Estrategias de abogacía para promover la partería en México

Por Eliana Monteforte y Aishling Thurow

(Read the English version here.)

Fotografía por Eliana Monteforte/ MSH

Las parteras son la primera línea en la atención en salud materna, y pueden constituirse en potentes defensoras de cambios ya que conocen los enormes obstáculos que atentan contra su capacidad de brindar una atención de cálida a cada mujer que reciben en su centro de salud o su comunidad. Ellas conocen perfectamente las necesidades en salud de las mujeres y sus bebés debido a que trabajan cada día para satisfacer dichas necesidades. Identifican las limitaciones en los sistemas de salud – en términos de recursos, personal, establecimientos y políticas- y permanentemente bregan para solventarlas. Y manifiestan abiertamente sus necesidades de capacitación, supervisión y políticas más justas, porque a esta labor que han dedicado sus vidas y representa su sustento.

El gobierno mexicano ha sido receptivo a la necesidad de fortalecer el rol de la partería profesional en el continuo de atención a la mujer, y las parteras han aprovechado esta voluntad política para hacer incidencia política a favor de su profesión en sus respectivos estados.  En febrero de 2018, el Programa de FCI en MSH, con apoyo de la Fundación John D. and Catherine T. MacArthur convocó a equipos de parteras y profesionales de salud de cinco estados mexicanos a que desarrollaran planes estratégicos de abogacía. El propósito del taller fue promover políticas estatales que permitan a las parteras brindar una atención de calidad y respetuosa a las mujeres, las adolescentes y los recién nacidos. Continue reading “Estrategias de abogacía para promover la partería en México”

Advocacy strategies for advancing midwifery in Mexico

By Eliana Monteforte and Aishling Thurow

(Leer la versión de español aquí.)

Eliana Monteforte is a Senior Technical Advisor, and Aishling Thurow is a Project Support Associate at Management  Sciences for Health

Photo by Eliana Monteforte/ MSH

Midwives can be powerful advocates for change because, as frontline health workers, they know all too well the enormous challenges that threaten their ability to deliver high-quality care to every woman they see in their clinic or community.  Midwives understand the health care needs of women and newborns because they work to meet those needs every day. They see the gaps in their health care systems–in resources, staffing, facilities, and policies–because they continuously struggle to fill those gaps. And they speak the truth about their needs for training, support, and enabling policies–because this is the job to which they have dedicated their lives and livelihoods.

The Mexican government is receptive to strengthening the role of professional midwifery in the continuum of women’s health care, and midwives are ready to leverage this political will to advocate for their profession in their respective states. In February, the FCI Program of MSH, with support from the John D. and Catherine T. MacArthur Foundation, convened teams of midwifery providers from five Mexican states to develop advocacy strategies to advance state-level policies that enable midwives to provide high-quality, respectful care for women, adolescents, and newborns. Continue reading “Advocacy strategies for advancing midwifery in Mexico”

Midwives of Hidalgo

Videographer: Pablo Romo Alvarez

Professional midwives provide lifesaving care to women and newborns. The government of Hidalgo state, Mexico, has launched a comprehensive midwifery program that aims to improve maternal health outcomes while providing services to women along the continuum of care, from pre-pregnancy to delivery and the immediate postnatal period

With funding from the John D. and Catherine T. MacArthur Foundation, the FCI Program of MSH works with midwives and maternal health service providers to strengthen advocacy and build evidence for midwifery practice in six states in Mexico.

