Posts Tagged ‘UNFPA’

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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A Population of 7 Billion

Friday, October 28th, 2011 by Christopher Lindahl

On Monday, October 31, the world’s population will reach and surpass seven billion. By some estimates, the population will be over 10 billion by the end of the century. This year’s State of the World’s Population from UNFPA addresses the needs of a growing population:

This year’s State of World Population report, People and Possibilities in a World of 7 Billion, looks at the the dynamics behind the numbers. It explains the trends that are defining our world of 7 billion and documents actions that people in vastly different countries and circumstances are taking in their own communities to make the most of their–and our–world.

 

The report makes the case for sound planning and investing in people.

 

The UK Department for International Development (DFID) is also marking the milestone by ensuring that families have access to family planning methods and that women have control over their bodies:

The lack of choice women and girls have over their own lives and bodies is a major cause of poverty and contributes to rapid population growth.

 

For the millions of girls who are still children themselves, pregnancy means giving up school and the chance of an education that would allow them to support themselves and their families.

 

Today, 215 million women who would like to delay or avoid having children are unable to do so. Globally meeting this need for family planning could avoid around a third of maternal deaths and a fifth of newborn deaths, and save an estimated $5.1 billion dollars.

 

Over the next four years, British aid is changing lives by making it possible for at least 10 million more women to use modern methods of family planning so that they can decide for themselves whether, when and how many children to have.

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Maternal Health in Kenya

Wednesday, July 13th, 2011 by Christopher Lindahl

Yesterday, the MHTF, along with the Woodrow Wilson Center, UNFPA and the African Population and Health Research Center, held a dialogue on maternal health in Kenya that featured a discussion between experts in Washington and Nairobi. Prior to the event, workshops were held in Nairobi to develop strategies and recommendations for promoting maternal health in Kenya.

 

The discussion covered a number of topics, including the differences between urban and rural settings, the role of traditional birth attendants, Kenya’s future demographics, the role of the private sector, and many other topics.

 

The availability of data is increasing, but there continue to be areas where more research is needed that focuses specifically on maternal health issues. For example, some of the DHS questionnaires provide data on whether or not mothers use of health facilities, but are not necessarily able to determine why facilities are used or not used. Knowing why mothers do not use health facilities (inability to pay, cultural reasons, lack of transport, etc.) is crucial to develop proper interventions to improve the chances that childbirth is safe.

 

Given the variety of topics that were discussed, be sure to check back later for a full summary and recording of the event that will be available soon on the Wilson Center website. A briefing paper (DOC) is also available from APHRC.

 

While thinking about data and evidence it Kenya, it is appropriate to note that the Kenyan government recently launched a new website:

This site makes public government data accessible to the people of Kenya. High quality national census data, government expenditure, parliamentary proceedings and public service locations are just a taste of what’s to come. There’s something for everyone: maps to start exploring, interactive charts and tables for a deeper understanding, and raw data for technical users to build their own apps and analyses. Our information is a national asset, and it’s time it was shared: this data is key to improving transparency; unlocking social and economic value; and building Government 2.0 in Kenya.

 

Although Kenya’s critics are concerned about corruption and may not be impressed by the release of the data, Johannes Zutt, of the World Bank, is optimistic:

 

It’s true that the same old crowd is in control, that corruption remains Kenya’s biggest problem, and that some government officials continue to betray the trust of the citizens. But it is different today. The people have spoken. They enacted a new constitution. They are demanding accountability, and they are getting it. Ten years from now, Kenya will be a different and better place.

 

This morning, you can watch a webcast discussion of the launch of the site.

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Maternal Health Challenges in Kenya: What New Research Evidence Shows

Monday, July 11th, 2011 by Christopher Lindahl

 

The Woodrow Wilson Center’s Global Health Initiative, Africa Program, and Environmental Change and Security Program, in coordination with the Maternal Health Task Force, UNFPA, and the African Population Health & Research Center invite you to a live-streamed discussion of:

 

Maternal Health Challenges in Kenya: What Research Evidence Shows
Tuesday, July 12, 2011, 9:30 a.m. – 11:30 a.m (Note new start time)
Woodrow Wilson Center, Washington DC
6th Floor Flom Auditorium
A light breakfast will be served
Please RSVP to globalhealth@wilsoncenter.org with your name and affiliation

 

The discussion will feature a live videoconference from Nairobi with:

 

Lawrence Ikamari, Director, Population Studies & Research Institute (PSRI)
Dr. Margaret Meme, MD, Former Head of Maternal and Child Health,
Ministry of Public Health and Sanitation (Kenya)
Geoffrey Mumia Osaaji, Professor, University of Nairobi
Additional panelists include 20+ participants from the in-country workshop

 

The Wilson Center’s Global Health Initiative is traveling to Nairobi to co-host a two-day workshop on July 12-13 with Kenyan policymakers, community health workers, program managers, media, and donors who will discuss Kenya’s maternal health challenges and identify solutions for moving the maternal health agenda forward.

