It’s time for reflection on the first Global Maternal Health Conference held in Delhi 30th August to 1st September. The conference organizers are finishing uploading all the presentations, videos and photos; wrapping up the finances; and taking stock of how the conference may have added value to the accelerating maternal health movement.
Participants in the conference, both those who were there in-person and those who attended virtually via the live-stream and blogs, will soon be sent a survey designed to gather candid feedback on everything from the conference logistics to the presentations. We urge you to give some careful thought to that survey and return it promptly. Your responses will be compiled and analyzed to determine how or if the next global maternal health conference convenes.
Dr. Ann K. Blanc, the Director of the Maternal Health Task Force, is in the process of reviewing all the presentations that were given in plenaries, parallel sessions, panels and posters. Her review coupled with informal conversations she had during and after the conference will comprise a summary of the conference proceedings, highlighting new findings and new directions that maternal health experts worldwide are pursuing.
Meanwhile, we continue to welcome your blog posts and comments on the conference. You can also take a look at all the presentations that are uploaded here.
Stay tuned for Ann’s review… it promises to be fascinating!
Email your comments, questions, or blog posts on the GMHC 2010 to Raji at rmohanam@engenderhealth.org
Posts Tagged ‘Maternal Health Task Force’
GMHC 2010 Follow-Up: What to expect next
Tuesday, September 21st, 2010 by Raji MohanamClean Birth Kits: Do We Need Them?
Tuesday, August 31st, 2010 by Raji MohanamWritten by Janna Oberdorf, Women Deliver
Clean Birth Kits. It seems like a no-brainer. And, as one audience member at the Global Maternal Health Conference said, “There’s no doubt these would work.”
But, there is doubt, as I learned at today’s session, “Clean birth kits: do we need them?”. There’s serious speculation on what impact and effect clean birth kits (CBKs) would have on saving lives. The session panelists presented a review of the existing evidence on clean birth practices and the potential role for CBKs in supporting these preventive practices, and they found serious gaps in knowledge and research.
One thing that all panelists agreed on is that clean births are necessary to reduce maternal mortality – each year around 1 million newborns and mothers die from infections soon after birth, and this burden is highest for the poorest families. Of the world’s 60 million home births each year, many occur without adequate hygiene, and some facility births also lack basic hygienic care. There are “six cleans” that make up a clean birth: clean hands, clean perineum, clean delivery surface, clean cord cutting implement, clean cord tying, and clean cord care.
But CBKs are not a new idea. They have been around for decades… centuries. The problem is that little research exists that shows how these kits are used, and more importantly, what effect they have on women and providers.
Wendy J. Graham, from Immpact and University of Aberdeen, used this panel to discuss the Birth Kit Working Group, a compilation of health experts who are assessing existing research on CBKs, and considering the development of a decision guide to assist in the planning of overall strategies relating to the use of CBKs. Their key focus has been on CBKs for use in facilities, and trying to determine whether these kits are a help or a hindrance.
“The fact is: We don’t know,” said Graham, who highlighted the gaps in knowledge and research around CBKs effects. “We’ve heard so much about poor quality of care, and we need to identify catalysts for change.”
Though, as Graham and her colleagues Bilal Avan and Vanora Hundley discussed, the CBKs could work as a catalyst for change in a positive way, or a negative way. The presenters and the participants had a heated debate on how the kits could be distributed: would it be more effective if they are housed at health facilities and used when pregnant women arrive for delivery, or should they be given to pregnant women at antenatal visits. Giving women CBKs might actually deter them from having facility births, thinking that they can use the kit at home. Or, it might empower and enable them to return to the facility for their birth. On the other hand, housing the kits at facilities might create dependence from health providers that would be problematic when supplies run out. Or, the kits could sit on a shelf and never be used.
“This is not black or white; not positive or negative,” said Graham. “It depends on where we’re talking about. And it’s hard to really find out about adverse effects when studies don’t talk about failures.”
