Field Experience in Maternal Health: Elena Chopyak Shares her Experience with Medic Mobile in Mali

Tuesday, January 31st, 2012 by ablanc

Over the first three weeks of January, several Harvard School of Public Health graduate students took part in the Field Experience in Maternal Health winter session, organized by the Women and Health Initiative and the Maternal Health Task Force. In this blog post, Elena Chopyak writes about her field experience with Medic Mobile in Mali.


Written by: Elena Chopyak


It is widely known that the maternal mortality rate in Mali is grossly underestimated. However, current data collection methods fail to capture true mortality rates, especially in rural areas of the country. An mhealth project between the Malian Ministry of Health, UNFPA, L’Agence Nationale de Télésanté et d’Informatique Médicale (ANTIM), and Medic Mobile aims to collect more accurate data to better inform future initiatives targeting maternal deaths.


Thanks to support from ANTIM, I visited a number of pilot sites in Koulikoro and Segou with Ibrahim Kante, an ANTIM technician, and Hammadou Dia, a medical ANTIM intern. Our goal was to hear administrative and community health workers’ (CHW) experiences with the pilot to date so that their input can be incorporated into the project as it is scaled-up nationally.


In a roundtable discussion in the town of Bla, Dia and I posed questions about some of the preliminary advantages and challenges health administrators have encountered in their use of the mobile phones.

In a roundtable discussion in the town of Bla, Dia and I posed questions about some of the preliminary advantages and challenges health administrators have encountered in their use of the mobile phones.




Dia and I spoke to representatives from various districts and communities about the former/current demographic collection system, the shortcomings, and general aspirations for the mobile project. We also asked the CHWs involved in the pilot to share their experiences with the phones, including challenges they have had, if any, and their reflections on the training they received.


Despite some technical hiccups, unexpected advantages of the project are rapidly becoming apparent. Thanks to unlimited calling, CHWs and medical and administrative staff report that they communicate more frequently about villagers’ medical needs and concerns. A review of the data collected at the end of the month, and again at the end of each month of the three-month pilot phase will provide a clearer picture of the health of the project.


Even though the pilot phase is in its early stages, CHWs and administrators hope that the project will continue and will expand to include a wide range of health data collection.


When I wasn’t in the ANTIM office or visiting the pilot sites, I had the opportunity to enjoy some of the great live music Bamako has to offer. Serendipitously, I bumped into Habib Koité, one of my favorite Malian musicians, at the Centre Culturel francais de Bamako!

When I wasn’t in the ANTIM office or visiting the pilot sites, I had the opportunity to enjoy some of the great live music Bamako has to offer. Serendipitously, I bumped into Habib Koité, one of my favorite Malian musicians, at the Centre Culturel francais de Bamako!




To learn more about the Field Experience in Maternal Health winter session course, visit the course page here or check out a recent blog post about the course here.


Click here to learn about Medic Mobile’s work, supported by the MHTF, to develop three mobile tools for maternal health.


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Call for Nominations: Women Deliver 50, Inspiring Ideas & Solutions to Deliver for Girls & Women

Monday, January 30th, 2012 by Christopher Lindahl

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The following originally appeared on Women Deliver’s blog. It is posted here with permission.

 

Every year, in conjunction with International Women’s Day, Women Deliver celebrates the progress made on behalf of girls and women worldwide. Our Women Deliver 100 list in 2011, which featured 100 of the most inspiring people who have delivered for girls and women, was covered by over 100 traditional and new media sources. This year, to continue the momentum, we are spotlighting the top 50 inspiring ideas and solutions that deliver for girls and women. We would love to hear what you think are the most innovative, impactful, and promising advancements in overcoming gender inequality.

 

These advancements could have been made by an individual, governments, the private sector, or civil society, but they must have helped to improve the condition of girls and women around the world, in one or more of the following 5 categories:

  • Technologies and Innovations
  • Educational Initiatives
  • Health Modernization
  • Advocacy and Awareness Campaigns
  • Leadership and Empowerment Programs

 

Examples of inequities that the solutions may have addressed include, but are not limited to: Violence Against Women; Sex Trafficking; Child Marriage; Political Processes; Maternal Health; Sexual and Reproductive Health and Rights; HIV/AIDS, Lesbian; Gay, Bisexual and Transgender Rights; Economic Inequity; or Female Genital Mutilation.

 

NOMINATIONS MUST BE SUBMITTED NO LATER THAN FEBRUARY 10, 2012.

