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.
Nongma Sawadogo dirige le travail sur la santé des femmes et des enfants pour le programme FCI de Management Sciences for Health (MSH) au Burkina Faso. Cet article est apparu sur le blog K4Health.
Quand j’étais en formation pour devenir sage-femme, une hôtesse de l’air, sans argent et dans un état critique, se présentait à la maternité de l’hôpital Yalgado Ouédraogo de Ouagadougou, après avoir eu recours à un avortement raté. Mes collègues et moi avons cotisé de l’argent afin de lui procurer ses médicaments essentiels, mais malheureusement elle a succombé à ses saignements (hémorragie)- malgré le fait que nous lui avons administré ses médicaments.
Nous étions choqués. Et je pensais que nous devons absolument faire quelque chose pour améliorer la santé reproductive des femmes. Quand je pense que cette femme aurait pu être sauvée si seulement elle avait eu accès à la planification familiale. Cela m’a rappelé la raison pour laquelle je voulais devenir sage-femme (maïeuticien) – pour sauver des êtres humains.
Nongma Sawadogo leads work on women’s and children’s health for the FCI Program of Management Sciences for Health (MSH) in Burkina Faso. This article originally appeared on the K4Health Blog.
When I was in training to become a midwife, a flight attendant, with no money and in critical condition, arrived at the maternity ward of Yalgado Ouédraogo hospital in Ouagadougou after getting a botched abortion. My colleagues and I put money together to buy her essential medicines, but she eventually died–even after we administered the medicines. We were shocked. And I thought, we must do something to improve women’s reproductive health. When I think that this woman could have been saved if she’d had access to family planning earlier, I’m reminded of my reason for becoming a midwife–to save human beings.
Shafia Rashid is Senior Technical Advisor at the FCI Program of Management Sciences for Health.
In June 2013, Imtiaz Kamal–a crusader for midwifery and women’s health–celebrated Pakistan’s official recognition of the essential maternal health medicine, misoprostol, which has proven easy to administer, safe and effective for preventing and treating excessive postpartum bleeding. “Given the high prevalence of home births,” Imtiaz explained, “we need to invest in solutions, such as misoprostol, that save lives now, until we can achieve the long-term goals of strengthening health systems and increasing rates of facility births.” Continue reading “EML Search: New resource for reproductive and maternal health advocates”
Nongma Evariste Sawadogo is a trained midwife. He joined Family Care International (FCI) two years ago as a program officer and managed Burkina Faso’s reproductive, maternal, newborn and child health (RMNCH) projects. He will soon join Management Sciences for Health (MSH) as a member of the recently launched FCI Program.
Nongma is passionate about improving RMNCH in his country and community. He works with community-based organizations, leads workshops, provides technical support to community health facilities, and evaluates projects to advance RMNCH and to ensure the greatest impact for women and children.
Amy Boldosser-Boesch is the Interim President and CEO at Family Care International. This article originally appeared on the Maternal Health Task Force blog as part of a series for the Global Maternal and Newborn Health Conference, October 2015 in Mexico City.
The year 2015 has been one of dramatic movement for global maternal and newborn health—from the end of the Millennium Development Goals to the beginning of a universal and even more ambitious global agenda. The Global Maternal and Newborn Health Conference is a key moment to examine how the Sustainable Development Goals will help ensure and improve quality of care, integration and equity. I’m pleased to see on the conference program a focus on midwives, a key partner in turning the conference themes and focus into a reality for women and their families everywhere.
At this crossroads moment in global development, it’s a travesty that the countries burdened with 92% of the world’s maternal and newborn deaths have only 42% of the world’s midwives, nurses and doctors. Even though we have the medicines and the technology to make sure no woman or newborn dies from preventable causes, a person’s place of residence often still determines whether–and how–she will live or die. This is simply unacceptable. Fortunately, skilled midwives can prevent up to two-thirds of maternal and newborn deaths, and in doing so can turn around health care in their communities, according to UNFPA’s State of the World’s Midwifery Report 2014.
Salimata Sourgou comes from Ouagadougou, Burkina Faso. She joined FCI as an administrative assistant in our office in Ouagadougou, and since last year, she has worked as a program assistant on the Mobilizing Advocates from Civil Society (MACS) project, which brings together civil society organizations and equips them with skills to be effective advocates. We spoke with her about her work as a member of the FCI Burkina Faso team.