In the a community that likes to so often stress, “There’s no magic bullet for maternal health,” the CBKs offer the possible potential of what the bed net has done to curb malaria. Moderator, Ann Starrs of Family Care International, put the CBK issues into a broader global advocacy perspective. “Kits are being looked at and promoted almost as an advocacy tool, and as a way to sell this issue to a broad range of audiences as a problem for which there are quick and easy solutions,” said Starrs.
The main takeaway seems to be clean births are essential, and there is serious potential for CBKs to have an impact on maternal health and maternal mortality. The problem is: We have no idea what that impact will be. And before we roll out (and massively fund) the creation of distribution of CBKs, we need to be clear on what the likely outcomes will be.
MORE QUESTIONS TO CONSIDER:
1. What are the most important contextual factors to consider regarding introducing CBKs into facilities? How do we address equity and ensure that poor women and women most in-need receive them?
2. What should a kit include? What’s the criteria?
3. What are the potential uses for CBKs, specifically in conflict or disaster situations?
4. Are birth kits just an expensive diversion? Read a post on this issue by Ann Blanc, Director of the Maternal Health Task Force.
Stay up to date with the conference happenings! Follow the Maternal Health Task Force and EngenderHealth on Twitter: @MHTF and @EngenderHealth. The conference hashtag is #GMHC2010.
For more posts about the Global Maternal Health Conference, click here.
For the live stream schedule, click here.
Check back soon for the archived videos of today’s presentations.
Global Bloggers Gear Up for the First Day of the Global Maternal Health Conference in Delhi!
Saturday, August 28th, 2010 by KateMitchThis Monday marks the start of the first ever Global Maternal Health Conference. The conference is being held in Delhi, India–and will focus on lessons learned, neglected issues, and innovative approaches to reducing maternal mortality and morbidity.
The organizers of the conference, the Maternal Health Task Force at EngenderHealth and the Public Health Foundation of India, are looking forward to a lively online discussion around the happenings of the conference. We have linked up with global health and development professionals around the world to form a team of global bloggers who will share their reactions to the conference sessions–and fuel a robust online dialogue.
Our guest bloggers hail from a number of international health, development, and media institutions including the Woodrow Wilson Center’s Global Health Initiative, Women Deliver, Johns Hopkins Bloomberg School of Public Health, the Centre for Health Policy and Innovation, Earth Sciences University of Cambridge, the Population Council, Gender Across Borders, the Pulitzer Center for Crisis Reporting, and more.
Stay tuned to the MHTF Blog for up-to-date reactions and analysis of the conference sessions.
For information on the live streaming of the conference, click here.
Join the conversation! Follow the MHTF and EngenderHealth on Twitter: @MHTF and @EngenderHealth.
The Global Maternal Health Conference 2010 Site is Live!
Wednesday, August 4th, 2010 by Raji MohanamThe Maternal Health Task Force is delighted to announce that the Global Maternal Health Conference 2010 website is now live! The conference is taking place in Delhi, India on August 30th, 31st and September 1st–and is being held in collaboration with the Public Health Foundation of India. Click here to visit the site and explore the exciting conference program! You will find information on the schedule, speakers, sessions, and plenaries. Once the conference begins, the conference site will also house conference presentations, photos and videos–as well as an interactive discussion forum. In addition, all plenary presentations and selected sessions will be live-streamed and free to access on the conference site. Check back soon for the live-streaming schedule!
**Please note that we are still making minor adjustments to the conference program, so conference session titles as well as scheduled day and time slots may change.**







International, National, Expert, and Young Champions of Maternal Health Speak at the GMHC2010 Inaugural Ceremony
Monday, August 30th, 2010 by Christopher LindahlWritten by Kate Mitchell, Maternal Health Task Force
Today (August 30, 2010) marked the first day of the Global Maternal Health Conference in Delhi. Throughout the day, the nearly 700 conference participants–made up of maternal health researchers, programmers, advocates, social entrepreneurs, policymakers, and young professionals–shared a number of insights, lessons learned, recommendations and innovative ideas for improving the health of women around the world.