 

Once all nominations have been received, a selection committee of experts and advocates from leading global NGOs and foundations will choose 25 per category. Voting opens on February 20th, and the Top 50 (10 winners per category) will be announced on International Women’s Day. The winners from each category will be featured prominently on Women Deliver’s website, through the selection committee’s social media portals, and at the Women Deliver 2013 conference in Kuala Lumpur.

 

Criteria:

  • Advancements may include projects, programs, technologies, initiatives, or campaigns launched anywhere in the world
  • Solution or Idea must have been implemented in the last five years
  • Can be grassroots or global in scale (example: community initiative or global technology)
  • If the solution has been ongoing for more than a year, please provide quantitative and qualitative data that demonstrates results
  • If the idea is in the early stages of implementation, please include an explanation of why it will be effective
  • Please provide website (if applicable) and references

 

Selection Committee:

-Chair: Jill Sheffield, Founder and President of Women Deliver
-Jimmie Briggs, Founder and Executive Director of Man Up
-Cory Heyman, Chief Program Officer at Room to Read
-Josh Nesbit, CEO of Medic Mobile
-Amie Newman, Communications Officer and Editor of the Impatient Optimist at the Bill and Melinda Gates Foundation
-Lyric Thompson, Special Assistant to the President at the International Center for Research on Women
-Michael Tirrell, Communications Manager for Media and Public Affairs at Marie Stopes International

 

Click here to make a nomination. Thank you in advance for you submissions!

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Weekend Reading

Friday, January 27th, 2012 by Christopher Lindahl

This week on the MHTF blog:

  1. We posted a number of opportunities: a Fellowship at PRB; submit an abstract for the American Public Health Association Annual Meeting; and internships with the UCSF Safe Motherhood Program
  2. Maternal health in marginalized communities in India
  3. HSPH students spend their winter term with MHTF partners
  4. Bill Gates’ Annual Letter and the poorest of the poor
  5. We welcomed new staff members to the MHTF team

Some reading for the weekend:

  1. Cote d’Ivoire abandons free health care scheme
  2. Who is (or isn’t) participating in India’s JSY program?
  3. PMTCT coverage at different health facilities in four African countries
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New Appointments at the Maternal Health Task Force

Friday, January 27th, 2012 by Christopher Lindahl

Anne M. Austin and Kate Mitchell are the two most recent additions to the Maternal Health Task Force team. Anne will lead the MHTF’s new research, monitoring and evaluation efforts as Deputy Director for Research, Monitoring and Evaluation, while Kate will keep the MHTF’s cutting-edge knowledge management system content-rich and timely as the Managing Editor.

 

Born in Indonesia to a Norwegian mother and American father, and raised in Nigeria, Kenya and Saudi Arabia, Anne Austin brings a personal and professional global perspective to the MHTF. She holds a BA from Emory University, a MPH from the Rollins School of Public Health, and a ScD from the Harvard School of Public Health’s in Global Health and Population Studies and was named a Pritzker Fellow two years in a row.

 

Anne has conducted extensive research in areas that make her exceptionally well-suited to lead the MHTF’s innovative implementation research agenda on the quality of maternal health care. Her technical and analytical skills will enable the MHTF to contribute significantly to the global challenge of systematizing proven interventions to improve maternal health outcomes especially in high-burden settings. Among her studies, Anne has looked at maternal and child health trends in Egypt, analyzed global policy approaches to child nutrition, analyzed couple concordance on attitudes towards abortion and knowledge of abortion, and managed a unique CDC study on the prevention of malaria in pregnancy.

 

Kate returns to the MHTF where she began as a Knowledge Management Assistant in the project’s first phase, cataloguing and tagging the first on-line library exclusive to maternal health as well as helping to establish and populate the MHTF’s social media platforms. She left the MHTF when she was named a Clinton Fellow at the America India Foundation. Over the course of year, she worked in Jamshedpur, Jharkhand and Kolkata in West Bengal investigating the implementation of the Janani Suraksha Yojana conditional cash transfer program. She also designed and facilitated workshops for community health workers on community involvement in maternal and newborn health programs. Kate runs her own maternal health blog and is a frequent contributor to others. She holds a BA from Florida International University and an MPH from Boston University School of Public Health.

 

The MHTF is pleased to welcome Anne Austin, and to welcome back Kate Mitchell to the team! To learn more about Anne, Kate and the rest of the MHTF staff, click here.