 

Geoffrey Mumia Osaaji, professor, University of Nairobi, will present new maternal health data and discuss Kenya’s maternal mortality trends. Lawrence Ikamari, Director, PSRI, will share the knowledge and capacity gaps identified by workshop participants and highlight policies and funding priorities required to increase the uptake of antenatal and postnatal care in Kenya. Strategies and recommendations identified during the Nairobi workshop will be provided by Dr. Margaret Meme, former head of maternal and child health, Ministry of Public Health and Sanitation.

 

About the 2011 Maternal Health Policy Series
As one of the few forums dedicated to maternal health, the Woodrow Wilson Center’s 2011 Advancing Policy Dialogue on Maternal Health series brings together senior-level policymakers, academic researchers, media, and civil servants from the U.S. government and foreign consuls to identify challenges and discuss strategies for advancing the maternal health agenda.

 

In order to promote greater voices from the field, the 2011 dialogue is partnering with the African Population Health Research Center in Kenya to co-host a two-part dialogue series with local, regional, and national decision-makers on effective maternal health policies and programs. These in-country dialogue meetings will create a platform for field workers, policymakers, program managers, media, and donors to share research, disseminate lessons learned, and address concerns related to policy, institutional, and organizational capacity building.

 

The Wilson Center’s Global Health Initiative is pleased to present this series with its co-conveners, the Maternal Health Task Force and the United Nations Population Fund (UNFPA), and is grateful to USAID’s Bureau for Global Health for further technical assistance.

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UNFPA releases The State of the World’s Midwifery Report

Monday, June 20th, 2011 by Christopher Lindahl

Earlier today, the United Nations Population Fund (UNFPA) released “The State of the World’s Midwifery 2011: Delivering Health, Saving Lives.” In addition to the formal report, UNFPA has included interactive tools, data, country profiles and stories from the field for people to learn more about midwifery.

 

From UNFPA:

Increasing women’s access to quality midwifery has become a focus of global efforts to realize the right of every woman to the best possible health care during pregnancy and childbirth. A first step is assessing the situation.

 

The State of World’s Midwifery 2011: Delivering Health, Saving Lives, supported by 30 partners, provides the first comprehensive analysis of midwifery services and issues in countries where the needs are greatest.

 

The report provides new information and data gathered from 58 countries in all regions of the world. Its analysis confirms that the world lacks some 350,000 skilled midwives — 112,000 in the neediest 38 countries surveyed — to fully meet the needs of women around the world. The report explores a range of issues related to building up this key health workforce.

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Celebrating International Day of the Midwife

Wednesday, May 4th, 2011 by Christopher Lindahl

UNCHR/B. Bannon

© UNCHR/B. Bannon

 

May 5th is the International Day of the Midwife, a “day is to celebrate midwifery and to bring awareness of the importance of midwives’ work to as many people as possible.” Since the late 1980s the celebration has been taking place, and in recent years, increasing the percentage of births attended by a skilled professional has been a major focus of the maternal health community. Access to skilled care is considered to be part of Millennium Development Goal (MDG) 5 that seeks to “Achieve, by 2015, universal access to reproductive health” in addition to reducing maternal mortality. Midwives and other skilled attendants are able to have major impacts on both MDG 5 and MDG 4 to reduce child mortality.

 

Later this year, at the Triennial Congress of the International Confederation of Midwives (ICM), a cohort of organizations will release the State of the World’s Midwifery Report. According to UNFPA and the ICM:

“The role of skilled birth attendants, in particular midwives and others with midwifery competencies, is widely acknowledged as being crucial to addressing maternal and newborn mortality and morbidity, and to promoting women’s and children’s health…The report, which will be the first of its kind, is intended to facilitate midwifery strengthening around the world.”

