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GLOBAL Maternal Health CONFERENCE GLOBAL Maternal Health CONFERENCE IMPROVING QUALITY OF CARE PROGRAM 15–17 January 2013 Arusha, Tanzania Table of Contents Welcome 3 Conference Sponsors 6 Global Steering Committee 6 Scientific Sub-Committee 7 Conference Information 8 AICC Map 10 Conference Overview 13 Glossary of Terms 14 Conference Tracks 15 Tuesday at a Glance 16 Wednesday at a Glance 18 Thursday at a Glance 20 Session Details 22 Posters 79 Biographies 91 1 2 Welcome Welcome to the Global Maternal Health Conference 2013. health has also been the recipient of significant attention We are delighted that you are here to share your insights from think tanks, the media, policy makers, and academ- and experiences with maternal health colleagues from ics the world over, including our esteemed partner and around the world. co-host of the conference, Management and Development for Health of Tanzania. In addition, many donors have The Maternal Health Task Force (MHTF) was launched in been attracted to the vital work of improving the quality of 2008 at EngenderHealth to provide a place where experts maternal health care and we are fortunate to receive sup- working on maternal mortality and morbidity could come port from the Bill & Melinda Gates Foundation, the John D. together in a neutral and enabling environment to increase and Catherine T. MacArthur Foundation, and the Hansen coordination around evidence, programs, and advocacy Family Foundation. The work of the Maternal Health Task to improve maternal health worldwide. In 2011, MHTF Force and this conference would not be possible without became the flagship project of the Women and Health their support. Initiative at the Harvard School of Public Health. Since the transition, the MHTF has continued to serve as a mater- This is an exciting time for maternal health. Between 1990 nal health hub, has expanded educational opportunities and 2010, maternal mortality worldwide dropped by nearly for public health students and mid-level maternal health 50%. The scale of this conference and the quality of the professionals in high-burden countries, and has adopted a work being presented are testimony to the increased specialized focus on research and education surrounding global attention that maternal health is receiving and are quality of care issues in the maternal health field. indicative of the forward momentum of this field. If this momentum continues, our collective dream may indeed be We are excited to come together at this conference around realized: the eradication of preventable maternal mortality this vitally important issue, to share data and insights, to and morbidity in our lifetimes. learn about new developments and innovations, to identify knowledge gaps that still need to be filled, and to reach consensus on local, national, and global strategies for eradicating preventable maternal mortality and morbidity by improving the quality of maternal health care. There are over 700 of us gathered at this conference. We received more than 1500 abstracts—three times as many Ana Langer as three years ago—giving our steering committee and our Director, Maternal Health Task Force scientific subcommittee an extraordinary challenge of se- lecting and prioritizing presentations. Clearly, there is high demand for a conference devoted exclusively to improving the quality of maternal health care, which is a strong and encouraging sign of a thriving field. At the MHTF, we have been struck by the volume of work underway in this field, including research, programs, and advocacy. The field of quality improvement in maternal 3 Welcome On behalf of my colleagues at Management and Devel- MDH was founded in 2010 and has been providing sup- opment for Health (MDH), welcome to Arusha and to the port to mothers through our HIV and PMTCT programs 2013 Global Maternal Health Conference! We are thrilled for many years now. Recently, we have begun to collabo- to be partnering with the Maternal Health Task Force at rate with the Women and Health Initiative at the Harvard the Harvard School of Public Health to host this premier School of Public Health and have engaged more directly in gathering of maternal health experts from the world over efforts to prevent maternal mortality and morbidity through to discuss such a timely and urgent issue as quality of improving the quality of maternal health services. This is care improvement for maternal health services. both an exciting and challenging time to be involved with this work and we are privileged to co-host this conference Worldwide, momentum is building and incredible progress at such a critical juncture in the global field and within our has been made towards achieving Millennium Develop- own organization. ment Goal 5. Between 2005 and 2010 there was a re- markable