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Two Internship Opportunities with UCSF Safe Motherhood Program: San Francisco and Zambia

Thursday, January 26th, 2012 by KateMitch

The Safe Motherhood Program at the University of California, San Francisco is looking for two interns: one office intern to be based in the San Francisco office and one field intern to be based in the Copperbelt region of Zambia.

1.) UCSF Safe Motherhood Office Intern, San Francisco – Summer 2012

The focus of this internship is to prepare presentations for an upcoming international conference in order to effectively show the latest data on the non-pneumatic anti-shock garment (NASG) for obstetric hemorrhage clinical trial.  The intern will also gain some experience in handling and cleaning a large data set.

For more information on the trial please visit www.lifewrap.org and http://clinicaltrials.gov/ct2/show/NCT00488462.

Duties:

  • Assist with data cleaning and analyses for the international trial for the non-pneumatic anti-shock garment (NASG) for obstetric hemorrhage
  • Prepare multiple Power Point presentations to include data for an upcoming international conference
  • Other light administrative duties as required

Qualifications:

  • Excellent Power Point and writing skills are a must!
  • Knowledge of STATA, SPSS, Word, Excel.
  • Experience with online data systems is a plus.

Start date: June 1, 2012.

Duration: 12 weeks, 40 hrs/week

Note: This internship is unpaid.

Please send CV, cover letter and a writing sample to Jennifer Clark at jclark@globalhealth.ucsf.edu.

Please apply by 2/15 to be considered for initial screening.

2.) UCSF Safe Motherhood Zambia Field Intern – Summer 2012

The focus of this internship is to support the Zambia team of the non-pneumatic anti-shock garment (NASG) trial.  The study aims to reduce maternal mortality and morbidities in Zambia and Zimbabwe caused by obstetric hemorrhage.  This is a cluster randomized control study which compares outcomes based on evidence from intervention and control clinics.  The intervention clinics in this study are the clinics that are using the NASG as a first aid device for patients suffering from hypovolemic shock caused by bleeding during pregnancy.

For more information on the trial please visit www.lifewrap.org and http://clinicaltrials.gov/ct2/show/NCT00488462.

Duties:

  • Provide logistical support for the local Zambian team – distributing supplies, copies, etc
  • Review data collection forms
  • Encourage protocol adherence
  • Conduct training with local hospital and clinic staff
  • Visit the study clinics
  • Follow up on cases
  • Liaise with the San Francisco office and the in-country staff

Qualifications:

  • Experience in international settings
  • Interest in maternal health
  • Research experience
  • Familiarity with clinical environments
  • Must be highly detail-oriented, organized and have excellent follow-through skills

Start Date: May 30, 2012

Duration: 12 weeks, 40 hours/week

Note: Candidates are expected to secure outside funding to cover roundtrip airfare and living expenses for the duration of the internship.

Please send cv, cover letter and a writing sample to Jennifer Clark at jclark@globalhealth.ucsf.edu.

Please apply by 2/15 to be considered for initial screening!

View past intern experiences on our intern blog: http://lifewrapinterns.wordpress.com/.

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Gates Annual Letter Focuses on Poorest of the Poor

Thursday, January 26th, 2012 by Christopher Lindahl

Today, Bill Gates published his annual letter, which this year focuses on improving the lives of the poorest of the poor through innovations in agriculture and promoting global health issues, including vaccines, polio, HIV/AIDS, and family planning.

 

On family planning, Gates writes:

Globally, more than 200 million women say they don’t want to have a child within the next two years but aren’t using contraceptives. If families that wanted to wait a longer period between births or have fewer children had access to the right tools, two things would happen. First, those families would have an easier time facing the challenges of poverty. Second, as national population growth rates came down gradually, governments would be able to better meet the needs of all their people.

 

A significant number of women indicate that they would use modern family planning tools if they were available. Unfortunately, the funding to buy these tools, to make them cheaper, and to provide high-quality information to poor families has been lacking.

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Winter Session Win-Win: Harvard School of Public Health Students Matched with Maternal Health Organizations Around the World

Wednesday, January 25th, 2012 by ablanc

In a recent blog post, Ana Langer, Director of the Maternal Health Task Force (MHTF) at the Women and Health Initiative (W&HI) at Harvard School of Public Health (HSPH), explained that the MHTF partners have been “virtually unanimous in calling for more educational opportunities for those interested in maternal health”.

The W&HI and the MHTF are meeting this call to provide more educational opportunities in a number of different ways—including scholarships for maternal health professionals in developing countries to attend scientific and technical meetings, a reiteration of the Young Champions for Maternal Health fellowship program, and the Field Experience in Maternal Health winter session course for graduate students at the Harvard School of Public Health.

