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Mariana Widmer Improving Maternal and Newborn Health

Contribution of Faith Based Organizations to maternal and newborn health care in developing countries. Mariana Widmer Improving Maternal and Newborn Health Department of Reproductive Health and Research World Health Organization. The World Health Organization.

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Mariana Widmer Improving Maternal and Newborn Health

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  1. Contribution of Faith Based Organizations to maternal and newborn health care in developing countries Mariana Widmer Improving Maternal and Newborn Health Department of Reproductive Health and Research World Health Organization

  2. The World Health Organization • 1 Headquarter (global policies) • 6 Regional offices (adapt global policies to regional needs) • 147 country offices (advise MoHs and provide assistance)

  3. Family and Community Health Cluster AssistantDirector-General Partnership for Maternal, Newborn and Child Health ManagementSupport Unit Making Pregnancy Safer (Country Support) Child and Adolescent Health and Development Gender, Women and Health Immunization, Vaccines and Biologicals Ageing and Life Course Programme Reproductive Health and Research IVR HRP PDRH

  4. Why does maternal and newborn health matter? 05_XXX_MM4

  5. Maternal mortality estimates 2005 Source: WHO/UNICEF/UNFPA, 2007

  6. Causes of maternal death (a) Indirect causes 20% Severe bleeding (haemorrhage) 25% Other direct causes 8% Unsafe abortion 13% Infections 15% Obstructed labour 8% Eclampsia 12% a Total is more than 100% due to rounding. (Source: World Health Report, 2005)

  7. The presence of a skilled attendant at delivery is associated with lower MMR 2000 1800 Y Linear (Y) 1600 1400 1200 Maternal deaths per 100,000 live births 1000 800 600 400 200 0 0 10 20 30 40 50 60 70 80 90 100 % skilled attendant at delivery

  8. Public expenditure on health as proportion of general expenditure in African countries, compared with Abuja target of 15% (Martines et al., Lancet, 2005)

  9. ~ 30-70% health infrastructure in Africa is run by FBOs FBOs continue to make a significant impact with their services worldwide, despite lack of acknowledgement by policymakers Faith Based Organizations

  10. Contribution of Faith Based Organizations to maternal and newborn health care in developing countries WHO review and mapping of evidence

  11. Type of organization Faith tradition Financial support Services Facilities Program interventions Staffing Reporting system Questionnaire

  12. Questionnaire

  13. To write a document on how FBOs contribute to maternal and neonatal health care To disseminate this evidence widely for action through publication in scientific journals and other audiences Outcomes

  14. Identify FBOs that could be interested in participating in this project Get feedback on the questionnaire Submit the proposal to WHO Ethics Review Committee for ethics approval Ask for consent from FBOs and their correspondent local authorities Start Next steps

  15. “I want my leadership to be judged by the impact of our work on the health of two populations, women and the people of Africa… This commitment concerns performance, the relevance of our work and its impact on those in greatest need." Dr Margaret Chan 05_XXX_MM19

  16. Thank you for your attention MPH Team Mario Merialdi merialdim@who.int Ana Pilar Betran betrana@who.int Mariana Widmer widmerm@who.int

  17. Created in November 1998 One of the two WHO Departments with an explicit mandate on research Composed of two pre-existing entities WHO Division of Reproductive Health (Technical Support) (RHT) UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) RHR = RHT(PDRH)+HRP Department of Reproductive Health and Research (RHR)

  18. Indicators for monitoring MDG 5 Goal 5: Improve maternal health • Target 5.A.: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio • Target 5.B.: Achieve, by 2015, universal access to reproductive health 5.1 Maternal mortality ratio 5.2 Proportion of births attended by skilled health personnel 5.3 Contraceptive prevalence rate 5.4Adolescent birth rate 5.5 Antenatal care coverage (at least one visit and at least four visits) 5.6 Unmet need for family planning (Source: 12th Inter-Agency and Expert Group meeting on MDG indicators, Paris, November 2007)

  19. “What gets measured gets done” WHO Director General, 4 January 2007

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