decline in maternal deaths, reflecting decades I hope that you enjoy your stay in the beautiful city of of hard work by researchers, advocates, and program Arusha, that your time here proves fruitful and inspiring, implementers. In Tanzania, maternal health has become a and that you leave recommitted and even more motivated national priority and we feel fortunate to have the strong, to continue making great strides forward in improving the committed support of our President Jakaya Kikwete and quality of maternal health. First Lady Salma Kikwete. This support, coupled with the incredible work of dozens of groups in Tanzania dedicated to this issue, resulted in the maternal mortality ratio falling 25 percent between 2005 and 2010. Despite these successes, however, much work remains to be done. The current rate at which maternal mortality is declining is much too low to meet MDG5 by 2015. More importantly, nearly 300,000 maternal deaths continue to occur worldwide each year and the maternal mortality ratio in Tanzania and dozens of other countries remains unacceptably high. The vast majority of maternal deaths Guerino Chalamilla occur among the poorest women in the poorest countries Director, Management and Development for Health and most could be prevented if appropriate and timely ac- cess to quality care were available. This only underscores the necessity and timeliness of the theme of the 2013 GMHC: Improving Quality of Care. 4 5 Conference Sponsors The Maternal Health Task Force and Management and Development for Health are grateful to our sponsors for their support of this conference: Global Steering Committee Ana Langer, Co-Chair Stephen Kennedy Maternal Health Task Force, USA Oxford Maternal and Perinatal Health Institute, University of Oxford, UK Guerino Chalamilla, Co-Chair Management and Development for Health, Tanzania Marge Koblinsky USAID, USA Fernando Althabe Institute of Clinical Effectiveness and Health Policy, Oladosu Ojengbede Argentina Center for Population and Reproductive Health, University of Ibadan, Nigeria Zulfiqar Bhutta Division of Women and Child Health, Carine Ronsmans Aga Khan University, Pakistan London School of Tropical Medicine and Hygiene, UK Ann Blanc Neema Rusibamayila Population Council, USA Ministry of Health and Social Welfare, Tanzania Luc de Bernis Fred Sai UNFPA, USA Ghana France Donnay Jill Sheffield Bill & Melinda Gates Foundation, USA Women Deliver, USA Mahmoud Fathalla Beena Varghese Chairman, Advisory Committee on Health Research, Public Health Foundation of India WHO Eastern Mediterranean Region, Egypt and St. Johns Research Institute, India Wafaie Fawzi Jose Villar Harvard School of Public Health, USA Oxford Maternal and Perinatal Health Institute, University of Oxford, UK Lynn Freedman AMDD, Columbia Mailman School of Public Health, USA Michelle Williams Harvard School of Public Health, USA Mengistu Hailemariam Ministry of Health, Ethiopia 6 Scientific Sub-Committee Kabir Abdullahi Charles Kilewo Nigerian Urban Reproductive Health Initiative, Nigeria Muhimbilli University of Health and Allied Sciences, Tanzania Bukky Adesina University of Ibadan Medical College, Nigeria Magdalena Lyimo Muhimbilli University of Health and Allied Sciences, Priya Agrawal Tanzania Merck for Mothers, USA Miriam Mtawali Mgonja Nabeela Ali Muhimbili University for Health and Allied Sciences, Pakistan Initiative for Mothers and Newborns, Pakistan Tanzania Anne Austin Aisa Muya Maternal Health Task Force, USA Management and Development for Health, Tanzania John Koku Awoonor-Williams Mary Mwanyika-Sando Ghana Health Service, Ghana Management and Development for Health, Tanzania Belinda Ballandya Marina Njelekela Muhimbili University of Health and Allied Sciences, Mewata, Tanzania Tanzania Kate Ramsey Maggie Bangser Ifakara Health Institute/Columbia AMDD, Tanzania Independent/UNICEF, Tanzania Joseph Ruminjo Linda Bartlett EngenderHealth, USA Johns Hopkins University, USA Harshad Sanghvi Karen Beattie Jhpiego, USA EngenderHealth, USA Halima Shariff Yemane Berhane John Hopkins University Centre for Communications Addis Continental Institute of Public Health, Ethiopia Programs, Tanzania Harriet Birungi Kole Shettima Population Council, Kenya MacArthur Foundation, Nigeria Jennifer Blum Solomon Shiferaw Gynuity, USA Addis Ababa University, Ethiopia Fabio Castano Sharon Bissell Sotelo Management Sciences for Health, USA MacArthur Foundation, Mexico Dipa Nag Chowdhury Jeff Smith MacArthur Foundation, India MCHIP, USA Brenda D’Mello Mary Ellen Stanton Comprehensive Community Based Rehabilitation in USAID, USA Tanzania, Tanzania Lia Tadesse Wendy Graham St. Paul Millennium College Hospital, Ethiopia University of Aberdeen, UK Mary Nell Wegner Joan Healy Maternal Health Task Force, USA Ipas, USA Saidi Kapiga London
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