The concept of the Field Experience in Maternal Health winter session course is to link highly trained and motivated HSPH graduate students with MHTF partner organizations working in developing countries–creating a “win-win” situation. Based on the needs of the organizations and the skills of the students, students are paired with organizations to spend three weeks working on a focused project during the January winter session. The course provides students with an opportunity to apply their skills and knowledge to maternal health issues in countries facing complex maternal health challenges. Examples of student projects include collecting data, conducting site visits and interviews, completing a needs assessment, developing a draft proposal or report, or launching a new activity or service. As a result of this collaboration, the partner organization projects are strengthened and a young professional gains  important experience working in the field of maternal health.

The first cohort of Harvard School of Public Health Field Experience in Maternal Health winter session students has just completed their field assignments. See below for a list of their placement countries and host organizations!

To learn more about the students’ work at their various project sites, check back soon! Over the next couple of weeks, the students will be sharing photos, stories, and lessons from their field assignments here on the MHTF Blog.

If you are a graduate student at Harvard School of Public Health and are interested in applying for the Field Experience in Maternal Health winter session next year, visit the Women and Health Initiative site in August 2012 for information on how and when to apply. You can also subscribe to the MHTF Blog and we will be sure to update you. (Just enter your email address in the right panel and click subscribe!)

If your organization is interested in hosting a Harvard School of Public Health graduate student next winter, please fill out this form and return it to Elizabeth Claise at eclaise@hsph.harvard.edu.

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The Need to Reach Marginalized Populations

Wednesday, January 25th, 2012 by Christopher Lindahl

The progress made on maternal health since the creation of the Millennium Development Goals has been uneven both between and within countries. However, the data coverage, particularly for maternal mortality ratios (MMR), within countries cannot always tells us the full story.

 

India’s MMR decreased by nearly 60% between 1990 and 2008 according to UN data. However, some estimates suggest that certain populations have an MMR over twice its country-wide MMR of 230 maternal death per 100,000 live births. A new paper published this month in BMC Public Health explores maternal experience of marginalized women in Karnataka, India.

 

Adamson et al. write:

This population-based study found that institutional deliveries in rural areas of Mysore District had increased from 51% to 70% between the years of 2002 and 2008. Additionally, it showed that while significantly more mothers were seeking antenatal care and delivering in institutional settings, large disparities continued to exist in the uptake of maternal health services among different castes. Mothers belonging to OBC or general castes were almost twice as likely to have an institutional birth as compared to SC/ST

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Present Your Work at the APHA Annual Meeting

Tuesday, January 24th, 2012 by Christopher Lindahl

The deadline of February 6th. is fast approaching to submit abstracts for the American Public Health Association’s Annual Meeting. This year’s meeting will be held in San Francisco, CA in October 2012.

 

Last year’s conference in Washington featured a number of sessions on maternal and child health.

 

Visit APHA’s Annual Meeting website to learn more about presenting and attending this year’s meeting.

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Policy Communication Fellowship at PRB

Monday, January 23rd, 2012 by Christopher Lindahl

Written by: Marissa Yeakey, Population Reference Bureau

 

The Policy Communication Fellows program at the Population Reference Bureau provides participants with an understanding of how research can inform social policy, and a detailed knowledge of different approaches to communicating research findings to non-specialists. It begins with a two-week workshop held at PRB, during which participants learn about how research influences the policy process and how to communicate research effectively. During the 2012-2013 academic year, participants will prepare several policy-oriented research briefs, one of which they will present at a workshop prior to the 2013 Population Association of America (PAA) Annual Meeting.

 

We are accepting applications from citizens of developing countries that plan to return to their home countries upon completion of their doctoral studies. Candidates accepted into the Policy Fellows program will be provided with travel, lodging, and per diem associated with the Washington and PAA workshops, PAA registration costs, as well as a $2,000 research stipend. The program is currently funded by the U.S. Agency for International Development (USAID) and for this reason we can only accept candidates that come from developing countries where USAID provides population and family planning funding (visit our recruitment page online for a complete list of eligible countries).

 

The deadline to apply to PRB’s Policy Communication Fellows program is Thursday, February 2, 2012. The fellowship information and application details in the attachments can also be found on our website. This program is an excellent opportunity for PhD students in demography, family planning, reproductive health, and related fields to learn more about translating their research into policy.

 

Please contact me at policyfellows2012@prb.org with any questions you may have about the program.

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