 

 

Targeting Gestational Diabetes During Antenatal Care: Experience from Ethiopia

By Mebrahtu Abraha Gebremikael, Elke Konings and Christie Roberts, Management Sciences for Health (MSH)

This article originally appeared on the blog for the Maternal Health Task Force (MHTF)

Photo by Warren Zelman

Even as more women in Ethiopia are receiving antenatal care (ANC) services, coming earlier in their pregnancies and more frequently for care, maternal mortality remains high. The leading causes of maternal death include hypertension, eclampsia, hemorrhage and obstructed labor, all of which are more common among women with gestational diabetes, or high blood sugar that is detected during pregnancy. Gestational diabetes can also have serious effects on babies, including abnormal birth weight, congenital malformation, respiratory distress syndrome or stillbirth. Evidence suggests that gestational diabetes is highly treatable and, since it is associated with other conditions, there may be opportunities for integrated treatment approaches. But pregnant women in Ethiopia are rarely screened for this condition, which contributes to gaps in diagnosis and the measurement of prevalence. In fact, it is not clear how widespread the problem is around the world: Varying estimates show gestational diabetes affecting less than 1% to as many as 28% of pregnant women globally. Continue reading “Targeting Gestational Diabetes During Antenatal Care: Experience from Ethiopia”

Scenes from Midwifery Training: Helping Mothers Survive

By Nongma Sawadogo and Alanna Savage

Nongma Sawadogo leads work on women’s and children’s health for the FCI Program of Management Sciences for Health (MSH) in Burkina Faso, and Alanna Savage is senior communications specialist for the FCI Program of MSH. 

Burkina Faso has unacceptably high national rates of maternal and newborn mortality, but health indicators are the poorest in the Sahel, North and East where many more women and children are dying from preventable causes due to poor quality of care.

With support from Johnson & Johnson and working closely with the Division of Family Health, the Ministry of Health, UNFPA, the School of Public Health and national midwifery associations, the FCI Program of MSH is leading an intensive training, supervision and mentorship program to improve midwives’ mastery of life-saving clinical skills. The training program covers three modules: (1) compassionate care for mothers and newborns, (2) Helping Mothers Survive, and (3) Helping Babies Breathe.

Continue reading “Scenes from Midwifery Training: Helping Mothers Survive”

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”

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”

Countdown to 2015 becomes Countdown to 2030

By Sarah Hodin, Project Coordinator II, Women and Health Initiative, Harvard T.H. Chan School of Public Health

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

CountdownCountdown to 2015 for Maternal, Newborn and Child Survival (“Countdown”) was established in 2005 in response to The Lancet Child Survival Series with the goal of monitoring countries’ progress toward achieving Millennium Development Goals 4 (reduce child mortality) and 5 (improve maternal health) by 2015. Countdown is led by a team of multi-disciplinary leaders in the maternal and child health field, including researchers, governments, international agencies, professional organizations and other stakeholders. Now that the world has adopted the Sustainable Development Goals (SDGs), Countdown has extended its work to monitor progress toward achieving SDG 3 (ensure healthy lives and promote wellbeing for all at all ages) by 2030. Continue reading “Countdown to 2015 becomes Countdown to 2030”

Global Leaders in Maternal Newborn Health: Maria Fernandez Elorriaga (Mexico)

By Kayla McGowan, Project Coordinator, Women and Health Initiative, Harvard T.H. Chan School of Public Health

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

In July 2016, global leaders gathered for the second annual Safe Mothers and Newborns Leadership Workshop (SMNLW) hosted by the Maternal Health Task Force (MHTF) in partnership with the Barcelona Institute for Global Health (ISGlobal) and The Aga Kahn University and sponsored by the Bill & Melinda Gates Foundation. The participants represented 26 countries from five continents.

Maria Fernandez Elorriaga (Mexico)SMNLW participant Maria Fernandez Elorriaga is the principal investigator and technical coordinator of a study investigating the use of the World Health Organization (WHO) Safe Childbirth Checklist to improve the quality of institutional delivery in Mexico. Maria is also co-investigator on two more studies of implementation science in maternal and perinatal care. In addition, Maria has worked as a primary and community care nurse in Spain, as a regional nutrition coordinator in Malawi and as child health and nutrition coordinator in the Sahrawi refugee camps in Tindouf, Algeria. Continue reading “Global Leaders in Maternal Newborn Health: Maria Fernandez Elorriaga (Mexico)”