 

To learn more about the International Day of the Midwife, the State of the World’s Midwifery Report or the International Confederation of Midwives, visit the ICM website.

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MH Policy Dialogue: Accessing Maternal Health Care Services in Urban Slums: What Do We Know?

Monday, April 11th, 2011 by Christopher Lindahl

urban slums 4-19 PDS

 

Please join the Woodrow Wilson Center’s Global Health Initiative, the Maternal Health Task Force, the United Nations Population Fund and the African Population & Health Research Center for a discussion of:

 

Accessing Maternal Health Care Services in Urban Slums: What Do We Know?

 

moderated by

 

John Townsend, Vice President of Reproductive Health Program, Population Council

 

featuring

 

Luc De Bernis, Senior Advisor on Maternal Health in Africa, United Nations Population Fund (UNFPA)
Anthony Kolb, Urban Health Advisor, U.S. Agency for International Development (USAID)
Katherine Kyobutungi, Director of Health Systems and Challenges, African Population & Health Research Center (APHRC)

 

Tuesday, April 19, 2011

3:00 p.m. – 5:00 p.m.

5th Floor Conference Room

Woodrow Wilson International Center for Scholars

1300 Pennsylvania Avenue, NW
Washington, DC

 

Please RSVP to globalhealth@wilsoncenter.org with your name and affiliation.

 

According to the UNFPA, more people now live in urban settings than rural, and projections estimate global urban population growth will double by 2030. Health care services in many urban areas have not kept pace with rapid population growth, and despite their relative proximity to services compared to rural areas, women living in the resulting slums do not necessarily have access to higher quality maternal health care. In cities like Nairobi, maternal mortality rates in urban slums are higher than the country’s average. Monitoring the health needs of urban slums is a serious challenge and these marginalized populations often fall through the cracks as they receive little attention from researchers, donors, NGOs, and governments.

 

Anthony Kolb, urban health advisor for USAID will discuss the challenges of tracking health indicators in urban slums and how “slum mapping” can be utilized to improve maternal health. Katherine Kyobutungi, director of health systems and challenges for APHRC in Kenya, will discuss the status of maternal health in Nairobi’s informal settlements and share lessons learned translating research into policy action. Luc De Bernis, senior advisor on maternal health in Africa at UNFPA, will discuss family planning interventions used to improve maternal mortality rates in informal settings.

 

About the 2011 Maternal Health Policy Series
As one of the few forums dedicated to maternal health, the Woodrow Wilson Center’s 2011 Advancing Policy Dialogue on Maternal Health series brings together senior-level policymakers, academic researchers, media, and civil servants from the U.S. government and foreign consuls to identify challenges and discuss strategies for advancing the maternal health agenda.

 

In order to promote greater voices from the field, the 2011 dialogue is partnering with the African Population & Health Research Center in Kenya to co-host a two-part dialogue series with local, regional, and national decision-makers on effective maternal health policies and programs. These in-country dialogue meetings will create a platform for field workers, policymakers, program managers, media, and donors to share research, disseminate lessons learned, and address concerns related to policy, institutional, and organizational capacity building.

 

The Wilson Center’s Global Health Initiative is pleased to present this series with its co-conveners, the Maternal Health Task Force and the United Nations Population Fund (UNFPA), and is grateful to USAID’s Bureau for Global Health for further technical assistance.

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A New Film on Mobile Phones and Obstetric Fistula in Tanzania

Tuesday, March 29th, 2011 by Christopher Lindahl

 

Written by: Lisa Russell, Independent Filmmaker

 

The following was originally posted on Lisa Russell’s blog. It is reposted here with permission.

 

In the last seven years of my work as a filmmaker, I’ve filmmed three short stories on a devastating women’s health issue called obstetric fistula – a childbearing injury that leaves women leaking urine or waste or both, continuously, for the rest of their lives. I filmmed in Niger for “Love, Labor, Loss”, in the DR Congo for “Mama Madou” and in Liberia for “Freedom from Fistula.” (Links to these films are online.) In all locations, it was incredibly heartbreaking to talk to women who are so ashamed and psychologically distraught about their condition that they live their lives in total isolation, away from their communities and sometimes even their families.

 

The flip side of this tragic story is that a growing interest in the issue has resulted in many medical programs that offer free fistula repair services. And when a woman gets a successful repair, her life takes turns around and she can begin to live her life with dignity and purpose. It transforms her in every way possible. I’ve seen it over and over again and it’s mindblowing.