Evaluating advocacy is far from simple. Advocacy is not straightforward, as advocates often need to readjust strategies to influence decision-makers when government leaders and policies change. So it’s often difficult to attribute a policy success to a specific advocacy effort. We are grappling with these challenges firsthand as we evaluate our advocacy project Mobilizing Advocates from Civil Society (MACS).
Catherine Lalonde is the senior program officer for the Francophone Africa program.
Saving the lives of women and children around the world is a team effort. It takes the voices of community and religious leaders, health professionals, concerned citizens, young people, and impassioned activists to effect change. Prioritizing women’s and children’s health requires sustained advocacy.
Yet, determining whether certain advocacy efforts are actually achieving desired results—evaluating an advocacy program—is challenging. Through the evaluation of our Mobilizing Advocates from Civil Society (MACS) project, which brings together civil society organizations and equips them with skills to be effective advocates, we are reflecting on what it means to evaluate advocacy.
Manuela Garza is an independent consultant and is co-founder of Colectivo Meta. She is currently engaged as a consultant to FCI’s Mobilizing Advocates from Civil Society (MACS) project, on which she works to build the budget analysis skills of health-focused civil society organizations in Burkina Faso.
For the past seven years, it was my good fortune to work at a job that allowed me to work with brave and committed activists in interesting and beautiful places. As a staff member of the International Budget Partnership, I found myself in Mombasa, Kenya, where ordinary citizens conducted ‘social audits’ to claim their communities’ fair share of government financial resources; in Abbottabad, Pakistan, where 500 women and men voiced their priorities for spending of earthquake rehabilitation funds; in Beijing, where civil society groups were trained to pursue budget transparency and accountability in a context where silence rules; and in Abbra, a remote region in the Philippines, where rural villagers have advocated for and achieved truly participatory budgeting.
In recent months, FCI’s MACS initiative has been working in Burkina Faso to strengthen the capacity of civil society groups to effectively advocate for more and smarter spending of public funds to improve reproductive, maternal, newborn, and child health in their communities. Last October, I was engaged, together with my Malian colleague Boubacar Bougodogo and Burkinabé budget researcher Hermann Doanio, to develop and facilitate a weeklong workshop to train grassroots advocates to understand and engage with public budgets. We arrived in Ouagadougou, Burkina’s capital, on a calm and warm West African evening, all of us ready with our slides on the budgeting process, our spreadsheets, our budget calculation formulas, and our case studies. Business as usual, or so we thought.
Little did we know that, in the course of that week, the citizens of Burkina Faso would overthrow the dictator who had been ruling the country for the past 27 years. Thousands of people (young people, mostly) took to the streets with a very clear message for President Blaise Campaoré: they wanted him out, for good. They were no longer willing to tolerate corruption and abuse of power, they declared: Burkina is ready for democracy.
In the midst of these historic events, you may be wondering, what did our Burkinabé colleagues, who had put this week aside for budget training, do? Was the workshop still relevant during these revolutionary days? Of course, every participant was closely watching the dramatic events taking place outside the training venue; each participant was concerned and worried about what they would mean for their families and their country. At the same time, however, they remained committed to take full advantage of this unique opportunity to learn about a new tool that will enable them to carry out evidence-based advocacy. They stuck around, they learned, and they questioned; they talked about their country, about change, and about what these new skills could help them achieve. They discussed the potential for how things could change, including in the way that the government sets priorities and spends public money— that is, the people’s money!
Is budget accountability still relevant in a context of earthshaking change? My experience says that it is. Revolutions are tricky things: countries and their institutions can change either for better or for worse, and conditions may take a long time to stabilize. If change is managed wisely and stability returns quickly, as seems to be happening in Burkina, revolution can provide an opportunity for a fundamental shift in the balance of power—toward the people. This can vastly increase the possibility of reshaping inefficient and corrupt institutions, of fostering new structures that institutionalize transparency and accountability. In a country like Burkina Faso, accountability for public resources is an essential element of overall accountability.
In this context, investing in building the skills of civil society groups is crucial, because the significance and sustainability of positive change largely depends on a well-organized and well-prepared civil society. These are the times when advocates and grassroots organizations most need support, when citizens most need to develop new knowledge and skills in civic participation, when accountability and participation-related processes are more necessary than ever. The MACS project is doing just that, and FCI’s local partners in Burkina Faso will continue to arm themselves with new tools such as budget analysis, so that their advocacy has more impact, their voices are heard, and they can be effective forces for real, sustainable change.
Good luck to them and to Burkina Faso–a country that many people cannot even locate on a map but which has a lot to teach us when it comes to citizen power!