Brief insights from the Inaugural Ceremony speeches:
Ann Blanc, Director of the Maternal Health Task Force, welcomed conference participants—and set an exciting tone for the conference as a forum for sharing knowledge and building bridges with colleagues within and beyond the maternal health field. She also expressed excitement at the high level of interest in this conference—noting the interest as an indicator of momentum around Millennium Development Goal Five.
Ashok Alexander, Director of the Bill and Melinda Gates Foundation Avahan India AIDS Initiative, declared that the foundation continues to make major commitments to maternal, newborn, and child health programs. He explained that maternal health projects should focus on the continuum of care, foster collaboration between related fields, fuel the development of new tools and technologies, and advocate for policies that are conducive to the scale up of these projects.
Hellen Kotlolo, Young Champion of Maternal Health, commented on the future of maternal health; calling on experienced maternal health professionals to nurture the fresh ideas and energy of young professionals. She asked maternal health experts to share their knowledge and experience with the next generation.
Srinath Reddy, President of the Public Health Foundation of India, explained that India, a country with rapid development across many sectors, still faces many challenges in reducing maternal mortality. To bring about significant change, he said, India will need more interdisciplinary research, more efficient and equitable health systems, more political will, and communities that are more empowered.
Gita Sen, Professor of Public Policy at the India Institute of Management, described the field of maternal health as being on a roller-coaster for over 4 decades–with ups and downs in strategy, focus, and funding. She said that now is not the first time that maternal health has been in the limelight—but that we must get it right this time; we cannot afford to get it wrong this time.
Gita Sen also told conference participants about a story printed in the Hindustan Times today; a woman gave birth on the street outside of a popular shopping mall here in Delhi—and shortly later died right there on the street as crowds continued on with their days. Gita asked, “Who speaks for this woman’s rights?” (Read the story: She gave birth, died. Delhi walked by.)
Montek Singh Ahluhalia, Deputy Chairman of the Planning Commision for India, said that the states in India with the best maternal mortality ratios are already on track to meet maternal health goals—but that the states in the north are lagging seriously behind. He said that a lot of the money that is spent on health is not buying the health outcomes it could—and expressed a need for wider access to public facilities for the poorest 60%.
Shri Ghulam Nabi Azad, Union Minister of Health and Family Welfare of India, outlined the state of maternal health in India, citing many successes and talking specifically about the Janani Suraksha Yojana program. He said that ten million pregnant women in India have now been reached by JSY—and noted that some small countries have a total population of ten million! Azad announced plans to reposition family planning programs within the context of maternal and child health and not limit the scope of services to population goals. The Health Minister also officially inaugurated the conference.
For more brief insights from our conference presenters, follow the Maternal Health Task Force and EngenderHealth on Twitter: @MHTF and @EngenderHealth. The conference hashtag is #GMHC2010.
For more posts about the Global Maternal Health Conference, click here.
For the live stream schedule, click here.
Check back soon for the archived videos of today’s presentations.
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Tags: advocates, Ann Blanc, Ashok Alexander, Avahan India AIDS Initiative, Bill and Melinda Gates Foundation, continuum of care, Delhi, EngenderHealth, Gita Sen, Global Maternal Health Conference 2010, Health Minister, Hellen Kotlolo, Hindustan Times, Inaugural Ceremony, India, India Institute of Management, innovative ideas, insights, Janani Suraksha Yojana, JSY, live-stream, maternal health researchers, Maternal Health Task Force, maternal mortality, MDG5, MHTF, Millennium Development Goal Five, Montek Singh Ahluhalia, newborn health, policymakers, programmers, Public Health Foundation of India, Shri Ghulam Nabi Azad, social entrepreneurs, Srinath Reddy, Young Champions of Maternal Health
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