 

Unfortunately though, in really remote places – like the places I’ve filmmed – women are so far from the facilities that provide the surgeries (and many cannot afford the transportation to the facilities) – they never seek help and live with their condition for the rest of their lives.

 

That’s why it was so exciting for me to shoot this new film on how mobile phones are changing the lives of women living with fistula. In Tanzania, where I just spent over a month working on some exciting new projects for maternal health, there is a new program by the CCBRT hospital which uses a country-wide network of “ambassadors” (healthcare professionals, or other community leaders) and a mobile financing scheme by Vodacom (called M-PESA which sends transport funds by phone) to pay for a woman’s transportation to the CCBRT hospital in Dar es Salaam. It takes only a few minutes – the funds are transferred from the hospital, the “ambassadors” visit a M-PESA agent to collect the funds, and the woman gets on the bus and makes the long journey to the hospital.

 

Once she is there, she receives free lodging, food and treatment.

 

This simple process of transferring money by phone has helped double the number of women receiving treatment at the CCBRT center and the hope is that it will help not only treat the estimated 2,000-3,000 new cases of fistula that occur each year in the country, but it will also allow the hospital to address the backlog of women who have been living with fistula (I filmmed two who spent over 40 years leaking!), in essence making fistula obsolete in Tanzania.

 

I can’t really articulate how incredible it feels to be able to tell a more positive story about these women and this issue. For the most part, it’s been a primarily heartbreaking story but this is allowing me to witness and document how technology is making progress for women and maternal health in an entire country. I’m really honored to be so closely involved in this issue and to see first hand the good work that so many people are committed to doing and the effect it is having.

 

If you want to learn more about obstetric fistula, visit UNFPA’s Campaign to End Fistula at www.endfistula.org.

 

If you want to learn more about CCBRT and the great work they are doing, visit here.

 

Thank you to UNFPA Tanzania, CCBRT, the M-PESA ambassadors and all who helped make this project possible. I’m excited to start editing!

 

* We just received word that the film has been accepted to the inaugural GSMA Mobile Health Summit occurring in Cape Town, South Africa from June 6-9, 2011.

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MH Policy Dialogue Series Returns!

Wednesday, March 16th, 2011 by Christopher Lindahl

policydialogueseries2

 

Please join the Woodrow Wilson Center’s Global Health Initiative, the Maternal Health Task Force, the United Nations Population Fund, and PATH for a discussion of:

 

Innovations From Development to Delivery: Working With the Private Sector to Improve Maternal, Newborn, Child Health and Nutrition

 

moderated by

 

Kari Stoever, Senior Advisor, Global Advocacy, Global Alliance for Improved Nutrition (GAIN)

 

featuring

 

Hugh Chang, Director for Special Initiatives, PATH
Laura McLaughlin, Environmental Engineer, Cascade Designs, Inc
Sandhya Rao, Senior Private Sector Advisor, U.S. Agency for International Development (USAID)

 

Tuesday, March 22, 2011
3:00 p.m. – 5:00 p.m.
5th Floor Conference Room
Woodrow Wilson International Center for Scholars
1300 Pennsylvania Avenue, NW

 

Please RSVP to globalhealth@wilsoncenter.org with your name and affiliation.

 

About the event

“We cannot simply seek to do more of the same…using currently available tools and technologies,” said USAID Administrator Rajiv Shah in his recent Barmes Global Health Lecture at the National Institutes of Health. In order to meet the challenges of improving maternal and child health, new tools and innovations must be developed that complement proven interventions and offer long-term solutions. The private sector’s unique capacity to develop and scale up technologies provides a significant opportunity for collaboration. The panel will discuss their experiences working across development sectors to create and disseminate innovative nutrition and health technologies for women and children and present recommendations for working with the private sector for better results.

 

Hugh Chang, director of special initiatives at PATH, will present examples from PATH’s 30-year history of partnering with the private sector and address the effectiveness of these collaborations in meeting the needs of mothers and children. Laura McLaughlin, environmental engineer at Cascade Designs, Inc., will present a private-sector-perspective and discuss opportunities for collaboration with NGOs and governments to improve health in resource-poor-settings. Sandhya Rao, senior private sector advisor at USAID will discuss current U.S. government strategies for promoting innovation and technology to improve health and nutrition outcomes.

