Disease Control Priorities, Third Edition (Volume 2)


Book Description

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.




Social Dynamics of Adolescent Fertility in Sub-Saharan Africa


Book Description

This examination of changes in adolescent fertility emphasizes the changing social context within which adolescent childbearing takes place.




A History of African Motherhood


Book Description

This history of African motherhood over the longue durée demonstrates that it was, ideologically and practically, central to social, economic, cultural and political life. The book explores how people in the North Nyanzan societies of Uganda used an ideology of motherhood to shape their communities. More than biology, motherhood created essential social and political connections that cut across patrilineal and cultural-linguistic divides. The importance of motherhood as an ideology and a social institution meant that in chiefdoms and kingdoms queen mothers were powerful officials who legitimated the power of kings. This was the case in Buganda, the many kingdoms of Busoga, and the polities of Bugwere. By taking a long-term perspective from c.700 to 1900 CE and using an interdisciplinary approach - drawing on historical linguistics, comparative ethnography, and oral traditions and literature, as well as archival sources - this book shows the durability, mutability and complexity of ideologies of motherhood in this region.




In Her Lifetime


Book Description

The relative lack of information on determinants of disease, disability, and death at major stages of a woman's lifespan and the excess morbidity and premature mortality that this engenders has important adverse social and economic ramifications, not only for Sub-Saharan Africa, but also for other regions of the world as well. Women bear much of the weight of world production in both traditional and modern industries. In Sub-Saharan Africa, for example, women contribute approximately 60 to 80 percent of agricultural labor. Worldwide, it is estimated that women are the sole supporters in 18 to 30 percent of all families, and that their financial contribution in the remainder of families is substantial and often crucial. This book provides a solid documentary base that can be used to develop an agenda to guide research and health policy formulation on female health--both for Sub-Saharan Africa and for other regions of the developing world. This book could also help facilitate ongoing, collaboration between African researchers on women's health and their U.S. colleagues. Chapters cover such topics as demographics, nutritional status, obstetric morbidity and mortality, mental health problems, and sexually transmitted diseases, including HIV.




Unsafe Motherhood


Book Description

“[S]heds light not only on the obstacles to making motherhood safer, but to improving the health of poor populations in general.”—Social Anthropology Since 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Sololá, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women. The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally. From the Introduction: An unspoken effect of reducing maternal mortality to a medical problem is that life and death become the only outcomes by which pregnancy and birth are understood. The specter of death looms large and limits our full exploration of either our attempts to curb maternal mortality, or the phenomenon itself. Certainly women’s survival during childbirth is the ultimate measure of success of our efforts. Yet using pregnancy outcomes and biomedical attendance at birth as the primary feedback on global efforts to make pregnancy safer is misguided.




Healthy Beginnings


Book Description

Improving maternal health and reducing child mortality are among the eight UN Millennium Development Goals. This publication contains guidance on maternity protection in the workplace, focusing on measures that can be taken to establish a decent workplace and to identify workplace risks. The starting point is the Maternity Protection Convention (No. 183), adopted by the International Labour Conference in 2000 and its accompanying Recommendation (No. 191). The guide is intended for general use as a reference tool for employers, workers, trade union leaders, occupation health and safety advisors, labour inspectors and others involved in workplace health and maternity protection.




Where Have All the Mothers Gone?


