Archive for the ‘Announcements’ Category

IHME Report Says that Malaria Interventions are Working, but the Problem is Bigger than We Thought

Friday, February 3rd, 2012 by KateMitch

A newborn sleeps under a bed net in rural Jharkhand, India. Photo by Kate Mitchell




“You learn in medical school that people exposed to malaria as children develop immunity and rarely die from malaria as adults. What we have found in hospital records, death records, surveys, and other sources shows that just is not the case,” said Dr. Christopher Murray, Director of the Institute for Health Metrics and Evaluation (IHME) and lead author of a new study on global malaria mortality.


A new report from IHME published in the Lancet yesterday, Global malaria mortality between 1980 and 2010: a systematic analysis, shows that malaria is responsible for almost twice the number of deaths worldwide than previously believed.


According to the press release about the new study, “IHME researchers say that deaths from malaria have been missed by previous studies because of the assumption that the disease mainly kills children under 5. IHME found that more than 78,000 children aged 5 to 14, and more than 445,000 people ages 15 and older died from malaria in 2010, meaning that 42% of all malaria deaths were in people aged 5 and older.”


The study did not look specifically at the number of pregnant women dying of malaria or the relationship between malaria and maternal morbidity and mortality, but it did show that far more adults are dying from malaria than we previously believed. It is safe to assume that the number of pregnant women dying from malaria is likely also largely underreported.


The good news from the study is that the number of malaria deaths has fallen rapidly in recent years—likely due to the ramping up of efforts to combat the disease. Researchers pointed to the scale-up of insecticide-treated bed nets and artemisinin-combination treatments (ACTs) as major factors in the drop of malaria deaths.


Unfortunately, malaria prevention, screening and treatment among pregnant women remains low, despite clear evidence of effective interventions and significant investment in this area—and it is not clear whether malaria deaths are, in fact, falling for this segment of the population.


The Maternal Health Task Force is exploring opportunities to bring together maternal and newborn health professionals with malaria experts in order to discuss the challenge of low coverage of malaria prevention for pregnant women and how we might work together to ensure that malaria deaths are on the decline for pregnant women as well as the general population.


As our work in this area develops, we will keep you posted here on the MHTF Blog.



Related reading:

Check out the data visualizations that accompany the new study–and explore global trends in malaria mortality between 1980 and 2010.


Read the Washington Post coverage of the new study here.


In an Op-ed in the New York Times on Wednesday, Paul Farmer shares four reasons why it is imperative that the Global Fund to Fight AIDS, Tuberculosis and Malaria continues to get the support it needs.


This study, An Autopsy Study of Maternal Mortality in Mozambique: The Contribution of Infectious Diseases, showed that in a tertiary hospital in Mozambique, at least half of maternal deaths were linked to an infectious disease—and highlighted the importance of implementing malaria prevention strategies such as intermittent preventive treatment and insecticide treated bed nets.


For more information on malaria in pregnancy, visit the Malaria in Pregnancy Consortium website.  Be sure to check out their interactive map of research projects relating to malaria in pregnancy, 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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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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MH film chosen to debut for launch of The Economist Film Project

Tuesday, April 26th, 2011 by Christopher Lindahl

From The Economist:

New York, NY–The Economist Film Project, which presents documentary films that reflect the types of issues The Economist is known for covering, announced today that The Edge of Joy will be the initiative’s debut film. Directed by Chicago-based filmmaker Dawn Sinclair Shapiro, The Edge of Joy takes the viewer right into the midst of a busy maternity ward and closely follows an ensemble cast of Nigerian doctors, midwives and families to the frontlines of maternal care. An excerpt of the documentary will air in a special segment on PBS NEWSHOUR on April 28.

 

Inside the maternity ward, the film chronicles distressed labors, deaths, and miraculous survival. In April 2010, The Lancet published a worldwide study on maternal mortality conducted by The Institute for Health Metrics and Evaluation (IHME) at Washington University. For the first time in decades, researchers are reporting a significant drop in the number of women dying each year from pregnancy and childbirth, from total maternal deaths of roughly 525,000 in 1980 to about 342,900 in 2008. In The Edge of Joy, Ms. Shapiro explores some of the factors that might be contributing to the drop, including new technologies like an anti-shock garment that slows hemorrhaging, to community health initiatives like maternity-only blood banks.

 

Read the rest of this entry »

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Call for Papers: MHealth Summit in Cape Town, June 6-9

Monday, March 7th, 2011 by Christopher Lindahl

The inaugural GSMA-mHA Mobile Health Summit will be hosted in Cape Town, South Africa on 6-9th June 2011. Taking advantage of the global reach and initiatives of the GSMA and mHealth Alliance, the Summit will encourage the collaboration and relationships needed to realise the potential of mobile health.

 

The event promises to bring together the health and mobile worlds. It will deliver a cutting-edge conference programme and numerous business opportunities with key executives from mobile operators, insurance groups, pharma companies, healthcare providers, doctors, research centres, equipment manufacturers, infrastructure vendors, applications developers and integrators from around the globe.

 

The mission of the Mobile Health Summit is to convene these many players to highlight best practices across the world and unveil the business opportunities these services represent. We will rely on our Call for Papers process to help inform and develop the Mobile Health Summit agenda, and we look forward to your submission here.

 

Below are the key areas that we’ll be focusing on in the 2011 agenda. Submissions are not strictly limited to this list of topics and we welcome proposals for alternate subjects.

 

Read the rest of this entry »

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Get ready to be inspired on International Women’s Day

Thursday, March 3rd, 2011 by Raji Mohanam

It’s a hectic but exciting week at the MHTF as we gear up for the 100th anniversary of International Women’s Day (IWD) next Tuesday, March 8th. Like many other organizations, we are planning to honor the day by launching a number of special features that we believe will inspire the community.

