monitoring framework. Continue reading “Perspectives on Monitoring Progress Toward Ending Preventable Maternal Mortality: Highlights from CUGH 2017”

Healthy Women, Healthy Nations

By Fatimata Kané

Fatimata Kané is Project Director of the FCI Program of MSH in Mali. This article originally appeared on the MSH Health Impact Blog. Read this article in French

Photo: Catherine Lalonde

Putting a child on the earth is a whole different type of work. Not everyone can guide a woman and her baby safely through pregnancy and childbirth.

I know what it means to keep women and babies alive and healthy because I am a midwife. Continue reading “Healthy Women, Healthy Nations”

Femmes saines, nations en santé

Par Fatimata Kané

Fatimata Kané est directrice  du programme FCI de MSH au Mali.

Photo: Catherine Lalonde

Mettre un enfant au monde est tout un travail différent. Tout le monde peut aider quelqu’un qui est malade, mais tout le monde ne peut pas faire le travail d’une sage-femme–guider une femme et son bébé en toute sécurité pendant la grossesse et l’accouchement. Je sais ce que signifie garder les femmes et les bébés vivants et en bonne santé parce que je suis une sage-femme. Continue reading “Femmes saines, nations en santé”

Beyond reproductive and maternal health: Non-communicable diseases and women’s health

On March 15, 2017, Management Sciences for Health (MSH), the Ministry of Foreign Affairs of Denmark, Women Deliver, Novo Nordisk, and the NCD Alliance, of which MSH is a steering committee member, hosted a panel discussion during the Commission on the Status of Women to call for the integration of the prevention and treatment of non-communicable diseases (NCDs) into the reproductive, maternal, newborn, child, and adolescent health continuum of care. The following post summarizes the key messages from the side event and offers recommendations for further action.

Photo by Kristina Sperkova (via Twitter)

Women are essential to a vibrant, healthy economy. Women are producers, caretakers, and consumers–and when they are oppressed and devalued, the economy stalls. Women’s full participation in the workforce is contingent on their ability to realize their fundamental human rights, including the right to health. Continue reading “Beyond reproductive and maternal health: Non-communicable diseases and women’s health”

Global and national maternal mortality targets for the Sustainable Development Goals

By: Rima Jolivet, Maternal Health Technical Director, Maternal Health Task Force; Sarah Hodin, Project Coordinator II, Women and Health Initiative, Harvard T.H. Chan School of Public Health

This post originally appeared on the MHTF Blog.

There has been some confusion recently about the Sustainable Development Goals (SDG) target for reducing global maternal mortality. The SDG global target is to reduce the global maternal mortality ratio (MMR) to less than 70 per 100,000 live births by 2030. In addition to this global target, there are separate country-level targets: The primary national target is that by 2030, every country should reduce its MMR by at least two-thirds from its 2010 baseline. The secondary target, which applies to countries with the highest maternal mortality burdens, is that no country should have an MMR greater than 140 deaths per 100,000 live births by 2030.

Continue reading “Global and national maternal mortality targets for the Sustainable Development Goals”

Universal health coverage and gender

By Stacy Lu

This interview with Kiley Workman Diop originally appeared on the blog for Systems for Improved Access to Pharmaceuticals and Services (SIAPS), a program funded by USAID and implemented by Management Sciences for Health. This interview has been edited for length. 

Kiley Workman Diop is a Technical Advisor for SIAPS, and Stacy Lu is a Technical Writer for SIAPS.

A pharmacist with a client at the pharmacy for the the Hospital Notre Dame des Palmistes, Ile la Tortue, Haiti  (Photo credit: Jean Jacques Augustin)

How does attention to gender figure into the work SIAPS does in strengthening pharmaceutical systems?
In public health, when you’re designing an intervention you’re trying to think broadly about what’s going to help the whole population. But you also need to pay special attention to vulnerable groups, including groups that derive their vulnerability from their gender. In a broad sense, it’s about equity—if half the population (whether men or women, boys or girls) isn’t being served appropriately by our interventions, that dilutes SIAPS’s success and we miss out on achieving equitable access to medicines and services that help save lives. We have to think about gender to ensure equitable access to quality care.

Continue reading “Universal health coverage and gender”