Book Description

All over the world, even as you read this, mothers in poor countries struggle to deliver their babies without lifesaving medical care. This is, perhaps, the last unreached frontier of modern medicine. Walk with Dr. Jean Chamberlain Froese as she extends a hand of compassion and professional care to mothers in desperate danger. "In these days of high-tech medicine, it is refreshing that a doctor writes, first-hand, so passionately about people and their real lives. These moving stories should serve as a call for action by all who care." Professor Mahmoud F. Fathalla Past-President of the International Federation of Gynaecology and Obstetrics "Reading Dr. Chamberlain Froese's vignettes, I was moved to tears and anger and prayer for the women who live in such poverty of health care. She has captured the pathos, hope and despair of women who have so little of what we see as essential health care during pregnancy and delivery. I believe this book has a vital message that will open new dimensions in understanding and compassion." Becky Davey, RN, BS, MN, International Consultant for Medical and Educational Advance "The medicalization of health care in the West has lead to a 'laissez faire' attitude towards childbirth. Blending experience with passion, Dr. Chamberlain Froese confronts and dispels conventional thinking by unveiling the tragic realities of pregnancy-related complications. Reading this book makes you uncomfortable; and it should. It unfolds the plight of those who daily live on the fulcrum of life.or death." Dr. John D. Hull President, EQUIP International Atlanta, Georgia Dr. Jean Chamberlain Froese is a Canadian obstetrician/gynaecologist whose work has taken her to some of the many neglected mothers in the developing world: in Zambia, Zimbabwe, Pakistan, Ecuador, and most recently, Yemen and Uganda. When in Canada, she is based in Hamilton, Ontario, where she is an assistant professor at McMaster University and executive director of Save the Mothers. She is happily married to Thomas Froese, a freelance journalist. They have two children, Elizabeth and Jonathan.




Sowing the Seeds of Safe Motherhood in Sub-Saharan Africa


Book Description

In most areas of Sub Saharan Africa, it is expensive, dangerous, and unsafe to give birth especially when pregnancy is complicated by life threatening conditions. Safe caesarean section has a key role to play in making childbearing safer, but it costs around $300 or more, and in a continent where most people live on less than $1 per day, this is simply unaffordable to most households. Worse still, many cannot afford even the user fees charged. Additionally the public healthcare systems are run down and understaffed, often with demoralised, underpaid and poorly motivated workers, who often have to moonlight in order to supplement their wages. Poverty and inadequacies in existing healthcare services and public utilities are however not the only factors undermining safe motherhood in Africa. Governance structures are also weak and life for most people is harsh and chaotic. Religious doctrines, harmful cultural beliefs, and lack of education often reinforce women's inferior status, and the neglect that follows, especially during pregnancy, labour and puerperium combine to produce the appalling health statistics common in Sub-Saharan Africa today. For instance maternal deaths per 100,000 deliveries are close to 900, and for every 1000 children born, 100 die during the first week, and 130 weigh less than 2.5 kg at birth. Kelsey Harrison worked and researched on these issues for close to four decades and during that period published extensively in many of the most highly regarded peer-reviewed journals in medicine. This book is a selection of some of his publications in such journals as The Lancet, British Journal of Obstetrics and Gynaecology, British Medical Journal, Clinical Science and Journal of the Royal Society of Medicine between 1966 and 2010. Included in this volume is the groundbreaking Zaria Maternity Survey, which he initiated and whose results and recommendations are now being gradually accepted globally as the model for enhancing maternal health in Sub-Saharan Africa.




Reducing Birth Defects


Book Description

Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.




Safe Motherhood in a Globalized World


Book Description

This book provides cutting edge information on safe motherhood in a global context. The chapters focus on research, program development and implementation, and policy dealing with various aspects of pregnancy, labor and delivery. Safe motherhood is a critical issue since healthy, safe motherhood is the prerequisite for a healthy, productive society. Writing about the situation in their countries, the authors are from Eastern Europe, America, Asia and Africa and are academic scholars and health practitioners. The book is multidisciplinary with scholars from sociology, gender studies, economics, social policy, social geography, population management and political science. Topics include lactation policy and misunderstandings of lactations in African countries and in the United States; postnatal stress disorder that is either understudied or not considered as a problem in many developing countries; potential causes of a decline of maternal health in democratizing states; the effect of geographical environment on reproductive health; and revelation of mysteries of consequences of pre-birth pain in the early life of children. Case studies provide examples of successful model programs. Solutions offered are based on utilizing available resources and technology in ways that maximize education and training of local health professionals and family members. This book was published as a special issue of Marriage and Family Review.