 

The MHTF website serves as a global platform for the entire maternal health community to Discover, Collaborate, and Discuss. Indeed, the site has become a dynamic space for the community to share their data/information, voice their opinions, and highlight their achievements. It is in this spirit that we are marking this important 100 year anniversary.

 

Here are a few things you can look forward to on our site next week as a tribute to IWD:

  • The launch of our multilingual site in Arabic, French, and Spanish to further extend the reach of our maternal health resources to non-English readers all over the world
  • The launch of a special page honoring the significant work that our partner organizations do to improve women’s lives
  • Special blog posts from MHTF leadership, staff, and members

So, remember to check the site often next week and especially on the 8th — and get ready to be inspired!

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Moving from Treatment to Prevention

Tuesday, February 8th, 2011 by Christopher Lindahl

Moving From Treatment to Prevention:
AAFH Past and Plans for the Future

 

EngenderHealth welcomes Dr. Catherine Hamlin and Mark Bennett from the Addis Ababa Fistula Hospital (AAFH) to our offices for their presentation “Moving from Treatment to Prevention: AAFH Past and Plans for the Future.”

 

When: Thursday, February 10, 10:30 a.m. – 12:00 p.m.

 

Where: EngenderHealth, 440 Ninth Avenue (between 34th and 35th Street, 13th Floor), New York, NY

 

Space is limited, so please RSVP to fistulacare@engenderhealth.org by 5 p.m. on Wednesday, February 9. For more information, please call 212-561-8036.

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Views from the frontline of maternal healthcare: Over 2000 practitioners worldwide make their voices heard!

Thursday, January 27th, 2011 by Raji Mohanam

Written by: Hannah Knight, Community Moderator for Global Voices for Maternal Health (GVMH) at University of Oxford, United Kingdom.

 

An online project, run by the Oxford Maternal & Perinatal Health Institute and Nuffield Department of Obstetrics & Gynaecology, University of Oxford, has recently sought the expert views of over 2000 healthcare providers in 91 countries so as to identify: a) barriers to providing best-practice care in maternal health and b) potential solutions using an innovative ‘crowdsourcing’ initiative.

 

The results of the Global Voices for Maternal Health study are expected to give new weight to the views of midwives, nurses and doctors on the frontline in the fight against preventable maternal deaths. The data, which are being collected over a 9-month period until March 2011, should provide a useful tool for implementing the required changes to health care delivery in these countries, as well as for advocacy and priority-setting purposes.

 

The participants were drawn from over 900 healthcare facilities worldwide, which together oversee approximately 2.5 million deliveries annually. As Principal Investigator, Dr. José Villar, said: “This represents one of the largest ever direct consultations with practitioners in the history of medicine regarding their views on how to improve the clinical care that they provide.”

 

Data analysed so far reveal low rates of uptake for several safe, effective and affordable interventions for the prevention and management of obstetric complications:

  • Almost 40% of respondents reported that the WHO’s six clean delivery principles (clean hands, clean delivery surface, clean perineum, clean cord cutting instrument, clean cord ties, and clean cord care of the newborn) were not routinely followed in their facility
  • Over 20% of respondents had never seen clinical practice guidelines for the active management of the third stage of labour
  • 35% of respondents revealed that magnesium sulphate was not routinely used to prevent fits in women with severe pre-eclampsia in their facility

 

The next stage of the analysis will be to examine the barriers that have been identified as playing an important role, to assess how improving access to these interventions can be achieved within developing country health systems. As Bill Gates recently said during a meeting of global Health Ministers in China, “If we don’t change the systems, even the best tools may do no good, because they may never get to the people who need them.”

 

The full results of the study, which is funded by the Maternal Health Task Force, are due to be published later this year.

 

For more information on the initiative, visit the GVMH website: www.globalvoices.org.uk

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Map Enhancements

Tuesday, January 25th, 2011 by Christopher Lindahl

Working with Women Deliver, we’ve created a map documenting organizations working in maternal health throughout the world. As the map has become more populated, we realized that additional features were needed to enhance the users’ experience. Many of the enhancements may go unnoticed as they simply ease the use of the maps, but two features may change the way you use the maps.

 

First, we have added a search function to the map to allow you to find organizations that are of interest to you. Whether that is an organization working explicitly on fistula or one that has an office in Buenos Aires, you’ll be able to find what you’re looking for even if you don’t know the name of the organization.

 

The second major enhancement that you’ll find is the ability to download data to Excel. Using this feature, you can download latitude and longitude coordinates and other information to plot in a GIS program or use however you wish.

 

These enhancements will hopefully increase the ease of use of the maps and allow you to use the information in new ways. If you have an example of how you’re using the information on our maps, please let us know online or send an email to Christopher Lindahl at clindahl@engenderhealth.org.

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OpenIDEO Challenge: Maternal Health

Monday, January 24th, 2011 by Christopher Lindahl

OpenIDEO, a collaborative design challenge, hosted by the design firm IDEO, Oxfam, and Nokia, recently developed a challenge focusing on maternal health and mhealth. For the next four weeks, they are soliciting inspiration from people working in global health on “How might we improve maternal health with mobile technologies for low-income countries?“:

We’re asking you, the OpenIDEO community, to come up with inspirations and concepts around improving the knowledge and access to maternal health services, specifically where mobile technologies can be used as a tool to aid this. We’re focusing our solutions in low-income countries, such as Burkina Faso and Bangladesh. In many such countries fees for health care prevent millions of mothers from seeking the professional care they need or where under-investment means health works or medicines are unavailable.

 

For more information on maternal health and mobile technology, you can read about the Maternal Health Policy Series “New Applications for Existing Technologies to Improve Maternal Health.”

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