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Canada’s Role in Saving Women and Children
MDG 5 – Improving Maternal Health
Ottawa, March 8, 2010
Bridget LynchBoard Member, Partnership for Maternal, Newborn and Child Health (PMNCH)President, International Confederation of Midwives
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Millennium Development Goal (MDG) 5
Goal: Improve Maternal Health
Targets:
1. Reduce by three-quarters, between 1990 and
2015, the maternal mortality ratio
2. Achieve universal access to reproductive
health by 2015
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Progress on MDG 5 compared to MDG 4
MDG 4 MDG 5
Progress towards MDG 5 for 43 low-income countriesSource: High Level Taskforce on International Innovative Financing for Health Systems, Working Group 1 Technical Report
0
20
40
60
80
100
120
140
160
180
1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015
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der 5
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Under 5 mortality: MDG 4 trends to 2015
Actual expected MDG Target
0
100
200
300
400
500
600
1990 1995 2000 2005 2010 2015
Mate
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Maternal mortality: MDG 5 trends to 2015
MDG 5 Target
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TheStatistics…
500,000 women*
die in childbirth every year 99% of these deaths are in developing countries
50 million women
Suffer from a serious pregnancy related illness or disability following birth
1.2 million newborns
Die every year from complications of delivery
*NOTE: These numbers have not changed since the Safe Motherhood Project
was started in 1987 to reduce maternal mortality
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* other direct causes include ectopic pregnancy, embolism, anaesthesia-related** indirect causes include: anaemia, malaria, heart disease, HIV/AIDS.
Source: "Maternal Health Around the World" poster. World Health Organization and World Bank
* other direct causes include ectopic pregnancy, embolism
The Causes…
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AndLackingSkilledCareatDelivery…
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World Health Report 2005
TheMaps…
Highest Maternal Mortality Rates
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Hemorrhage
The Lancet 2006; 367:1066-1074, Khan et al
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Hypertensive DisordersThe Lancet 2006; 367:1066-1074, Khan et al
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Criticalworkforceshortages…
Source: The World Health Report 2006
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World Map Land Area
SASI group and M Newman 2006
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Absolute Poverty Globally
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War Deaths Globally
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Maternal Mortality Globally
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Infant Mortality Globally
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Availability of Affordable Drugs
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Distribution of Physicians
Slides SASI group and M Newman 2006
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Partnership for Maternal Newborn and Child Health (PMNCH)
Global health partnership launched in September 2005.
Forged a partnership of the maternal, newborn and child health (MNCH) communities
Alliance of 288 members to work towards achieving Millennium Development Goals (MDGs) 4 and 5.
Continuum of care across MNCH - Cornerstone of the Partnership’swork
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PMNCH Structure
Governed by Board Representing 6 Constituencies:
1. UN Agencies 'H4': World Bank, UNICEF, UNFPA, WHO
2. Research and academic institutions
3. Professional associations
4. Bilateral donors and foundations (eg Gates, USAid, DFID, SIDA)
5. Partner countries
6. Non-government organizations (NGOs)
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Value added of the Partner-Centric approach
Common identification of problems and goals
Reduction of overlapping of programmatic activities
More efficient use of funding
Collaboration of MNCH efforts at global, regional,
national and local levels
To ensure that the sum of the collaboration is greater
than the individual parts
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PMNCH Partners
6%5%
19%
8%
2%
60%
Donors and foundations Partner countries
Research and academic insititions Professional associations
Multilateral organizations NGOs
288 membersJuly 2009
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PMNCH Cornerstone: Continuum of care framework
Continuum of care framework includes: Time of care giving – linking skilled care from pregnancy
through postpartum maternal, newborn and child care
Place of care giving – linking the home to the community health centre and the various levels of hospital care
Continuum framework reinforces integrated: delivery of health services
human and financial resources
cohesive advocacy messages
While identifying: Programmatic, resource and health system gaps
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PMNCH Priority Actions Strategy and Work Plan 2009 - 2011
1. MNCH knowledge management system
2. MNCH core package of interventions
3. Essential MNCH commodities
4. Strengthening human resources for MNCH
5. Advocacy for increased funding and better positioning of
MNCH in the development agenda
6. Tracking progress and commitment towards MNCH
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MNCH Consensus StatementEvery pregnancy wanted, every birth safe, and every
newborn and child healthy
5 Priority Actions to accelerate progress on MDGs 4 and 5
1. Political leadership and community engagement;
2. A quality package of evidence-based interventions, delivered
through effective health systems;
3. Removing barriers to access, with services for services women
and children being free at the point of use where countries
choose
4. Skilled and motivated health workers, in the right place at
the right time with the necessary infrastructure, drugs,
equipment and regulations;
5. Accountability for results.
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Canadian Parliamentary Resolution
June 4, 2009
That this House renews its commitment to reducing maternal and newborn morbidity and mortality both
at home and abroad and supports Canadian leadership within government and civil society to
work within G-8 and as partners with UN agencies and appropriate initiatives to achieve this goal.
All-Party resolution unanimously approved by all Members of Parliament.