First global conference on maternal mortality

MDG 5

London, 18-20 Octobre 2007

Women should not die,

while giving live ….

Post-partum haemorrhage as a common lethal complication is a technical term for the raw reality of the world letting women bleeding to death at a large scale.

Five hundred million women die UN-NECESSARY each year, and this hurts.

The WOMEN DELIVER Planning Group

• Department of International Development, UK • Dutch Ministry of Foreign Affairs • Family Care International (Organizing Partner) • International Planned Parenthood Federation • Norwegian Agency for Development Cooperation • Partnership for Maternal, Newborn, & Child Health • Save the Children/Saving Newborn Lives • Sida, Swedish International Development Cooperation Agency  • UNICEF, United Nations Children's Fund • UNFPA, United Nations Population Fund • The World Bank • The World Health Organization

Dr. Asha-Rose Migiro • Mary Robinson • Thoraya Obaid • Helene D. Gayle • Nafis Sadik • Kate Gilmore • Dr. Bene Madunagu • Dr. Ana

Cristina González Vélez • Kavita Ramdas • Laurie Garrett • Geeta Rao

Gupta.

Gupta

• Children depend on women

• Households depend on women

• Communities depend on women

• Entire nations depend on women

UNFPA Executive Director Thoraya Obaid

Maternal health is the litmus test for the whole health system

We need to end the debate on vertical versus horizontal programmes, we need diagonal programmes.

WHO DG Dr Chan:

Think of the 4 Ps:

poor, powerless, pregnant, no political voice.

Who wants to be in such a position ?

Amnesty International

Womens’ rights are human rights.

• Sexual and reproductive rights are human rights.

• Protection of life does not threaten any religion.

• If women get more rights, this does not necessarily mean, that men have less rights, so there is no threat.

ILO

Women’s right in the workplace are hardly protected, especially maternity leave is an issue.

In AFRICA, 97% of the workforce has no social security at all !

Reproductive Risk Score Card

• Population Action Council.

• The report card, A Measure of Survival: Calculating Women’s Sexual and Reproductive Risk,

documents continuing stark disparities in reproductive risk between rich countries and poor ones.

• The framework looks at the “life cycle” of reproductive health and considers a woman’s risk at each point of the reproductive cycle:

(1) sex, (2) pregnancy, (3) birth, and (4) survival.

It judges risk for the first three events according to whether they are safe and whether or not they are voluntary.

Tool for intermediate indicators

Safe and healthy

Voluntary

Sex HIV prevalence among adults aged 15+ (%)

Adolescent fertility

Girls married before age 18 (%)

Pregnancy Antenatal care coverage at least 4 visits (%)

FP demand met (%)

Birth Births attended by skilled health personnel (%)

Abortion policies

Survival MMR

IMR

The nine indicators of a country’s reproductive risk for women are:

• Percent of HIV prevalence among adults 15 years or older; • Adolescent fertility rate (births per 1,000 women age 15-19); • Percent of girls married before age 18; • Percent of women receiving antenatal care in at least four visits; • Percent of family planning demand met; • Percent of births attended by skilled health personnel;• National policies on abortion; • Maternal mortality ratio (deaths per 100,000 live births); and• Infant mortality rate (deaths per 1,000 live births).

MDG5 en de ICCO Alliance

• Intensivering dialoog met gezondheidspartners over MDG5

• Aandacht voor monitoring ‘reproductive risk’

• Promotie van vroedvrouwen

• Promotie van Family Planning

• Acute obstetrische zorg vergt investering

• Reductie van geweld tegen vrouwen