 

About the Maternal Health Policy Series

The reproductive and maternal health community finds itself at a critical point, drawing increased attention and funding, but still confronting more than 350,000 deaths each year and a high unmet need for family planning. The Policy Dialogue series seeks to galvanize the community by focusing on important issues within the maternal health community.

 

The Wilson Center’s Global Health Initiative is pleased to present this series with its co-conveners, the Maternal Health Task Force and the United Nations Population Fund (UNFPA), and is grateful to USAID’s Bureau for Global Health for further technical assistance.

 

If you are interested, but unable to attend the event, please tune into the live or archived webcast on the Wilson Center’s website. The webcast will begin approximately 10 minutes after the posted meeting time. You will need Windows Media Player to watch the webcast. To download the free player, visit: http://www.microsoft.com/windows/windowsmedia/download.

 

Location: Woodrow Wilson Center at the Ronald Reagan Building: 1300 Pennsylvania Ave., NW (”Federal Triangle” stop on Blue/Orange Line), 5th floor conference room. A map to the Center is available at www.wilsoncenter.org/directions. Note: Photo identification is required to enter the building. Please allow additional time to pass through security.

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Brooklyn to Tanzania: “Mama Creator”

Thursday, February 24th, 2011 by Christopher Lindahl

Written by: Lisa Russell, Documentary Filmmaker and Co-Founder, MDGFive.com

 

As a documentary filmmaker who creates films with UN/NGO agencies, I get the luxury of walking in two distinct worlds. The socially conscious creative world and the humanitarian/development world. Both are infused with passionated, committed people, both strive for social progress and both experience the webs and flows that come with the success as well as the challenges in trying to make change in the world.

 

As co-founder of MDGFive.com I have been working to bridge these two worlds around the issue of maternal health. And this week, I have seen the power of that bridge during a workshop taking place in Dar es Salaam Tanzania and at the he Sauti za Busara festival (East Africa’s biggest music festival that occurs in Zanzibar each year and showcases more than four hundred African musicians over five days.)

 

With the support of the UNFPA office in Tanzania, I brought Brooklyn based artists, Maya Azucena (an award winning singer and co-founder of MDGFIve.com) and Okai (one of NYC’s most talented percussionists and emcees) to write and record a new song on maternal health in collaboration with some of Tanzania’s top musicians. This included “Mzungu Kichaa” (a Danish citizen who has lived in Tanzania for a large part of his life and speaks fluent Swahili), Lady JayDee (known as one of the most famous R&B singers in East Africa), Fid Q (a famous emcee and hip hop artist who works with NGOs such as EngenderHealth, FHI, USAID, and others) and Mrisho Mptoto (a well known TV personality and spoken word artist). The song was produced by Ambrose “Dungu” – known as Tanzania’s most prominent music producer.

 

As part of our workshop, I screened my film “Not Yet Rain.” Afterward, the UNFPA Representative in Tanzania, Julitta Onabanjo, sat with all the artists and presented to us the challenges facing women in pregnancy and childbirth in Tanzania. She answered questions from the artists who then took pen to paper to start writing the lyrics. It was an inspiring process to witness, especially between artists who have such different cultural and lingual references but share similar professional and musical inclinations.

 

After the workshop, the artists spoke about how interesting it was to be able to interact with an institution on such a unique level. We all agreed that having the sort of access and support that we received from the UNFPA Country Office enabled us to be more on point with lyrics that can touch on the important messages and ideas about maternal health.

 

The song that resulted is called “Mama Creator” which is sung in Swahili and English. At nearly 4 minutes long, it is an uplifting song with a memorable chorus and strong lyrics. Many who have heard it in Tanzania believe it has the ability to become popular with local radio stations because it has so many famous musicians and is such a strong song. We also see its importance in the mission of MDGFive.com in bringing it to an international level and engaging other artists around maternal health.

 

The test will come when we release the song and music video on our website and through local Tanzania channels on International Women’s Day (March 8th). I’ll be editing a mini-documentary about the creative process and producing Advocacy Packets that provide guidelines to organizations on how to attract and retain the involvement of creative communities in the maternal health movement. We then hope to return to Zanzibar for the Zanzibar International Film Festival to do a live performance of “Mama Creator” with all participating artists, show the mini-doc and host film and music workshops with other artists attending the festival.

 

My hope is that by bringing these two worlds together around the issue of maternal health, that we draw new audiences into the fight to make the world a better place for women.

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